Application should be from distal to proximal making sure that venous return is not compromised. This will enhance venous return and reduce swelling. Rehabilitation Protect the body part by splinting, wrapping, use of crutches, etc. Analgesia Introduce range of motion and muscle strengthening exercises early Maintain cardiovascular fitness through aerobic exercises such as swimming, stationary biking, walking in swimming pool, etc. Ankle Injuries in Children and Adolescents Evaluation shortly after injury is important, because once there is swelling, point tenderness will be difficult to assess because pain will be diffuse.
Most ankle injuries are secondary to inversion injuries.
Eversion injuries are associated with greater incidence of fracture. Common areas of pain that require radiograph posterior edge or tip of the lateral malleolus posterior edge or tip of the medial malleolus base of the fifth toe. If fracture present or suspicion of fracture, may cast. With open growth plate, radiograph may not show fracture. Repeat radiograph may indicate healing fracture.