Which of the following is a recommended initial management approach for a sprained ankle?

• A. Complete immobilization with a cast
• B. Rest, Ice, Compression, Elevation
• C. Surgical repair
• D. Heat therapy

Answer: (B)

Initial management of an acute ankle sprain focuses on reducing swelling and pain while protecting the joint to allow healing. The recommended approach is Rest, Ice, Compression, and Elevation. Rest minimizes further injury, Ice lowers pain and swelling through vasoconstriction, Compression provides support and helps control edema, and Elevation promotes drainage of fluid to reduce swelling. Heat therapy is avoided in the acute phase because it can worsen swelling, and surgical repair or casting is not routinely needed for simple sprains; those are reserved for more severe injuries or instability after evaluation. Gradual return to activity is important as pain and swelling subside.