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Writer's pictureDr. Nate Funk

Think Twice About Ice: Tips for Faster Ankle Sprain Recovery

Updated: Nov 2, 2023

Are you nursing your ankle sprain following the outdated, disproven system of the R.I.C.E. method? Well... DON'T.


It's undoubtedly a painful and confusing experience. But worry not; I'm here to walk you through the journey of expediting your ankle's recovery.


Deciphering the Language of Ankle Sprains

Our bodies are nothing short of miraculous. Despite frequent comparisons to machines, it's important to remember that our bodies possess an innate ability to heal and adapt when provided with the right conditions.


Reimagining Ankle Sprain Recovery

In this article, we'll delve into three crucial aspects to steer clear of when you're dealing with an ankle injury.


Stop the Excessive Use of Ice!


The notion of applying ice to an injured ankle is a common one. However, excessive icing can impede the body's natural healing process. Think of it as attempting to send a package to your ankle, but the ice serves as an obstacle. Your ankle requires essential nutrients and oxygen for healing, and excessive icing can hinder the delivery of these vital elements.


Despite the enduring popularity of the RICE acronym, introduced over 40 years ago, there remains a lack of substantial scientific evidence supporting its effectiveness in treating acute injuries. The term RICE, representing Rest, Ice, Compression, and Elevation, was coined by Dr. Gabe Mirkin in the 1970s. In a significant development, Dr. Mirkin retracted his previous stance in 2015 and issued an apology to the medical community, citing the current body of evidence.


He writes in his blogpost from 2015:

When I wrote my best-selling Sportsmedicine Book in 1978, I coined the term RICE (Rest, Ice, Compression, Elevation) for the treatment of athletic injuries (Little Brown and Co., page 94). Ice has been a standard treatment for injuries and sore muscles because it helps to relieve pain caused by injured tissue. Coaches have used my “RICE” guideline for decades, but now it appears that both Ice and complete Rest may delay healing, instead of helping.

Here's the crux of the matter: Ice, or cryotherapy, indeed effectively reduces pain but acts as a vasoconstrictor, meaning it constricts capillary blood flow to the affected tissues. To simplify, vascular flow is crucial for delivering essential nutrients, oxygen, and immune factors like monocytes to the injured area, kickstarting the healing process. Excessive icing essentially hampers the body's ability to provide the necessary components for healing at the injury site.


Avoid Prolonged Immobilization!


It's typical for medical professionals to recommend keeping your ankle still, sometimes involving the use of a cast. However, this may not always be the optimal approach for a speedier recovery. Consider it akin to massaging a bruise gently to alleviate discomfort. Moving your ankle in moderation is like providing it with a soothing massage, expediting the healing process.


In essence, to reduce swelling, a fundamental component of the body's inflammatory response, the lymphatic system comes into play. This system serves as the intersection of the circulatory and immune systems, functioning as the body's waste removal mechanism.


Swelling occurs when these systems react to an injury, and in many cases, it needs to be managed rather than completely halted. However, the lymphatic system doesn't have its own pump; it relies on movement and muscle contractions to push lymph through the system, eliminating cellular waste and debris.


Immobilizing the injured ankle, while protecting it, can hinder the body's ability to manage swelling effectively, resulting in more swelling, reduced range of motion, increased pain, greater reliance on pain medication, and an extended recovery period. In the pursuit of an expedited recovery with optimal outcomes, immobilization is not the solution.


Steer Clear of Anti-Inflammatory Medications!


Why is inflammation often seen as a villain? Well, it's a common misconception rooted in outdated scientific beliefs. In reality, inflammation isn't the enemy; it's the initial phase of the body's natural healing process. Inflammation is the immune system's response to injuries, and here's the catch – you can't bypass it. You might attempt to slow it down, but that just postpones the inevitable. Inflammation is a vital player in the body's efforts to recover.

While some may suggest medications to alleviate pain, these pills can introduce unwanted side effects, such as gastrointestinal discomfort. It's comparable to indulging in excessive candy – it may offer momentary pleasure, but it's not in the best interest of your long-term well-being.



An Enhanced Approach to Ankle Recovery: Piezowave Shockwave Therapy

A cutting-edge method to expedite ankle recovery is Piezowave Shockwave Therapy. Think of it as providing your ankle with a superhero's boost, enhancing its healing abilities. This treatment is swift, secure, and augments your body's innate capacity to self-heal.



shockwave for ankle sprain


RockTape and Targeted Exercises

Rather than maintaining your ankle in complete immobility, which can potentially prolong the recovery process, you can consider RockTape. It's akin to superhero tape for your ankle – offering support while still permitting mobility. Incorporating straightforward exercises tailored to your ankle's requirements can enhance its strength and accelerate the recovery process.


rocktape swelling

rocktape ankle sprain



In Conclusion

So, when confronted with an ankle injury, remember not to overuse ice, incorporate gentle movement, and exercise caution with medication intake. Instead, consider the effectiveness of Piezowave Shockwave Therapy, harness the benefits of superhero tape (RockTape), and indulge in targeted exercises. Your ankle will undoubtedly express its gratitude, and your recovery will progress at an accelerated pace.

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