Mark it once you can do it without this page open.

How to do it

  1. Stop the activity and get off the ankle.
  2. Wrap ice or a bag of frozen peas in a thin towel and hold it on the ankle for about 20 minutes.
  3. Repeat the ice every two to three hours during the first day or two.
  4. Wrap an elastic bandage from the toes upward, snug but loose enough that the toes stay warm and pink.
  5. Raise the ankle above the level of your heart when sitting or lying.
  6. Ask a pharmacist about pain relief and follow the label.
  7. Start gentle movement once the pain allows, and build back to normal walking over days.

Stop and call a professional if

  • You cannot take four steps, the bony knobs on either side of the ankle hurt to press, or the foot looks misshapen: get an X-ray at urgent care.
  • The foot is numb, cold or pale, or the pain is severe: go to an emergency department or call 911.
  • It is not improving after a week.
  • Take a certified class in first aid and CPR: this page is a refresher, not training or certification.

In an emergency, call your local emergency number, 911 in the US. Take a certified class to practice this with an instructor.

Common mistakes

  • Putting ice straight on bare skin.
  • Wrapping the bandage so tight the toes go numb or blue.
  • Walking it off through sharp pain.
  • Returning to sport before the ankle feels stable.

Quick self-check

Three questions. Your last score is kept in this browser.

1. How long should each ice session last?
2. Which sign means you should get an X-ray?
3. The toes go cold and blue after wrapping. What do you do?

Teach this to someone

A one-page sheet for showing a friend, a roommate or a kid: what to say, what to show, and one question to check it landed.

Words on this page

Sources

  • National resuscitation and first aid guidelines, 2025 guidelines. Checked September 28, 2026.

Last reviewed . First published .