Acute treatment should start as quickly as
possible after the injury has occurred. The
objective of the acute treatment is primarily
to prevent additional injury and reduce
bleeding as much as possible. Effective acute
treatment will limit swelling, the formation of
scar tissue and the number of complications
which can arise.
Initial Treatment Should
Follow The So-Called "R.I.C.E."
activity is immediately stopped and weight is
kept off the ankle for a presecribed
length of time.
as is possible, ice should be placed on the
injured area and off and on for at least the
first three days. The cold ice makes the blood
vessels contract, thereby stopping the
bleeding. Cold spray has no effect in such
circumstances. The ice must not come into
direct contact with the skin, which should be
covered with a thin layer of, for example,
elastic bandage. Ice treatment should be given
for twenty minutes in each of the first three
hours after injury.
compresses or an elastic wrap should be
applied, but not so tight as to hinder
circulation. The compression bandage should be
removed at night, but applied again each
morning until the swelling goes down.
The injured area
should be kept above the level of the heart to
encourage venous flow to the heart.