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How Do I Reduce the Swelling in My Sprained Ankle?

A sprained ankle refers to an injury to the ankle ligaments. Most ankle sprains are caused by falls, twists or a sudden impact. Ankle sprains cause pain, stiffness and swelling that can persist for several days to months. Seek prompt medical attention if you believe you have a sprained ankle. Sprains vary in severity, and severe sprains that go untreated can lead to chronic ankle problems that may require surgery to correct.

  1. RICE Method

    • Use the RICE method of treatment (Rest, Ice, Compression and Elevation) as soon as possible after your ankle injury to minimize swelling and pain. Get to a place where you can rest after spraining your ankle. If possible, have someone carry you or help you walk. Putting weight on a fresh sprain can increase swelling and make the injury worse. Lie down and elevate your injured ankle level to or above your head on a soft surface, such as a pillow. Place an ice pack wrapped in a towel over your ankle for 15 minutes. Ice will help the swelling go down and numb the area to reduce pain. If you do not have an ice pack available, a bag of frozen fruit or vegetables makes a great ice pack as it can form itself around your ankle. Continue to use ice every two hours for 15 minutes at a time immediately following the sprain until you get medical attention. Compression will help stabilize your ankle and reduce swelling. Purchase an elastic bandage and wrap it tightly around your ankle. Make sure not to wrap the bandage so tightly that it cuts off your circulation. Leave your toes visible so that you can see if they turning blue or white due to loss of circulation.

    Medications

    • Nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and swelling. Try ibuprofen or aspirin and take medications exactly as directed. Misuse of NSAIDs can lead to stomach and liver problems. If over-the-counter NSAIDs fail to relieve your pain and swelling adequately, your doctor may give you a prescription for a stronger NSAID until your ankle begins to heal.

    Immobilization

    • Some ankle sprains require a cast or brace to keep your ankle immobile. Moving or twisting your ankle too much, especially during the first few days following your injury, can cause more damage to the ligaments and increase swelling. Use crutches for the first few days or as long as your doctor requests to prevent excess weight bearing that can trigger inflammation.

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