Sprained Ankle: Using a Compression Wrap (2024)

Overview

Ankle sprains are common injuries that can result in lifelong problems. Some people with repeated or severe sprains can develop long-term joint pain and weakness. Treating a sprained ankle can help prevent ongoing ankle problems.

If an ankle sprain does not heal correctly, the joint may become unstable, resulting in a weakened and easily reinjured ankle. Proper initial care of your sprained ankle is critical.

  • A compression wrap helps decrease swelling. If swelling is kept to a minimum, it may help your ankle feel better.
  • Applying a compression wrap is easy and can be done at home.
  • Elastic bandages are inexpensive and available at most pharmacies.
  • You can wear a protective brace, such as a splint or a device to keep your ankle from moving (immobilizer), over a compression wrap. This can help prevent further injury to your ankle when you try to bear weight on it.

How to apply a compression wrap

To help control swelling, some doctors recommend wrapping your ankle with an elastic bandage, also called a tensor wrap. This product can be purchased at most pharmacies. To apply a compression wrap:

  • Cut several horseshoe-shaped pieces of cloth felt to form a 1.25 cm (0.5 in.) thick pad. The pad will be placed (open end up) under the ankle bone to help keep fluid out of the hollow place under your ankle bone.
  • Roll up the elastic bandage if it isn't already. Hold your ankle at about a 90-degree angle. Start where your toes meet the body of your foot. Hold the loose end of the bandage at the side of your foot. Wrap the bandage around the ball of your foot once, keeping it somewhat taut with a light pull.
  • After this first wrap, slowly start circling your way around the arch of the foot. Pull the bandage diagonally from the bottom of the toes across the foot's top and circle it around the ankle. Now bring the bandage diagonally across the top of the foot and under the arch in a figure-eight pattern.
  • When you get to the ankle bone, wrap the bandage around the felt piece so it stays in place under the ankle bone. Continue around the ankle and foot in a figure eight, moving toward the heel on the bottom and toward the calf at the top of the eight. The wrap should cover the entire foot and end about 7 centimetres above the ankle. Most compression wraps are self-fastening or come with clip fasteners. If not, use tape to secure the end.
  • The wrap should be snug but should not cut off circulation to the foot. Check your toes. If they become purplish or blue, cool to the touch, or numb or tingly, the wrap is too tight and should be loosened. Also, loosen the wrap at night before bedtime.

Credits

Current as of: July 18, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Current as of: July 18, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Sprained Ankle: Using a Compression Wrap (2024)

FAQs

Is compression wrap good for sprained ankle? ›

A compression wrap is used to prevent swelling, which can help your ankle feel better. It does not support the ankle or prevent it from moving, so it does not protect it except by reminding you to be careful of your ankle. Roll up an elastic bandage if it isn't already rolled up.

How long should you use compression on a sprained ankle? ›

Mild pressure that is not too uncomfortable or too tight, and does not stop blood flow, is ideal. Depending on the amount of swelling you may be advised to remove the bandage for good after 48 hours. This is because the bandage may limit movement of the joint which should normally be moving more freely after this time.

How long should you leave a wrap on a sprained ankle? ›

Use ice treatments every 2 to 4 hours for the first 3 days after your injury. Compression: Wrap your sprained ankle to avoid swelling and bruising. You might need to do this for several days or a week after your injury. Your doctor can show you the best way to do this.

Should I sleep with a compression bandage on my ankle? ›

Loosen the wrap at night before bedtime. Compression bandages do not offer protection. For example, if your ankle is wrapped, you also need a brace to protect your ankle if you try to put weight on it.

How long should you keep a compression bandage on? ›

However, there's a limit to how long you should compress an injury. At some point, blood flow needs to increase to encourage healing. Use a compression bandage for only the first 24 to 48 hours after an injury. Combine rest and elevation with compression whenever possible.

Should I wear an ankle compression all day? ›

During this time, she recommends wearing the brace anytime you're on uneven terrain (like a hike or playing your sport) but you don't need to wear it all day.

Does compression speed up healing? ›

Compression wraps limit the veins' ability to expand and help blood move more efficiently, which assists the healing process. Further, reducing the inflammation near your wound makes it easier for your damaged skin to receive oxygen, which also speeds healing.

What are four signs an ankle sprain is bad? ›

Your doctor may be able to tell the severity of your ankle sprain based on the amount of swelling, pain, bruising, and stability. If you have difficulty bearing weight, or tenderness in the bones of the foot and ankle, you may need additional tests to rule out a fracture.

Is it okay to walk on a sprained ankle? ›

An important part of recovery is early weight bearing following the sprain. In fact, walking on the sprained ankle can actually improve recovery and stimulate stronger healing of the injured ligaments and tendons.

What happens if you don't wrap a sprained ankle? ›

While common, if an ankle sprain isn't treated properly, it can lead to chronic issues, such as ankle instability or pain, limited ability to return to sports and degenerative arthritis.

Can I walk on a sprained ankle if I wrap it? ›

Note that the Ace bandage will compress your ankle, not immobilize it. That means this can help with swelling and healing, but it's not a way to get back on your feet. Stay off the ankle until it feels better, or you'll only make it worse.

Is compression good for a sprained ankle? ›

If an ankle sprain does not heal correctly, the joint may become unstable, resulting in a weakened and easily reinjured ankle. Proper initial care of your sprained ankle is critical. A compression wrap helps decrease swelling. If swelling is kept to a minimum, it may help your ankle feel better.

How to heal a sprained ankle fast in 2 days? ›

approach for the first two or three days:
  1. Rest. Avoid activities that cause pain, swelling or discomfort.
  2. Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ...
  3. Compression. ...
  4. Elevation.
Aug 11, 2022

How long to compress a sprained ankle? ›

Apply to the injured area for 15-20 minutes every one to two hours while you are awake. Never apply ice directly to the skin. Compression: Apply a firm but not tight bandage from the toes to above the ankle. Ensure the bandage does not increase your pain or restrict blood flow to your toes.

Is ice or compression better for a sprained ankle? ›

Ice may be necessary for the first few days following an acute injury to prevent swelling. Another reason to prevent swelling after an injury is to minimize pain, sensitivity, and also shorten the recovery time. Compression reduces inflammation by preventing blood and other fluids from accumulating around the injury.

What kind of bandage is best for a sprained ankle? ›

ACE-brand bandages are among the most commonly used elastic bandages to wrap injured: ankles.

Does compression help ligaments heal? ›

It all depends. Compression socks support injured ankles and ensure that the area receives plenty of oxygenated blood, but compression is only effective when it is combined with rest, ice, and elevation. Rest is particularly important because it takes time for torn or stretched ligaments to repair themselves.

Is it better to wrap a sprained ankle or wear a brace? ›

Most have shown that braces are slightly more effective than taping but that both are better than no support at all. One study found that simply wearing high-top sneakers instead of low-tops prevented some ankle injuries and that high-tops plus taping had more than 50% fewer injuries than low-tops plus taping.

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