Which combination of measures is part of the initial treatment for an ankle sprain?

• A. Rest, ice, elevation, brace and physical therapy
• B. Immobilization with a cast for 6 weeks
• C. Surgical repair
• D. Anticoagulation therapy

Answer: (B)

An ankle sprain is managed first with measures that control swelling and pain while supporting early healing and function. Resting the ankle, applying ice to reduce edema, elevating the limb, and using a brace or supportive wrap provide stability without over- immobilizing the joint. Early physical therapy or rehabilitation helps restore range of motion, strength, and proprioception as pain allows. Immobilizing the ankle in a hard cast for six weeks is generally excessive for a sprain and can lead to stiffness and muscle atrophy; such prolonged immobilization is more typical for certain fractures or very severe injuries. Surgical repair isn’t a first-line approach for a simple sprain, and anticoagulation isn’t part of initial sprain care.