Should I Sleep with an Ankle Brace On: The Pros and Cons

Should I sleep with an ankle brace on: If you have recently been injured, you might ask yourself this common question. Ankle injuries, whether they stem from a sprain, strain, or chronic instability, can be frustrating and debilitating. When you're trying to recover, every detail of your routine comes into question, including should I sleep with an ankle brace on. To answer this question, we need to consider the type of injury, the kind of brace you're using, and the advice of healthcare professionals.

Understanding Ankle Braces and Their Purpose

The answer to the question, Should I sleep with an ankle brace on, is not as simple as yes or no. An ankle brace is primarily designed to support the ankle by restricting movement, reducing your risk of further injury, and providing compression to reduce swelling. Ankle braces come in various types, from soft, wrap-style braces to more rigid, lace-up models. They are frequently recommended for anyone recovering from an ankle injury, as well as for athletes who want to prevent re-injury.

The purpose of wearing an ankle brace during the day is clear: to stabilize the ankle during physical activities. But at night, while you're lying still and inactive, is the brace still necessary?

The Case for a Brace

Let’s look at the positive side of the question should I sleep with an ankle brace on:

Severe Sprains and Post-Surgical Recovery

If you’ve recently experienced a severe sprain or undergone ankle surgery, your healthcare provider may recommend wearing a brace 24/7, including during sleep. This ensures your ankle stays in a neutral position, preventing unintentional movements that could cause further harm or slow the healing process. In such cases, sleeping with the brace on is a part of your overall recovery plan.

Reducing Swelling

For the first few days following an injury, your ankle might still be swollen. Swelling often gets worse overnight due to reduced circulation. A compression brace can help manage this swelling, which might make wearing it while sleeping beneficial. Compression helps reduce the buildup of fluid in the injured area, leading to faster recovery.

Comfort and Stability

Depending on the type of injury, you may feel more comfortable sleeping with an ankle brace, particularly if your ankle feels unstable or painful. The brace provides peace of mind and ensures that sudden, unconscious movements during sleep won’t lead to further injury.

The Case Against a Brace

Now let’s look at the negative side of the question should I sleep with an ankle brace on:

Over-Reliance on the Brace

Wearing an ankle brace too frequently, including while sleeping, can potentially lead to muscle weakening around the joint. Your body relies on external support rather than activating the muscles necessary to stabilize the ankle. Over time, this could make your ankle more prone to injury once the brace is removed. For most mild to moderate injuries, healthcare providers recommend gradually weaning off the brace as your ankle heals.

Circulation Issues

Compression helps reduce swelling, but too much compression, especially over a prolonged period (like overnight), can hinder circulation. This could potentially worsen your injury or cause discomfort. A brace that's too tight can also lead to numbness, tingling, or cramping, which is why it’s crucial to ensure a proper fit and follow your doctor’s recommendations.

Discomfort and Disrupted Sleep

Ankle braces are not the most comfortable accessories. Depending on the type of brace, they can dig into your skin, feel restrictive, or cause sweating during the night. Poor-quality sleep can, in turn, hinder your body’s ability to heal. If wearing the brace is causing you discomfort, it might be better to remove it before bed and explore other ways to support your ankle at night.

Alternatives to Sleeping With a Brace On

If you're hesitant about sleeping with an ankle brace on, there are alternatives to support your recovery while sleeping. Elevating your ankle on pillows while sleeping can reduce swelling by promoting better circulation. Applying an ice pack before bed can help reduce inflammation and pain. Instead of a rigid brace, a soft compression wrap might be more comfortable while still providing some support.

Should I Sleep with an Ankle Brace On?

The answer to the question of should I sleep with an ankle brace on largely depends on your specific condition and the advice of your healthcare provider. For those with severe injuries or during the acute phase of recovery, wearing a brace at night might be necessary. However, for milder injuries or long-term use, it may not be essential and could even interfere with muscle strengthening and recovery. Here is an ankle brace that is perfect to wear while sleeping should you decide to go with that option after evaluating your situation. Ultimately, the best course of action is to follow the guidance of a medical professional, listen to your body, and prioritize your comfort while ensuring you protect your ankle as it heals.