Commonly used for initial treatment is the RICE (rest, ice, compression, elevation) technique. To stabilize circulation, specially to reduce swelling and inflammation. Ice the injury 20 to 30 minutes, every two hours, up to three days. Ice and elevation should be prioritized to improve circulation and to quickly balance excess fluid in the twisted ankle.

Pain is in the ankle join itself but it is felt on the outside of the ankle, because damaged ligaments are being aggravated. Minor swelling or bruising are noticeable. Ankle sprains are graded one to three. Diagnostic exams and ankle sprain analysis is needed to assess range-of-motion (ROM) tests, and resisted movement tests to determine the total damage.

A twisted ankle usually is a high grade two injury that needs rest curbing regular lifestyle activity, starting with walking with support (crutches, cane, or walker). Support from a wrap or brace should be at least two inches of support. Which adds compression to improve ROM technique and self-healing.

A twisted ankle is regularly a grade two sprained ankle symptom. With moderate to severe pain and difficulty walking. The patient most likely will limp. Minor bruising along with swelling and stiffness in the ankle joint. There is instability of the joint resulting from a moderate tear in ligament fibers.

Immediately start ankle injury exercises when swelling and inflammation is stabilized. Only without pain. To regain ROM and stability when walking. Before rehabilitation exercises, diagnostic exams are imperative to determine with imaging techniques a bone fracture, or a ligament, tendon or muscle tear.

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