How to Treat Ankle Sprains

I’ve got a story to share with you all about ankles and cankles! We’ve all experienced the painful sensation of twisting our ankle at some point in our lives, and boy, can it be a real inconvenience. But fear not, my friends! In this article, I will be your guide on how to treat those pesky ankle sprains and get back on your feet in no time. So let’s kick off this journey and learn some valuable tips and tricks to prevent those cankles from holding us back!

Understanding Ankle Sprains

Ankle sprains are a common injury that many of us have experienced at some point in our lives. As someone who has dealt with ankle sprains in the past, I understand how frustrating and painful they can be. In this article, I will explain the immediate treatment options for ankle sprains, when to seek medical help, the different types of non-surgical and surgical treatments available, as well as the recovery and rehabilitation process. Additionally, I will provide valuable tips on preventing future ankle sprains and debunk some common myths and misconceptions surrounding this injury.

How to Treat Ankle Sprains

Immediate Treatment

When dealing with an ankle sprain, immediate treatment is crucial to minimize pain and further damage. By following the acronym RICE (Rest, Ice, Compression, Elevation), you can effectively manage your symptoms.


The first step in treating an ankle sprain is to rest the injured ankle. It’s important to avoid putting any weight on the affected ankle as this can worsen the injury. If possible, use crutches or a cane to help with mobility.


Applying ice to the injured ankle can help reduce swelling and alleviate pain. Wrap a thin towel around a bag of ice or use a cold pack and apply it to the affected area for 15-20 minutes every hour for the first 48-72 hours.


Compression can help reduce swelling and provide support to the injured ankle. Use an elastic bandage or compression wrap to gently wrap the ankle, starting from the toes and moving up towards the calf. Make sure the wrap is snug, but not too tight to cut off circulation.


Elevating your injured ankle above the level of your heart can help minimize swelling. Prop your leg up on a pillow or cushion whenever possible to promote blood flow away from the injured area.

Pain Relief Medication

Over-the-counter pain relief medications such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage and consult with a healthcare professional if you have any underlying medical conditions or are taking other medications.

Medical Evaluation

While immediate treatment can provide relief for minor ankle sprains, it’s important to seek medical help in certain situations to ensure proper evaluation and guidance for recovery.

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When to Seek Medical Help

It is advisable to seek medical help if:

  • The pain and swelling do not improve within a few days
  • You are unable to put any weight on the injured ankle
  • You hear a popping sound at the time of injury
  • The ankle appears deformed or out of place
  • You have ongoing pain or instability in the ankle joint

In these cases, it’s best to consult with a healthcare professional who can assess the severity of the injury and guide you on the appropriate course of treatment.

Professional Examination

During a medical evaluation, a healthcare professional will examine your ankle, assess your range of motion, and evaluate the severity of the sprain. They may gently manipulate your ankle to check for instability and order diagnostic tests if necessary.

Diagnostic Imaging

In some cases, an X-ray, ultrasound, or MRI may be recommended to rule out any fractures, ligament tears, or other associated injuries. These imaging tests can provide a clearer picture of the extent of the damage and help guide the treatment plan.

Determining the Grade of Sprain

Ankle sprains are typically classified into three grades based on the severity of the injury:

  • Grade 1: Mild sprain with slight stretching or microscopic tearing of the ligaments.
  • Grade 2: Moderate sprain with partial tearing of the ligaments and mild instability.
  • Grade 3: Severe sprain with complete tearing of the ligaments and significant instability.

Determining the grade of sprain is important as it helps healthcare professionals recommend the most appropriate treatment options.

Non-Surgical Treatment

For most ankle sprains, non-surgical treatment methods are effective in promoting healing and restoring function. Here are the common non-surgical treatment options:

PRICE Protocol

The PRICE protocol (Protection, Rest, Ice, Compression, Elevation) is an extension of the RICE protocol and is commonly used in the early stages of ankle sprain treatment. The protection component involves using crutches or a brace to limit weight-bearing on the injured ankle.

Physical Therapy

Physical therapy plays a crucial role in the rehabilitation process for ankle sprains. A qualified physical therapist can guide you through exercises and techniques to strengthen the injured ankle, improve range of motion, and restore balance and stability.

Range-of-Motion Exercises

To regain full range of motion in your ankle, your physical therapist may prescribe exercises that focus on stretching and mobilizing the joint. These exercises may include ankle circles, alphabet writing with your toes, and calf stretches.

Strengthening Exercises

Strengthening exercises are essential for restoring stability and preventing future ankle sprains. Your physical therapist will guide you through exercises that target the muscles and ligaments surrounding the ankle, such as heel raises, resistance band exercises, and balance board exercises.

Balance Training

Improving balance is crucial for preventing future ankle sprains. Your physical therapist may use various techniques like wobble boards, balance pads, or single-leg standing exercises to challenge your balance and improve proprioception.

Brace or Support

Depending on the severity of your sprain, your healthcare professional may recommend using an ankle brace or support during physical activity or sports participation. These devices can provide additional stability and reduce the risk of re-injury.

Casting or Walking Boot

In some cases, a more severe ankle sprain may require immobilization with a cast or walking boot to allow the ligaments to heal properly. This is usually followed by a gradual transition to weight-bearing and physical therapy.

Modified Activities

During the recovery phase, it’s important to modify your activities to avoid placing excessive stress on the healing ligaments. Your healthcare professional or physical therapist can provide guidance on which activities to avoid and when it’s safe to gradually reintroduce them.

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Surgical Treatment

In rare cases where the ankle sprain is severe and doesn’t respond to non-surgical treatment, surgical intervention may be necessary. Surgical treatment options for ankle sprains include:

Indications for Surgery

Surgery is generally reserved for ankle sprains that involve significant ligament tears or cases where the ankle remains unstable despite non-surgical treatment. The decision for surgery is made by considering the individual’s functional needs, lifestyle, and severity of the injury.

Procedure Options

The surgical procedure for ankle sprains typically involves reconstructing or repairing the damaged ligaments. This can be done using either open surgery or minimally invasive arthroscopic techniques. Your orthopedic surgeon will determine the most appropriate procedure based on the specific characteristics of your injury.

Rehabilitation Process

Following surgery, a comprehensive rehabilitation program will be prescribed to help regain strength, range of motion, and function in the ankle. Physical therapy will play a crucial role in this process and may include exercises, manual therapy, and gradual progression of weight-bearing activities.

How to Treat Ankle Sprains

Recovery and Rehabilitation

Recovery and rehabilitation after an ankle sprain can vary depending on the severity of the injury and individual factors. Here are some important aspects to consider during this phase:

Healing Time

The healing time for an ankle sprain can range from a few weeks to several months, depending on the grade of the sprain and individual factors. It’s important to be patient and follow the guidance of your healthcare professional or physical therapist.

Follow-up Appointments

Regular follow-up appointments with your healthcare professional are crucial to monitor the progress of your healing and adjust your treatment plan if necessary. These appointments also allow your healthcare professional to assess your pain levels, range of motion, and overall function.

Physical Therapy Guidelines

Adhering to the guidelines provided by your physical therapist is key to a successful recovery. This may include performing prescribed exercises at home, attending scheduled physical therapy sessions, and gradually increasing activities as directed by your healthcare team.

Return to Normal Activities

The timeline for returning to normal activities, including work, sports, and recreational pursuits, varies for each individual. It’s important to listen to your body and gradually increase your activity levels based on the guidance of your healthcare professional or physical therapist.

Preventing Future Sprains

While recovering from an ankle sprain, it’s essential to take steps to prevent future injuries. Incorporating the following preventive measures into your lifestyle can help protect your ankles:

Ankle-Strengthening Exercises

Regularly performing ankle-strengthening exercises can help improve the stability and strength of your ankles. Exercises like ankle circles, calf raises, and resistance band exercises can be done at home or under the guidance of a physical therapist.

Balance and Stability Training

Enhancing your balance and stability is crucial for preventing future ankle sprains. Incorporate balance training exercises into your routine, such as standing on one leg, using balance boards, or practicing yoga or Tai Chi.

Proper Footwear

Wearing appropriate footwear is essential for ankle support and injury prevention. Choose shoes that provide stability, cushioning, and a proper fit for your foot shape. Consider using orthotics or inserts if you have specific foot structure or alignment issues.

Sports-Specific Training

Engage in sports-specific training programs that focus on strengthening the muscles and ligaments used in your chosen activity. This can help improve your performance while reducing the risk of ankle sprains.

Avoiding Hazardous Surfaces

Be mindful of the surfaces you walk or exercise on. Avoid uneven terrain, slippery surfaces, and areas with loose gravel or debris that can increase the risk of ankle sprains. Use caution when participating in activities like hiking or running on unfamiliar trails.

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Using Ankle Braces or Supports

If you have a history of ankle sprains or feel vulnerable to injury, using ankle braces or supports during physical activities or sports can provide added protection and stability. Discuss with your healthcare professional or physical therapist to determine the most suitable option for your needs.

How to Treat Ankle Sprains

Common Complications

Although most ankle sprains heal well with appropriate treatment and rehabilitation, there are some common complications that may arise:

Chronic Instability

In some cases, the ligaments may not fully heal, leading to chronic ankle instability. This can result in recurrent ankle sprains and a feeling of the ankle “giving way” during activities.

Recurrent Sprains

Having one ankle sprain can increase the likelihood of future sprains. It’s important to address any weakness or instability in the ankle and engage in preventive measures to minimize the risk of recurrent sprains.

Post-Traumatic Arthritis

Severe ankle sprains, especially those involving fractures or extensive ligament damage, can increase the risk of developing post-traumatic arthritis. This condition causes pain, stiffness, and inflammation in the ankle joint.

RICE vs. PRICE Protocol

You may have come across the RICE (Rest, Ice, Compression, Elevation) protocol as the standard treatment for ankle sprains. However, a modified version known as the PRICE (Protection, Rest, Ice, Compression, Elevation) protocol is now commonly recommended.

Rest vs. Protection

Rest is a critical component of both protocols, ensuring that the injured ankle is given time to heal. However, the PRICE protocol emphasizes the use of protection, such as crutches or a brace, to limit weight-bearing and further damage to the injured ankle.

Ice vs. Ice and Compression

Both protocols include the use of ice to reduce swelling. However, the PRICE protocol adds an additional component of compression to further promote the reduction of swelling and provide stability to the injured ankle.

Compression vs. Compression and Elevation

While the RICE protocol encourages the use of compression to reduce swelling, the PRICE protocol combines compression with elevation, which helps promote blood flow away from the injured area and speed up the healing process.

Elevation vs. Support

Elevation is a common practice in both protocols, aimed at reducing swelling. However, the PRICE protocol highlights the importance of using support, such as a brace or walking boot, to provide stability and reduce the risk of further injury.

How to Treat Ankle Sprains

Myths and Misconceptions

There are several myths and misconceptions surrounding ankle sprains that can lead to incorrect assumptions or misguided self-treatment. Let’s debunk some of these common misunderstandings:

Myth: Immediately Walking Is the Best

Contrary to popular belief, immediately walking on an ankle sprain can hinder the healing process and potentially worsen the injury. It is important to follow the RICE or PRICE protocol and allow the injured ankle to rest and heal before gradually returning to weight-bearing activities.

Myth: Pain Equals Severity

While pain is a common symptom of an ankle sprain, it does not necessarily indicate the severity of the injury. Some high-grade sprains may cause minimal pain initially, while milder sprains can be accompanied by significant discomfort. It’s always best to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Myth: Medication Is Always Necessary

Over-the-counter pain relief medications can be helpful in managing the pain and inflammation associated with ankle sprains. However, they are not always necessary for every case. Consulting with a healthcare professional can help determine whether medication is needed based on the severity of the sprain and other individual factors.

Misconception: Surgery Should Be the First Option

Surgery is typically reserved for severe ankle sprains that do not respond to non-surgical treatment. Most ankle sprains can be effectively managed with conservative approaches like rest, physical therapy, and bracing. Only in rare cases where there is significant ligament damage or instability should surgery be considered.

Misconception: Ankle Sprains Always Heal in a Week

The healing time for ankle sprains can vary significantly depending on the severity of the injury and individual factors. While some mild sprains may heal within a week or two, more severe sprains can take months to fully recover. It’s important to listen to your body, follow the guidance of healthcare professionals, and be patient throughout the healing process.

In conclusion, ankle sprains can be a painful and inconvenient injury to deal with. However, with the right immediate treatment, medical evaluation, and appropriate rehabilitation, you can recover effectively and prevent future sprains. Remember to seek medical help if needed, follow the advice of healthcare professionals, and prioritize preventive measures to keep your ankles strong and stable.