Treating Ankle Sprains: From PRICE to Full Recovery
Treating Ankle Sprains: From PRICE to Full Recovery
The Healing Journey
Ankle sprains are common, but proper treatment is crucial for a full recovery. Learn about the best practices for treating ankle sprains, from immediate care to long-term rehabilitation.
Contents
- Immediate Care: The PRICE Protocol
- Medications and Support
- Rehabilitation Exercises
- Advanced Treatments and When to Seek Help
Immediate Care: The PRICE Protocol
The PRICE protocol is the first line of defense against ankle sprains. It stands for Protection, Rest, Ice, Compression, and Elevation. Protect the ankle from further injury, rest it by avoiding weight-bearing, apply ice for 15-20 minutes every 2-3 hours, use an elastic bandage for compression, and elevate the ankle above heart level when possible. This approach helps reduce pain and swelling in the first 24-48 hours.
Medications and Support
Over-the-counter pain relievers like acetaminophen or NSAIDs can help manage pain and inflammation. Topical NSAIDs may also be effective. For moderate to severe sprains, a brace or splint might be recommended to provide support and limit motion. Lace-up or semi-rigid braces are often preferred and may be used for 4-12 weeks post-injury.
Rehabilitation Exercises
Once acute pain and swelling subside, rehabilitation exercises are crucial. These typically start with range of motion exercises, progressing to strength and balance training. A sample program might include ankle circles, heel raises, and single-leg balance exercises. Gradually increase intensity as function improves, continuing the program for several weeks to months depending on injury severity.
Advanced Treatments and When to Seek Help
While most ankle sprains heal with conservative treatment, some cases may require additional intervention. Physical therapy can be beneficial, especially for severe sprains or those not improving with home care. In rare cases, particularly for grade III sprains or those with persistent instability, surgical intervention might be considered. Always consult a healthcare professional if pain persists or worsens, or if you're unsure about the severity of your sprain.
FAQs
When should I start putting weight on my sprained ankle?
For mild sprains, as soon as comfortable; severe sprains may require longer rest.
How long should I use ice on my sprained ankle?
Apply ice for 15-20 minutes every 2-3 hours in the first 48-72 hours.
Do I need physical therapy for my ankle sprain?
It's beneficial for moderate to severe sprains or if recovery is slow.
Can I use heat on my sprained ankle?
Use ice initially; heat may be used after a few days if recommended by a professional.
How do I know if my ankle sprain is healing properly?
Pain and swelling should gradually decrease, and mobility should improve.
The Path to Full Recovery
With proper treatment and patience, most people fully recover from ankle sprains and regain full function of their ankle.
Additional References
- van den Bekerom MP, et al. What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults? J Athl Train 2012; 47(4):435-443.
- Doherty C, et al. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. Br J Sports Med 2017; 51:113.
- Vuurberg G, et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med 2018; 52:956.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.