Ankle Spain

Pt with h/o ankle sprains presents with ankle pain s/p inversion foot injury. Pt is not intoxicated; no h/o peripheral neuropathy. Was able to walk s/p injury. No pain in malleolar zone, at medial/lateral malleolar edge, along posterior fibula. Able to take 4 weight-bearing steps in office without assistance.

• Imaging not indicated per Ottawa ankle rules

• Start RICE therapy, apply elastic compression bandage

• NSAIDs for pain

• Pt advised to perform ankle exercises including plantar flexion, dorsiflexion, foot circles