Ankle Sprain

How Are Ankle Sprains Treated?

Ice is applied immediately, because swelling starts quickly. The ankle is rested, which may mean using crutches. Walking is kept to a minimum. A compression wrap or splint is put on the ankle. The ankle is elevated above hip level. Remember these by thinking “RICE” (Rest, Ice, Compression, Elevation). A compression wrap, splint, or brace lets the ankle move without injury. Never use heat before 72 hours after the injury (causes more swelling).

Physical therapy can strengthen muscles, help recovery, and help prevent more injuries.

Over-the-counter antiinflammatory medications (ibuprofen) can be taken to decrease swelling and provide pain relief.

Severe sprains may need surgery and physical therapy.

DOs and DON’Ts in Managing an Ankle Sprain:

• DO warm up and stretch before exercising.
• DO wear ankle braces when playing sports if you often get sprains.
• DO lose weight, if overweight.
• DO keep fit.
• DO take medicines and use crutches prescribed by your health care provider.
• DO follow RICE and physical therapy instructions.
• DO call your health care provider if you can’t walk on your injured ankle, swelling hasn’t left after 2 days or increases, the ankle becomes redder or hot, you have a fever, or you notice popping, catching, or the ankle giving way.
• DO call your health care provider if your foot is numb, tingling, or is a blue or dusky color or if your toes are cold (signs of cut-off circulation).
• DO call your health care provider if you don’t see improvement in 7 to 10 days after the sprain.
• DO call your health care provider if you have pain or swelling in the leg (may mean a blood clot).

• DON’T do activities that will increase swelling. Avoid early use of heat or too much activity, standing, or sitting with the ankle hanging.
• DON’T play sports again until pain and swelling are gone and the ankle is strong.