Nonsurgical treatment options depend on whether your problem is an ankle sprain or ankle instability.
Ankle Sprain
The best results after an ankle sprain come when treatment is started right away. Treatments are used to stop the swelling, ease pain, and protect how much weight is placed on the injured ankle. A simple way to remember these treatments is by the letters in the word RICE. These stand for rest, ice, compression, and elevation.
- Rest: The injured tissues in the ankle need time to heal. Crutches will prevent too much weight from being placed on the ankle.
- Ice: Applying ice or cold packs can help ease pain and may reduce swelling.
- Compression: Gentle compression pushes extra swelling away from the ankle. This is usually accomplished by using an elastic wrap or ankle support.
- Elevation: Supporting your ankle above the level of your heart helps control swelling.
Mild pain relievers help with the discomfort. Anti-inflammatory medications can help ease pain and swelling and get people back to activity sooner after an ankle sprain. These medications include common over-the-counter drugs such as ibuprofen.
As treatment progresses, it is helpful to gradually begin putting weight through the joint. Casts have fallen out of favor because soft tissues weaken when they are kept immobile. But ankle braces that can be worn to support the ankle, but still allow weight bearing, are the most popular treatment for helping reduce strain on the healing tissues.
Healing of the ligaments usually takes about six weeks, but swelling may be present for several months. Your doctor may suggest that you work with a physical therapist to help you regain full range of ankle motion, improve balance, and maximize strength.
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