Effective Strategies to Reduce Ankle Swelling After Injury - Orthopedics

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How to reduce swelling in the ankle?


Hello doctor, I had a car accident last December and had my left leg in a cast until January.
I went to a rehabilitation clinic for therapy and to manage the swelling.
The swelling on the top of my foot has improved significantly, but my ankle is still swollen and feels a bit tight and restricted in movement.
I can go up stairs normally, but going down stairs causes discomfort in my left ankle.
How can I speed up the reduction of swelling in my ankle? Thank you, doctor.

La, 20~29 year old female. Ask Date: 2016/02/11

Dr. Shi Guozheng reply Orthopedics


You can perform up and down, as well as side-to-side movements of the ankle joint.
Additionally, after exercising or soaking in hot water, it's important to elevate your feet.
If your ankle swells after walking, you should rest and keep your foot elevated.
Of course, since the injury is recent, the swelling won't go down immediately; it typically takes about three months for the swelling to subside.

Reply Date: 2016/02/11

More Info


To effectively reduce ankle swelling after an injury, especially following a significant event like a car accident, it's essential to adopt a multifaceted approach that combines rest, elevation, compression, and physical therapy. Here are some strategies that can help expedite recovery and alleviate discomfort:
1. Rest and Activity Modification: After an injury, it's crucial to allow your ankle to rest. Avoid activities that put excessive strain on the ankle, especially those that involve jumping, running, or uneven surfaces. Gradually reintroduce activities as your ankle feels more stable and less painful.

2. Elevation: Elevating the injured ankle above the level of your heart can help reduce swelling. This can be done by propping your foot up on pillows while sitting or lying down. Aim to keep your ankle elevated for 15-30 minutes several times a day, especially after activities that may aggravate swelling.

3. Compression: Using a compression bandage or ankle sleeve can help control swelling. Ensure that the compression is snug but not so tight that it restricts blood flow. Compression helps to limit the accumulation of fluid in the tissues surrounding the ankle.

4. Ice Therapy: Applying ice to the swollen area can significantly reduce inflammation and numb pain. Use an ice pack wrapped in a cloth and apply it to the ankle for 15-20 minutes every couple of hours during the first few days post-injury. Avoid direct contact of ice with the skin to prevent frostbite.

5. Gentle Range of Motion Exercises: Once the initial swelling decreases, gentle range-of-motion exercises can help restore flexibility and reduce stiffness. Simple movements such as ankle circles, pointing and flexing your toes, and gently moving your foot up and down can be beneficial. However, avoid any movements that cause pain.

6. Physical Therapy: If swelling persists or if you experience ongoing discomfort, consider consulting a physical therapist. They can provide tailored exercises and treatments to improve mobility, strengthen the ankle, and reduce swelling. Techniques such as ultrasound therapy or manual lymphatic drainage may also be employed.

7. Hydration and Nutrition: Staying well-hydrated can help your body manage inflammation. Additionally, a diet rich in anti-inflammatory foods (like fruits, vegetables, nuts, and fatty fish) can support recovery.

8. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce swelling and pain. However, consult with your healthcare provider before taking any medication, especially if you have allergies or other health conditions.

9. Gradual Return to Activity: As your ankle begins to feel better, gradually increase your activity level. Start with low-impact exercises such as swimming or cycling, which can help maintain fitness without putting undue stress on the ankle.

10. Monitoring Symptoms: Keep an eye on your symptoms. If swelling worsens, or if you experience increased pain, redness, or warmth in the ankle, it may indicate complications such as infection or deep vein thrombosis, and you should seek medical attention promptly.

In conclusion, managing ankle swelling after an injury requires a combination of rest, elevation, compression, and gradual rehabilitation. By following these strategies, you can help facilitate a quicker recovery and restore function to your ankle. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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