Originally posted by: jjsole
Originally posted by: BoomerD
Originally posted by: jjsole
Never heard of "RICE", but see its exactly what I was going to suggest.
However I'd continue ice frequently until swelling is gone, not just two days. Also, I'd use ace bandages when walking around as well, because swelling will happen when upright. Make sure they are not too tight...you only need a little pressure, and not squeezing.
I don't recommend BoomerD's suggestion of an aircast because it can be painful over a newly sprained and swollen (malformed) ankle, and limits re-strengthening (thus healing) when the lateral mobility is restricted. It is supportive, but you want to use it and put weight on it asap (as soon as the swelling/pain is manageable). Immobilization until healed for an ankle sprain is generally the worst thing you can do.
/edit: I also recommend light ankle stretching once the pain/swelling is manageable, and increase the stretching over time so that when it's healed, you have your range of motion back. It also helps improve circulation, thus healing too.
Different strokes for different folks. My primary care physician stopped recommending ace bandages and ONLY air casts nearly 20 years ago for MOST ankle sprains.
That's what I've usually gotten from a doctor/hospital as well. As tender and weak as the ankles are to begin with, air casts offer support and protection. Too much movement too early can bring swelling not to mention pain, and they minimize that. Even with air casts I've found a wrap is very helpful too (doesn't fit well in a shoe, but neither do aircasts and bulging ankles either, lol.)
But mainly my point is regarding rehab, the general consensus over the years has evolved to recommend rehab and mobility asap. Whether or not an aircast is needed should really be up to the patients judgment afaic, unless a specialist has seen an mri and specifically suggests more immobility for a while. (and along with that, aircasts aren't very helpful for high ankle sprains)
eits has some excellent suggestions to start with. Resistance bands are also helpful to use.