While much of the info available online focuses on a sprained ankle, this article covers how to use an elastic bandage to support recovery from an ankle fracture.
Why wrapping matters post-fracture
Ankle fractures can lead to significant swelling and inflammation, particularly in the early stages of recovery.
Offer mild support without restricting movement or impeding healing
Always follow your doctor's advice, as improper wrapping can worsen swelling or interfere with healing.
Difference between wrapping a sprained ankle and a fractured ankle
Sprained ankle: The goal is to provide support and stability to overstretched or torn ligaments. Wrapping helps reduce the range of motion and protects the joint during recovery.
Fractured ankle: Wrapping aims to manage swelling and inflammation during recovery. The bandage provides gentle compression but should not restrict movement or interfere with healing.
A pillow or surface to prop up your leg for comfort
Step-by-step instructions
Prepare your ankle and bandage
Sit in a comfortable position with your leg elevated.
Ensure your ankle is clean and dry. If you're using any medicated creams or ice packs, apply them beforehand.
Unroll the compression bandage and keep the clips or tape within reach if they do not have built-in Velcro.
Start at the toes
Keep your foot neutral (at a 90-degree angle to your leg).
Begin wrapping just above your toes. Wrap the ACE bandage snugly but not tightly, making one or two loops around the entire foot to anchor the wrap.
Avoid excessive pressure on your toes, as they need proper circulation.
Move up the foot
Angle the bandage slightly upward as you move across the arch of your foot. Overlap each layer by about half the width of the bandage.
Keep the compression wrap snug but not tight. You should be able to fit a finger between the bandage and your skin.
Wrap the ankle
Once you reach the ankle, create a figure-eight pattern. Wrap diagonally across the front of the ankle, around the back, and across the opposite side. This pattern provides light compression without putting excessive pressure on one area.
Secure the bandage
Finish the wrap just above the ankle bone, ensuring the bandage ends firmly but not tightly. Use clips or medical tape to secure the bandage wrap if it does not have built-in Velcro.
Check for comfort
Ensure the bandage gives gentle pressure but is not cutting off circulation. If you notice any signs of tingling, numbness, or discoloration in your toes, rewrap the bandage more loosely.
Tips for effective wrapping
Elevate while wrapping: Keeping your leg elevated helps reduce swelling more effectively.
Avoid wrapping too tightly: Overly tight compression wraps can worsen swelling and impede circulation.
Rewrap as needed: Adjust the wrap daily or whenever it feels loose or uncomfortable.
Follow your doctor's advice: Some ankle injuries may not require wrapping, or your doctor may provide specific instructions.
When to avoid wrapping
If you notice increased swelling, severe pain, or signs of impaired circulation (like cold toes or discoloration), stop wrapping and contact your healthcare provider.
Caring for your ACE bandages
Taking proper care of your elastic bandages means they'll stay effective and last longer. You can keep your bandage clean by washing it in cold water with mild detergent. Don't use bleach or harsh chemicals that can weaken the elastic fibers.
After washing, lay the bandage flat on a towel, gently roll to remove excess water, and let it air dry—avoid dryers or direct heat, which can damage the elasticity. Store the bandage in a dry place and roll it neatly to maintain its shape.
When to replace an elastic bandage
Elastic bandages lose their stretch and effectiveness over time.
Replace your bandage if:
It no longer provides adequate compression.
The fabric has become thin or worn.
It has stains or odors that don't come out with washing.
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