CLASSIFICATION OF LOW ANKLE SPRAINS
||Ecchymosis and swelling
||Pain with weight-bearing
||Stretch without tear
The RICE protocol. Follow the RICE protocol as soon as possible after your injury:
–Rest your ankle by not walking on it.
–Ice should be immediately applied to keep the swelling down. It can be used for 20 to 30 minutes, three or four times daily. Do not apply ice directly to your skin.
–Compression dressings, bandages or ace wraps will immobilize and support your injured ankle.
–Elevate your ankle above the level of your heart as often as possible during the first 48 hours.
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help control pain and swelling.
Because they improve function by both reducing swelling and controlling pain, they are a better option for mild sprains than narcotic pain medicines.
-To prevent stiffness
-Range of motion exercises
*Strengthening exercises are prescribed when the patient can bear weight without an increase in pain or any other associated feature.
-Walking may be difficult during the initial few days.
-Patient will be prescribed to use crutches to avoid weight-bearing
-Mild sprains may require a short period (approx. 1 week) of weight-bearing immobilization in a walking boot, air-cast or walking cast, but early mobilization facilitates a better recovery
Surgery for sprained ankles is rarely performed. In cases when the damage is severe and not responding to the conservative management or is accompanied by instability, surgery may be required.
Surgical options include:
- Arthroscopy: During an arthroscopy, a surgeon looks inside the joint to see if there are any loose fragments of bone or cartilage.
- Reconstruction: For reconstruction surgery, a surgeon will repair the torn ligament with stitches. They may also use other ligaments or tendons around the foot or ankle to repair the damaged ligaments.
The type of surgery needed will depend on the severity of the ankle sprain and the activity level.
After surgery, rehabilitation is an important part of the recovery process.
- Warm-up before you exercise or play sports.
- Be careful when walking, running or working on an uneven surface.
- Use an ankle support brace or tape on a weak or previously injured ankle.
- Wear shoes that fit well and are made for your activity.
- Minimize wearing high-heeled shoes.
- Maintain good muscle strength and flexibility.
- Practice stability training, including balance exercises.