Ankle Sprains
Mechanism of injury:
Most ankle sprains occur when the ankle is "rolled" or inverted. The bottom of the foot turns inward with subsequent pain on the outside or lateral portion of the ankle. Frequently a “pop” or “crack’ may be heard. Pain is usually immediate, with rapid swelling a common occurrence.
Sprain or Fracture?
Although fractures do not usually occur with ankle injuries, they are possible. The possibility of a fracture is almost totally eliminated if the following circumstances hold:
You are able to bear weight immediately after the injury. There is no tenderness over the top of the foot, the back half of the "ankle bones" (the prominent knobs on wither side of the foot), or on the side of the foot a few inches back from the fifth (pinky) toe.
First Aid:
Even when fractured, immediate medical attention is seldom necessary (casts don’t fit well on swollen ankles). Waiting until morning or Monday does not alter recovery. The pneumonic R.I.C.E. tells how to care for an acute sprain.
R-Rest. Stay off of it! Avoiding weight bearing for at least 1-2 days. Let pain be your guide.
I-Ice. Ice therapy applied for 20 minutes every 2-4 hours can reduce inflammation. Ice packs, bags of frozen peas, or massage with ice are all effective.
C-Compression. Wrap the ankle snugly with an elastic (ACE) bandage to decrease swelling.
E-Elevation. Keep the ankle above your heart.
In addition, anti-inflammatory medications can be helpful. Ibuprofen 600-800 mgs taken every 8 hours can help with the pain and swelling.
Call us if you think you may have a fracture or if you have any questions about an ankle sprain.
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