How to Treat an Ankle Injury: Recovery Tips and Pain Management - Rehabilitation

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Ankle sprain


A few days ago, I hit the inside of my ankle hard, and it swelled up shortly after.
Now it also hurts.
What should I do? Will standing for long periods worsen the condition? It's difficult to avoid.
If I need to apply ice and ointment, how many times a day should I do it?

Niming, 10~19 year old female. Ask Date: 2016/04/16

Dr. Zhou Jianwen reply Rehabilitation


It is recommended to apply ice packs twice a day for 15 minutes each time.

Reply Date: 2016/04/16

More Info


When dealing with an ankle injury, especially one that has resulted from a significant impact, it's crucial to follow a structured approach to treatment and recovery. Here are some guidelines for managing your ankle injury, including pain management and recovery tips.


Immediate Treatment
1. Rest: As soon as you notice pain and swelling, it's essential to rest the injured ankle. Avoid putting weight on it as much as possible to prevent further injury.

2. Ice Therapy: Applying ice to the injured area can help reduce swelling and numb the pain. It’s generally recommended to ice the ankle for 15-20 minutes every 1-2 hours during the first 48 hours after the injury. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Compression: Use an elastic bandage or a compression wrap to help minimize swelling. Be careful not to wrap it too tightly, as this can impede circulation.

4. Elevation: Keep your ankle elevated above the level of your heart whenever possible. This helps reduce swelling by allowing fluids to drain away from the injury site.


Pain Management
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and reduce inflammation. Follow the dosage instructions on the package or consult with a healthcare provider for personalized advice.


Recovery Tips
1. Gradual Mobilization: Once the initial pain and swelling have decreased, start gently moving the ankle. Range-of-motion exercises can help maintain flexibility. Avoid any movements that cause pain.

2. Physical Therapy: If the pain persists or if you have difficulty moving the ankle, consider seeing a physical therapist. They can provide tailored exercises to strengthen the ankle and improve stability.

3. Avoid Prolonged Standing: Long periods of standing can exacerbate pain and swelling in an injured ankle. If your daily activities require standing, try to take breaks and sit down whenever possible. Use supportive footwear that provides cushioning and stability.

4. Monitor Symptoms: Keep an eye on your symptoms. If the swelling worsens, or if you experience increased pain, bruising, or difficulty bearing weight, it may be necessary to seek medical attention. An X-ray or MRI might be needed to rule out fractures or more severe injuries.


Long-term Care
- Gradual Return to Activity: As your ankle heals, gradually return to your normal activities. Start with low-impact exercises, such as swimming or cycling, before progressing to weight-bearing activities like running or jumping.

- Strengthening Exercises: Once cleared by a healthcare provider, incorporate strengthening exercises into your routine to help prevent future injuries. Focus on exercises that target the muscles around the ankle, such as calf raises, ankle circles, and resistance band exercises.


Conclusion
In summary, treating an ankle injury involves a combination of rest, ice, compression, and elevation initially, followed by gradual mobilization and strengthening exercises as healing progresses. Long periods of standing can aggravate the injury, so it's essential to manage your activity levels carefully. If symptoms persist or worsen, consult a healthcare professional for further evaluation and treatment. Remember, patience is key in the recovery process, and taking the right steps now can help ensure a full recovery and prevent future injuries.

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