Therapy
A sprained foot heals by itself. However, this process can be decisively supported and the healing time can be shortened. An important guideline for the initial treatment of a sprained ankle is the so-called PECH rule (P=Pause; E=Ice; C=Compression; H=High).
Immediate cessation of the load on the foot immediately after the trauma is crucial for rapid healing, as is resting for one to two weeks after the sprain (P). This can be supported by a bandage made of elastic material, which on the one hand has a stabilizing effect on the ankle joint, which then relieves the ligaments and allows them to heal at rest. On the other hand, the bandage contributes to the protection of the foot by minimizing immobilization of the joint while still maintaining the mobility of the foot.
Cooling the ankle (E) is also important in the first days after the sprain. This can be done with the help of a cool pack or with ice cubes wrapped in a towel, for example, to avoid direct skin contact and thus frostbite. Cooling relieves the pain and also reduces the swelling of the sprained foot faster.
The compression of the ankle joint with the help of elastic bandages is also an important pillar in acute care after trauma (C). This compression reduces the space into which the injured blood vessels can bleed, so that an attempt is made to counteract the development of bruising. In addition, a decongestant and pain-relieving ointment can be applied.
The decongestant effect of the sprained ankle is additionally promoted by elevating the foot, since this is gentle on the foot and, due to gravity, less blood flows into the foot, which could cause bruising or swelling. After these initial measures, a doctor should also be consulted quickly to rule out accompanying injuries that could be treated differently in order to avoid consequential damage. If necessary, he can also prescribe painkillers for very severe pain of the sprained foot. In summary, the treatment of a sprained foot without concomitant injuries is conservative, i.e. without surgery.
