Management of ankle sprains

Without adequate care, acute ankle trauma can result in chronic joint insta bility. Use of a standardized protocol enhances the management of ankle spr ains. In patients with grades I or II sprains, emphasis should be placed on accurate diagnosis, early use of RICE (rest, ice, compression and elevatio n), maintenance of range of motion and use of an ankle support. Sprains wit h complete tendon tears (grade III) may require surgical intervention. Alth ough early motion and mobility are recommended, ligamentous strength does n ot return until months after an ankle sprain.