Sprained Ankle: First Aid Treatment and Recovery Tips

Key Takeaways

  • Ligament damage occurs in three grades: Grade I involves mild stretching with no instability, Grade II includes partial tearing with moderate instability, and Grade III means complete rupture requiring 6-12 weeks recovery.
  • Apply ice for 15-20 minutes every 2-3 hours during the first 48 hours to reduce inflammation, but never place ice directly on skin—use a thin towel barrier to prevent frostbite.
  • Weight-bearing ability helps determine severity: if you can walk 4 steps without severe pain, it's likely a minor sprain, but inability to bear weight suggests possible fracture or Grade III injury.
  • Compression wrapping should be snug but not tight enough to cause numbness or tingling—you should be able to slide one finger under the bandage comfortably.
  • Return to sports too early increases reinjury risk by 70%, so wait until you can hop on the injured ankle 10 times without pain before resuming activities.

If you've suffered a sprained ankle, it's important to take the right steps to ease pain, reduce swelling, and promote healing. Even if your ankle sprain seems mild, it's a good idea to see a doctor for an evaluation to rule out more serious injuries. Seek emergency care if you experience severe pain, bruising, swelling, bleeding, numbness, discoloration, deformity, or inability to put weight on the affected ankle.

Controlling Ankle Swelling After a Sprain

As soon as possible after spraining your ankle, remove any constricting jewelry like ankle bracelets or toe rings. Then, follow the RICE method to manage symptoms:

  • Rest the injured ankle, using crutches if needed to avoid putting weight on it

  • Ice the ankle for 20-30 minutes every 2-3 hours for the first 48 hours after the injury

  • Compress the ankle by wrapping it lightly with an elastic bandage or brace

  • Elevate the ankle above heart level whenever lying down for the first 48 hours

Sprained Ankle: First Aid Treatment and Recovery Tips

How to Properly Wrap a Sprained Ankle

To wrap a sprained ankle with a compression bandage:

  1. Unroll the wrap and place the end just behind your toes

  2. Wrap the bandage in a spiral pattern toward your heart, overlapping each layer by half the width of the previous layer

  3. Continue wrapping around the foot, heel, and ankle until the entire area is covered up to several inches above the injury

Pain Relief for Sprained Ankles

If pain and swelling persist after using the RICE method, talk to your doctor about over-the-counter pain relievers that may help. Avoid giving aspirin to anyone under 19 years old. For more information on ankle sprains and their treatment, consult reputable sources like the WebMD guide to ankle injuries, Mayo Clinic's sprained ankle treatment overview, or the American Academy of Orthopaedic Surgeons' sprained ankle page.

The Bottom Line

Most ankle sprains heal within 2-6 weeks with proper RICE treatment, but the first 48 hours are critical for controlling swelling and preventing complications. Always seek evaluation if you can't bear weight or if pain doesn't improve within 3 days. If you're unsure about your injury severity or treatment approach, Doctronic can help assess your symptoms and guide your recovery.

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