A sprained ankle requires immediate care following the RICE protocol: Rest by avoiding weight-bearing activity, Ice the affected area for 15-20 minutes every few hours to reduce swelling, Compression using an elastic bandage to minimize inflammation, and Elevation above heart level to decrease fluid buildup. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.
In the first 48 hours, these conservative measures are typically most effective. After initial swelling subsides, gentle range-of-motion exercises and gradual weight-bearing may begin, though progression should be pain-free. Many mild-to-moderate sprains heal within 2-6 weeks with proper care.
Seek medical attention if you cannot bear weight at all, experience severe pain or swelling that worsens after 48 hours, notice signs of infection, or suspect a fracture. A healthcare provider can assess severity, rule out fractures through imaging if needed, and recommend physical therapy for rehabilitation. Returning to normal activities too quickly risks re-injury and chronic instability, so patience with healing is important. Proper ankle support through bracing or taping during recovery helps prevent re-injury and supports the healing process.