First Aid for a Suspected Ankle Injury: Do’s and Don’ts

Whether it happens on the football pitch, during a run, or simply stepping off a curb awkwardly, ankle injuries are incredibly common. But in the moment, it can be hard to tell whether you’re dealing with a simple sprain or something more serious. So, how do you handle it?

At Brixton Pharmacy, we’re here to guide you through the first aid steps for a suspected ankle injury – including the do’s and don’ts – and explain when to escalate your care. If you’re unsure whether it’s an ankle sprain or fracture, this guide will help point you in the right direction.

We also offer support through the Pharmacy First service, meaning you may not need to see your GP to get expert advice and treatment for minor sprains.

First: Is it an ankle sprain or fracture?

While only an X-ray can confirm a fracture, there are some clues that may help you tell the difference:

Signs of a sprain:

• –> Pain around the soft tissue (usually outside the ankle)

• –> Swelling or bruising

• –> Limited ability to bear weight, but often still possible to walk

• –> History of rolling or twisting the ankle

Signs of a possible fracture:

• –> Intense or sharp pain that doesn’t ease

• –> Inability to bear any weight at all

• –> Visible deformity or misalignment

• –> Severe swelling or bruising spreading up the leg

• –> A snapping or cracking sound at the time of injury

If in doubt, always err on the side of caution. A fracture left untreated can lead to long-term issues.

Do: Follow the R.I.C.E. Method

For the first 48 to 72 hours after an injury, the RICE method can reduce pain and swelling:

R – Rest

Avoid putting weight on the affected ankle. Use crutches if needed and keep activity to a minimum.

I – Ice

Apply an ice pack or cold compress wrapped in a cloth for 20 minutes every 2 to 3 hours. Never apply ice directly to the skin.

C – Compression

Use an elasticated bandage or support to gently compress the ankle. It should feel snug, not tight. This helps reduce swelling.

E – Elevation

Raise your ankle above the level of your heart (for example, resting on pillows) to minimise swelling and bruising.

These simple steps can prevent further damage and ease discomfort in the early stages of healing.

Don’t: Delay Professional Advice

If you’re unsure whether it’s an ankle sprain or fracture, don’t wait too long to speak to a healthcare professional.

At Brixton Pharmacy, we can assess minor injuries as part of the Pharmacy First clinical pathways. Our trained pharmacists can advise you on next steps, including:

• –> Over-the-counter pain relief

• –> Joint supports or ankle braces

• –> When to use heat or cold

• –> Whether further assessment is needed (e.g. GP or A&E referral)

We’re often able to offer support without the need for a GP appointment, saving you time and helping you recover sooner.

Don’t: Apply Heat Too Soon

It might be tempting to reach for a hot water bottle or heat rub, but in the first few days after an injury, heat can worsen swelling. Stick to cold therapy (ice packs) until the inflammation has reduced – generally after 48–72 hours.

Heat may be useful later in the recovery process to relieve muscle tension or stiffness.

Don’t: Ignore Severe Symptoms

Seek urgent care if:

• –> You can’t put any weight on the ankle at all

• –> The ankle looks misshapen or out of place

• –> You feel numbness, tingling, or severe pain

• –> Swelling and bruising are rapidly worsening

• –> There was a snap or crack at the time of injury

These may indicate a fracture or serious ligament damage, and you should go to A&E or a minor injury unit for further assessment.

Supporting Your Recovery at Brixton Pharmacy

Even after initial first aid, your recovery matters. At Brixton Pharmacy, we stock a range of:

• –> Ankle braces and supports

• –> Cold packs and wraps

• –> Anti-inflammatory creams and gels

• –> Compression bandages

• –> Pain relief medications

We’ll also provide advice on when and how to begin gentle movement, physiotherapy referrals, and how to prevent future injuries.

Visit Brixton Pharmacy for Ankle Injury Support

If you’ve suffered a recent injury and are unsure if it’s an ankle sprain or fracture, let us help. As part of the Pharmacy First service, we can assess and advise on minor ankle injuries right here in the pharmacy – with no GP appointment needed.

Pop in today or give us a call to speak to our team. Fast, convenient care when you need it most – right in your local community.

This blog was written on behalf of Junction Pharmacy by Pharmacy Mentor.