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Why you shouldn't ice a sprained ankle?

Author

Rachel Ellis

Published Jan 23, 2026

For example, a study published in 2014 by the European Society of Sports Traumatology, Knee Surgery & Arthroscopy found that putting ice on injured tissue shuts off the blood supply that brings in healing cells.

Is it OK to put ice on a sprained ankle?

You should only use ice for up to 20 minutes at a time. If your skin feels numb, it's time to remove the ice. 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.

Why icing a sprain does not help?

Furthermore, cryotherapy has been shown to delay the growth of new blood vessels. Like vasoconstriction, this results in decreased blood flow and delay of healing properties to the injured site, which is important the weeks and months following an injury.

Why does ice make my ankle hurt more?

Ice constricts veins around the joint and slows blood flow into the injury site, while compression and elevation push fluid away from the joint.

Does icing a sprained ankle help it heal faster?

Using an ice pack may reduce blood flow to the injury and help ease pain and swelling. The American Academy of Family Physicians suggest applying an ice pack to the sprain for 10–20 minutes at a time.

42 related questions found

Can a sprained ankle heal in 2 days?

After 2 to 3 days

protocol, a mild sprain will be mostly healed and ready for you to resume normal activity. A moderate or severe sprain may require you to keep up these treatment steps for longer—up to several weeks.

Can ice make a sprained ankle worse?

Treatment for a Sprained Ankle

So, typically, ice decreases blood flow to an area, which causes less swelling, whereas heat will bring blood flow to an area which can cause more swelling. Usually, in the first two to three days after an injury, we would recommend ice only. You put the ice on for about 10 to 15 minutes.

Is it too late to ice an injury?

Use ice for inflammation within the first 24 hours. Ice is best as soon after the injury as possible, but never during the activity. Personal preference. After 24 hours, using heat or cold therapy can be determined according to your preference.

When should you not ice an injury?

'If you don't have that initial inflammation, [injuries] don't heal as well as they could, or as fast,' she said. The problem with using ice as a vasoconstrictor is that, while it limits blood supply and therefore reduces swelling, it also limits arrival of immune cells and thus interferes with core parts of healing.

Does icing an injury speed up healing?

Although cold therapy typically slows the soft tissue swelling to some extent, it does not hasten the recovery process.

Should you keep a sprained ankle wrapped at night?

Compression -- Wrapping a stretchable elastic bandage around your foot and ankle can help minimize swelling after injury. If you're going to wrap your ankle, it is best to put the bandage on first thing in the morning, and then take it off at bedtime.

How long should you stay off a sprained ankle?

If you have severe pain and swelling, rest your ankle as much as possible for the first 24–48 hours.

Can icing an injury make it worse?

Ice can also make your pain worse if you mistakenly use it to treat a tight muscle because it will make the muscle tighten and contract more, rather than relaxing it and easing the tightness that's causing the pain.

Can you ice a bruise days later?

Leaving it on too long could harm your skin. It's OK to put ice on your bruise several times a day, as long as you take a break after every time you do it.

Does icing promote healing?

The research shows icing disrupts inflammation, delays neutrophil and macrophage infiltration as well as the anabolic hormone Insulin-like growth factor (IGF-1) that sparks the next phase of the healing process, muscle repair and regeneration.

How many days should you ice an injury?

Ice is a tried-and-true tool for reducing pain and swelling. Apply an ice pack (covered with a light, absorbent towel to help prevent frostbite) for 15-20 minutes every two to three hours during the first 24 to 48 hours after your injury.

Is icing for 30 minutes too long?

Greater than 20 minutes of icing can cause reactive vasodilation, or widening, of the vessels as the body tries to make sure the tissues get the blood supply they need. Studies have also shown 30 to 40 minutes in between icing sessions are needed to counter this reaction.

How do I know if I tore a ligament in my ankle?

If you have torn your ankle ligament, symptoms include:

  1. Swelling around your ankle joint.
  2. A feeling of instability.
  3. Bruising – sometimes up your lower leg and into your foot.
  4. Tenderness to touch.
  5. Pain when putting weight on your ankle.
  6. Popping sound at the time of injury.

Should a sprained ankle still be swollen after a week?

This level of sprain shouldn't result in any instability or muscle weakness but can cause minor swelling. Grade 1 sprained ankle recovery time is anywhere from 2 weeks to a month, normally closer to the two-week mark with proper treatment.

What is the fastest way to heal a sprained ankle?

Treatment

  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. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ...
  4. Elevation.

Can ice make inflammation worse?

However, ice does not reduce inflammation, it actually makes it worse by creating a back flow of fluid in the lymphatic system. The only thing that ice is useful for is numbing a painful area, or keeping a drink cold.

Can a sprained ankle heal in 3 days?

Most ankle sprains are mild and only need ice and elevation. Mild sprains typically begin to feel better in a few days to a week and heal by six weeks. More severe ankle sprains could take more than a few weeks or months to fully recover. Severe sprains may cause excruciating pain, crutches may be needed.

What is the difference between a sprained ankle and a twisted ankle?

A sprained ankle is similar to a twisted ankle but to a greater degree. When you sprain your ankle, it means you have stretched, and possibly even torn, the ligaments of your ankle. If your ankle is swollen, bruised and painful after you twist it, then you have most likely sprained it.

Should a sprained ankle still be swollen after 2 weeks?

Most ankle sprains heal with no problems. You should feel much better after 2 weeks. Up to a third of people still have some pain after a year. Once the swelling has gone down and you can walk without pain, you can probably start exercises to build flexibility and strength.

How long should you ice after a sprain?

Try to ice the area as soon as possible after the injury and continue to ice it for 15 to 20 minutes, four to eight times a day, for the first 48 hours or until swelling improves. If you use ice, be careful not to use it too long, as this could cause tissue damage. Compress the area with an elastic wrap or bandage.