In the management of an unstable ankle sprain, which course is recommended?

• A. Full Weight Bearing In A Walking Boot
• B. Heat Therapy and Massage
• C. Posterior Splint With Ortho Referral
• D. Immediate Surgical Fixation

Answer: (C)

In unstable ankle injuries, immobilization plus prompt orthopedic evaluation is the priority. A posterior splint immobilizes the ankle effectively in a stable position, controls pain and swelling, and keeps the joint protected while imaging is obtained and an orthopedic plan is made. This approach allows accurate assessment for fractures or severe ligament damage and prevents further injury or displacement before definitive treatment.

Heat therapy and massage are inappropriate in the acute phase because they can worsen swelling and tissue irritation. Full weight bearing in a walking boot isn’t ideal when instability is suspected, as it may stress an injured ligament or fracture. Immediate surgical fixation is reserved for clear cases that require urgent operative management (such as open fractures or certain dislocations); for most unstable sprains, initial immobilization and timely ortho consultation are the correct first steps.