What is treatment for an ankle sprain?
The treatment process can be divided into three phases. Modifications to these phases can be made depending upon the severity of the injury. Phase 1 is usually one to two days with the focus primarily on the reduction of inflammation utilizing the principles of RICE (Rest, Ice, Compression and Elevation), Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and crutches as needed to allow weight bearing as tolerated. Icing should be 3 times a day, 20 minutes at a time. Phase 2 (2-12 days) focuses on restoration of motion within the ankle complex starting with active range of motion into dorsiflexion and plantar flexion. Inversion and eversion may be too painful to tolerate actively and therefore should be performed either passively or active-assist. Weight bearing during walking should gradually be increased to allow proprioception (the ability to tell the position of the foot in space) to return and an increase in ankle mobility. Phase 3 (12 days and beyond) should focus on strengthening, a