Should you use hot or cold compress for a swollen ankle due to twisting?

For a swollen ankle due to twisting, it's generally recommended to use a cold compress in the initial 48 to 72 hours to reduce swelling and inflammation. Here's why:

Cold Compress:

1. Vasoconstriction: Applying a cold compress constricts blood vessels in the affected area. This reduces blood flow to the injured area, which helps in decreasing swelling.

2. Reduces Inflammation: Cold temperatures have an anti-inflammatory effect. By reducing inflammation, cold therapy helps alleviate pain and further swelling.

3. Numbs Pain: The cold temperature can help temporarily numb the pain and provide some relief.

When to Use a Cold Compress:

- Apply a cold compress for the first 48 to 72 hours after the injury.

- Apply the cold compress for 15-20 minutes every few hours.

- Avoid applying the cold compress directly to the skin. Instead, wrap the cold pack in a thin cloth or towel.

Hot Compress:

A hot compress is typically used in the later stages of healing, usually after the initial swelling has decreased. Heat therapy can promote blood flow to the injured area and aid in the healing process.

When to Use a Hot Compress:

- Start using a hot compress 2-3 days after the initial injury, once the swelling has reduced significantly.

- Apply the hot compress for 15-20 minutes several times a day.

- As with the cold compress, wrap the hot pack in a thin cloth to prevent direct contact with the skin.

It's essential to consult a healthcare professional or a sports medicine specialist if the ankle swelling is severe, persistent, or accompanied by extreme pain or difficulty walking. They can assess the injury, recommend the most appropriate treatment, and provide guidance on when and how to use cold or hot compresses effectively.