Management of a sprained ankle includes:

• A. X-rays.
• B. Rest, ice, compression, elevation.
• C. Anti-inflammatory medications.
• D. Activity as tolerated.

Answer: (B)

In an acute ankle sprain, the priority is to limit swelling and pain while protecting the injured ligaments so they can heal. The best-fitting approach is Rest, Ice, Compression, and Elevation. Rest reduces further strain on the injured ligaments. Ice helps minimize swelling and numb painful sensations. Compression provides support and helps control edema. Elevation uses gravity to reduce swelling by encouraging fluid return away from the ankle. Together, these measures address the immediate pathophysiology of a sprain and lay the groundwork for a smoother recovery.

Imaging with X-rays isn’t a blanket part of initial management; it’s used when there’s suspicion of a fracture or red flags such as inability to bear weight, deformity, or severe swelling. Anti-inflammatory medications can help with pain and swelling but serve as adjuncts to the protective and edema-control goals of RICE rather than a stand-alone treatment. Early, non-specific “activity as tolerated” is not ideal in the initial phase because it can expose the joint to further injury; controlled, gradual rehabilitation is introduced after swelling has started to subside.

So, the recommended initial management centers on Rest, Ice, Compression, and Elevation.