Recurrent pain six months after the ankle sprain, where the patient does not feel better, usually means that the ankle sprain has resulted in the occurrence of ligament rupture, tibial cartilage injury and ankle edema and effusion since the sprain. This is the time to see a specialist foot and ankle orthopaedic surgeon for a proper evaluation to find out if the ankle ligaments are ruptured and if there is a combination of talar cartilage damage and cystic changes in the talar cartilage. In mild cases, repeated sprains of the ankle that result in symptoms for more than six months require formal rehabilitation, and then further arthroscopic minimally invasive ankle debridement, synovectomy and ligament repair surgery is required. In a small number of patients, repeated sprains resulting in rupture of the anterior talofibular ligament and heel-fibular ligament of the ankle joint may require ankle reconstruction surgery. For talar cartilage injuries due to ankle sprains, different treatments such as conservative and surgical treatment of the talar cartilage are usually required. Surgical treatments include cartilage grafting and reconstructive surgery.