Acute Ankle Sprain Management

[PTED]

Just wondering what people use for initial management of acute ankle sprains.

I know the whole RICE thing but Tubigrip has been found to cause increased analgesia use (Emerg Med J 2001; 18:46-50) and also may cause an anterior compressive band.

I feel like taping the acute ankle sprain may also cause problems with skin integrity and constriction.

Can anyone point out any articles which advocate anything else other than those mentioned?

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[PTED]

Thanks for that.

I was more interested in any research comparing taping, Air-Stirrup, Tubigrip and or plaster.

[toad]

Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults

[alophysio]

Thanks - unfortunately it only includes articles up to 2001 it seems...

[sports-therapy]

Hi I am writing up notes on a case study for an assignment;

The patient was a rugby player with severe swelling around the ankle and diagnosed with a Grade II atfl sprain, however due to there lack of rehabilitation ( the patients choice) they experienced instability in the ankle.... after a period of a few weeks as they continued to train and play without the ankle being supported inversion happened leading to a tib/fib fracture and internal fixation used in the ankle.... almost a yr later the ankle is going through the rehab ie.Proprioception, strengthening and increased ROM exercises that should have taken part in the beginning.

I was wondering peoples thoughts on if the ATFL sprain could have predisposed the fracture??

Thanks

[mIrAge]

Concurrent tibial and fibular fracture affecting the syndesmosis requires a considerable amount of trauma. Doubt that your patient could have avoided it with adequate rehab of his previous injury. I guess I can only be corrected until someone comes up with a solid piece of evidence to suggest otherwise

[112inky]

Concurrent tibial and fibular fracture affecting the syndesmosis requires a considerable amount of trauma. Doubt that your patient could have avoided it with adequate rehab of his previous injury. I guess I can only be corrected until someone comes up with a solid piece of evidence to suggest otherwise

[mIrAge]

112inky,
Is there something you would like to comment on my post ?