What is a common initial management for a lateral ankle ligament sprain?

• A. Immediate surgical repair
• B. No rehab
• C. Prolonged immobilization for 6 months
• D. RICE and bracing

Answer: (D)

When a lateral ankle ligament sprain happens, the priority is to reduce swelling, control pain, and protect the joint during the early healing period. This is achieved with RICE—rest, ice, compression, elevation—to limit inflammation and discomfort. Adding a brace provides external support to stabilize the ankle, prevent further inversion stress, and allow safe movement as healing begins. Prolonged immobilization is not favored because stiffness, muscle weakness, and slower return to function can result. Surgical repair is typically reserved for cases with persistent structural instability or specific associated injuries after conservative management. Early rehab and gradual loading are important after the initial acute phase, but starting with RICE and bracing best addresses swelling, pain, and protection in the initial management.