TREATMENT

To reduce inflammation and the resulting swelling and pain, injured tissue needs to be properly treated.The earlier you start treatment, the better. Treatment for acute inflammation consists of “R.I.C.E.” therapy— which stands for Rest, Ice, Compression, and Elevation. For acute inflammation in the foot or ankle, your foot and ankle surgeon will recommend the following:

REST

Stay off of your foot as much as possible to prevent further injury. In some cases, complete immobilization may be required. Your doctor will decide whether you will need crutches and whether movement of your foot or ankle is appropriate.

ICE

Icing, which decreases blood flow to the tissue, thus reducing swelling and pain, should be continued until your symptoms resolve. Wrap ice cubes—or a bag of frozen peas or corn—in a thin towel and place the pack on the injured area for 20 minutes of each hour you’re awake. If your skin turns blue or white, discontinue icing for a few hours. Two cautions: Never apply ice or frozen bags directly to your skin. And never leave an ice pack on your injury while you sleep.

COMPRESSION

Keep the inflamed area compressed by wrapping it in an elastic bandage or stocking. Compression prevents additional fluid accumulation and helps reduce pain. Wrap the bandage more firmly at the toes and less firmly at the calf. If your toes tingle or your foot throbs, the wrapping may need to be loosened. If the tingling or throbbing continues after loosening the wrap, contact your doctor as soon as possible.

ELEVATION

Keeping the foot elevated reduces the swelling by allowing excess fluid to drain to the heart. The proper way to elevate your foot is to keep it level with or slightly above the heart. Place one or two pillows under your calf, and make sure your hip and knee are slightly bent. Never keep your leg extended straight out.

In addition to the above measures, your foot and ankle surgeon may prescribe a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen, or another type of medication.