Treatment FAQ

what is rice treatment for ankle sprain

by Zechariah Kris Published 2 years ago Updated 2 years ago
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As soon as possible after an injury, such as a knee or ankle sprain, you can relieve pain and swelling and promote healing and flexibility with RICE—Rest, Ice, Compression, and Elevation.

Why you shouldn't do rice for sprains?

"Patients should start moving most sprained and strained joints soon after the injury, but a lot of doctors go too far in traditional prescription of RICE','he notes, "This doesn't reflect modern science." The matter is RICE reduces blood flow necessary for healing.

How does rice help ankle injuries heal?

  • Moderate to severe damage to the ligament
  • Some slight instability but ankle function is intact
  • Can take between three to four weeks to heal

What is the best medicine for a sprained ankle?

Treatment

  • Self-care. Avoid activities that cause pain, swelling or discomfort. ...
  • Medications. In most cases, over-the-counter pain relievers — such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) or acetaminophen (Tylenol, others) — are enough to manage the ...
  • Devices. ...
  • Therapy. ...
  • Surgery. ...

What is the normal recovery time for a sprained ankle?

What’s the best way to treat an ankle sprain?

  1. RICE The first step after an injury is to: rest reduce the swelling prevent further injury The American Academy of Orthopaeidic Surgeons (AAOS) recommends: R: rest the ankle ...
  2. Recovery In the first 2 weeks following an injury, Sandow says that there can be a quick decrease of pain and an improvement in your ankle’s movement and ...
  3. Rehabilitation

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How long should you RICE a sprained ankle?

RICE treatment is a first-aid treatment for soft tissue injuries like sprains, strains, and bruises — for example, sprained ankles, sprained knees, or muscle strains. It's best used immediately after sustaining an injury and should be stopped within two days (48 hours).

Does RICE actually work for sprained ankle?

R.I.C.E. might be the more common acronym taught for immediate treatment of acute injuries, but studies are suggesting it's not the most effective. Lots of evidence has been found to suggest that rest is detrimental to the healing process.

What are the 4 steps of the RICE treatment if you have a sprained ankle?

The RICE method includes the following four steps:Step 1: Rest. Pain is your body's signal that something is wrong. ... Step 2: Ice. Ice is a tried-and-true tool for reducing pain and swelling. ... Step 3: Compression. This means wrapping the injured area to prevent swelling. ... Step 4: Elevation.

Is RICE treatment still recommended?

What is the scientific consensus? The RICE method remains the most commonly recommended treatment for soft tissue injuries. However, not all healthcare providers are completely on board. Most support the idea of resting, or immobilizing, an injured body part immediately after an injury.

What should you do instead of RICE?

Jim and Phil Wharton in The Wharton's Stretch Book (4). They suggested the acronym MICE to replace RICE, where Rest is replaced with Movement. The Whartons advocated that once fracture or catastrophic injury is excluded: movement is best, not rest, to treat an injury.

What has replaced ricer?

The P.O.L.I.C.E. principle deviates slightly from the R.I.C.E. method. "Rest" is out, replaced with "optimal loading" and "movement." This keeps your injured part more mobile, decreases stiffness, and may help you recover faster.

How do you do the RICE method?

method by reading the steps below.Step 1: Rest. p>Immediately rest the affected area as much as possible. ... Step 2: Ice. To help reduce pain and swelling during the first 48 hours after injury, ice the area 20 minutes at a time every 4 hours, using an ice pack covered in a towel. ... Step 3: Compression. ... Step 4: Elevation.

What helps ligaments heal faster?

Balance, control, and strengthening exercises can also help your ligaments heal more quickly than they otherwise would.

Can you elevate your foot too much?

However, elevating the injured area too high or for too long can have several consequences. Raising your injury too high can decrease blood flow too much. Elevating an injury for too long can also do this, and both of these issues can slow down your body's natural healing process.

Can walking on a sprained ankle make it worse?

Yes. That's the very short answer. According to the National Association of Athletic Trainers, ankle injuries, including sprains, are very often undertreated. Ignoring treatment, including excessive movement of the ankle through unnecessary walking, leads to a greater risk of worsening the injury.

How do you increase blood flow to ligaments?

M.E.A.T. increases the flow of blood to injured areas in order to enhance the healing process. Soft tissue structures such as ligaments, tendons, and cartilage don't get a lot of blood supply to begin with, so reducing blood flow with R.I.C.E. will prolong the healing process.

Should you elevate a sprained ankle while sleeping?

Healthguidance.org recommends how to sleep with a sprained ankle is by elevating it slightly to drain fluids and prevent unnecessary swelling, so place a pillow or some blankets under the offending ankle while you sleep. Also apply some ice before going to bed to reduce inflammation.

The anatomy and signs of a sprained ankle

Before we get into the RICE protocol, let’s briefly review what happens when you sprain an ankle. This condition occurs when you stretch the ligaments in your ankle too far, which can lead to tearing. Minor sprains involve stretching your ligaments beyond their limits, while severe sprains involve complete tears of these connective tissues.

RICE to the rescue

If you twist, roll, or land badly on your ankle and you’re met with pain, we urge you to turn to the RICE method as quickly as possible.

What is the best way to help an injured ankle?

Movement means what it says. Help the patient get some range of motion back in the injured area. If we're talking about an ankle, some flexion and extension exercises are best. Don't put too much weight on it, but don't avoid weight-bearing altogether. 4 

What to do if you have a twisted ankle in 2021?

Ask a doctor, a nurse, a paramedic, or an athletic trainer what to do for a twisted ankle and you're likely to hear the same advice: rest it, ice it, wrap it, and elevate it . It's a treatment regimen known as RICE: Rest, ice, compress, elevate . 1:18.

How to pull traction on a sprained wrist?

In the case of a wrist sprain, you can pull traction yourself by grabbing something solid (like a metal guardrail) and pulling back to elongate your wrist. Don't fall over. The amount of traction should be as little as possible to get relief. Don't pull longer than a few seconds and release slowly.

Can you put your ankle on a chair?

Elevate the injury when you are resting. It's not an all-the-time need, but feel free to put your sprained ankle on a chair instead of letting it rest on the ground while you sit at your desk. 5 

Can you pull on your ankle without training?

It basically means gently pulling on the joint. There are various techniques and it really shouldn't be done in earnest without training. However, a little goes a long way. You can have someone apply a little traction to your foot in the case of an ankle sprain. Imagine taking off a particularly tight pair of boots.

Is it bad to put ice on a broken leg?

The use of ice as a healing mechanism is a bad idea. That said, it still has its function. Reducing swelling is important for fractures before putting on a cast. The more a broken arm or leg is swollen when the cast goes on, the looser the cast will become as the healing continues.

What is the cure for ankle sprain?

If you’ve ever hurt your ankle or had another type of sprain or strain, chances are your doctor recommended rest, ice, compression, and elevation (RICE) as one of your first treatments. The RICE method is a simple self-care technique that helps reduce swelling, ease pain, and speed up healing.

How to stop pain from a sprain ankle?

Don’t try to follow the “no pain, no gain” philosophy. Doing so with certain injuries, like a moderate to severe ankle sprain, can make the damage worse and delay your recovery. Doctors say you should avoid putting weight on the injured area for 24 to 48 hours. Resting also helps prevent further bruising.

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Process

Pros

  • The primary goals of RICE are to relieve pain and inflammation and help the injury heal. RICE does, in fact, reduce pain and inflammation.2 1. Resting the part means you're not causing more pain. 2. Ice numbs the area. 3. Compression and elevation keep swelling down, which also helps manage pain. When it comes to healing, though, some experts now q...
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Cons

  • The evidence for using RICE—especially the ice part—is sketchy at best.3The major flaw lies in restricted blood flow. When you're injured, your body rushes more blood to the area as part of the healing process. RICE can prevent that.4
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What to Do Instead

  • So far, no one has come up with a handy acronym to replace RICE. Some have been suggested, including: 1. MICE (replacing rest with movement) 2. METH (movement, elevation, traction, heat) 3. MOVE (movement, options for rehabilitation and training, varied exercise, ease back into activity early) All of these are problematic, though. MICE continues to use ice and compression so it ha…
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Medications

  • Non-steroidal anti-inflammatory drugs (NSAIDs)are a mainstay of pain and injury treatment. Remember, though, that some inflammation is good. Don't over-use them. Over-the-counter NSAIDs include: 1. Advil/Motrin (ibuprofen) 2. Aleve (naproxen) 3. Aspirin (acetylsalicylic acid) If you continue having a lot of inflammation despite taking these medications, talk to your provider…
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When to Talk to Your Doctor

  • Some soft-tissue injuries can be treated at home. Others require a healthcare provider's care. Get medical attention if:11 1. You've treated an injury at home for several days but it's not improving 2. You can't move it 3. You can't put weight on it 4. It's significantly swollen 5. Pain is severe and doesn't go away with rest 6. A bone looks misaligned 7. The area turns blue 8. The injury site is n…
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Summary

  • The traditional RICE method for treating soft tissue injuries limits blood flow to the injury. That might slow down the healing process. Evidence suggests that movement and heat may be better for healing than rest and ice. Elevation can help keep swelling under control, and medication can help with pain while the injury heals.
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A Word from Verywell

  • You can find a lot of websites, coaches, and healthcare providers who still recommend RICE. That advice has been around for a long time and some people continue to swear by it. You may want to discuss the problems of RICE with your provider and look at other treatment options for pain and rehabilitation.
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