What is the Usual Treatment for a High Ankle Sprain?
The vast majority of high ankle sprains are treated conservatively (non-operatively) with splinting of the ankle to reduce motion of the painful joint. Elevation and icing to the ankle is helpful to reduce swelling. Icing should not be applied for any longer than 20 minutes as this may result in an increase in the amount of ankle swelling. Non-steroidal anti-inflammatory medications are usually prescribed to aid in pain control and swelling, though there is limited scientific evidence of the effectiveness of these drugs. Crutches may be necessary to assist with ambulation. Once the acute inflammatory phase is over, physical therapy is prescribed. Gentle range of motion exercises are begun as tolerated. This is followed by strengthening exercises to the muscles of the lower leg. Graduated, sport-specific exercises are then initiated with the goal to return the athlete to sports when he or she is able to run, jump, cut, and pivot without pain. An ankle brace or taping of the ankle may he
