What is the first-line nonoperative management for a mild ankle sprain?

• A. Immediate surgery
• B. Prolonged immobilization
• C. Corticosteroid injection
• D. RICE and gradual rehabilitation

Answer: (D)

For a mild ankle sprain, the best initial approach is nonoperative management using RICE (rest, ice, compression, elevation) in the acute phase, followed by gradual rehabilitation. Rest minimizes further injury, ice helps reduce swelling and pain, compression limits edema, and elevation aids fluid return. After the initial few days, start gentle range-of-motion exercises and progress to weight-bearing as tolerated, then add strengthening and balance exercises to restore function and reduce the risk of re-injury. This approach avoids prolonged immobilization, which can lead to stiffness and muscle weakness, and supports quicker, safer recovery. Surgery isn’t needed for a mild sprain, and corticosteroid injections aren’t recommended in the acute setting because they don’t improve healing and can weaken tissue.