Medications:

Oral anti-inflammatory medication can help reduce symptoms and swelling that comes after the injury.

Ice:

Physical therapy with insulated cold packs applied on and off of the injury site for the first 72 hours helps to reduce swelling and discomfort. Alternating application of warmth and coolness in 15 to 20 minute intervals help to resolve the swelling after 72 hours after the injury.

Protection:

It is most important to apply a cast around the joint to maintain the proper position when healing for 3 to 4 weeks so that the ligaments do not heal in a loose position. The cast can be applied in one piece or as a removable model with Velcro straps.

Physical Therapy:

The ankle joint can become tight during the casting period. Physical therapy is an important first step once the cast comes off to regain proper motion in the joint. A lace up leather ankle brace is recommended during this transition period for the next 2 to 4 weeks. Strengthening the muscle tendons around the inner and outer ankle help to secure the joint in place. Most importantly, exercises that restore balance are the best way to prevent future sprains once the injured ligaments are in the last stages of proper healing.

Injections:

Pain in the ankle joint is most effectively resolved by medicines that stop the pain and inflammation of the irritated or damaged cushion lining inside the joint.