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Alternative to Cast for Grade III Ankle Sprain

I recently went to the ER with a Grade III ankle sprain, and the doctor recommended a cast for 7-10 days before switching to an ankle brace. I deliver newspapers, so I can’t afford to be slowed down by the cast. What other options do I have?

Ankle ligament injuries are classified into Grades I, II, and III, with higher numbers indicating more severe injuries. Grade II and III sprains are commonly treated with casting for anywhere between 10 days to four weeks.

A recent study from the University of Vermont looked at different treatment methods for Grades I-III ankle sprains. Treatment options included using an Air-Stirrup brace, combining an Air-Stirrup brace with an elastic wrap, or wearing a walking cast for 10 days. After the cast was removed, an elastic wrap was used.

The study found that using an Air-Stirrup brace with an elastic wrap reduced recovery time by nearly half. This method shaved almost a week off the usual recovery time. If your injury is severe enough to require a cast, you might want to ask your doctor about using a walking cast instead. This could help you maintain mobility for your newspaper route.

Additionally, switching to an elastic wrap after the cast could also speed up your recovery. However, keep in mind that recovering from a Grade III sprain will still take longer than a Grade I or II injury.

Interestingly, the study also showed that some patients with Grade III sprains who were treated with just an Air-Stirrup (instead of a cast) recovered well. They were able to return to full activity in about three weeks. This may be another option worth discussing with your doctor.

Reference: Bruce D. Beynnon, PhD, et al. A Prospective, Randomized Clinical Investigation of the Treatment of First-Time Ankle Sprains. The American Journal of Sports Medicine. September 2006. Vol. 34, No. 9, pp. 1401-1412.