The Curbsiders Internal Medicine Podcast #351 Live! Foot and Ankle Pain with Dr. Joan Ritter
Aug 22, 2022
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Triage Ankle Injuries With Ottawa Rules
- Use the Ottawa ankle rules to decide if ankle x‑rays are needed and explain that to patients up front.
- Offer protection (lace‑up, stirrup, or short walking boot) and start rehab early to restore function.
Protect Briefly And Start Rehab Early
- Protect the ankle briefly then begin rehab: PRICE (protection, rest, ice, compression, elevation) and early range‑of‑motion.
- Refer to physical therapy early if recurrent sprains or persistent instability occur.
Rebuild Proprioception To Prevent Re‑injury
- Refer to physical therapy early for proprioception training after ankle sprains to prevent recurrent instability.
- Use balance/wobble training supervised by PT rather than unsupervised wobble boards.