How to Wrap an Ankle with an ACE Bandage

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When you twist or sprain your ankle, putting compression on the injured area can help reduce swelling and pain. The easiest way to do this is to wrap your ankle with an ACE bandage. When wrapping your ankle it's important to position it correctly, make sure it's not too tight and keep it on for long enough to help your ankle heal. Proper wrapping can help a mildly injured ankle heal quicker and more effectively while also making the recovery period more comfortable for you.

Method 1
Method 1 of 3:

Putting the Bandage On

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    If your bandage does not come in a tight roll, take the time to roll it up. Having the bandage in a roll rather than loose will make applying it easier and quicker in the long run. [1]
    • If your bandage comes with Velcro at one end, start rolling up from that end. You want the Velcro to end up on the end of the bandage after wrapping.
    • ACE bandages can be purchased at almost any pharmacy, big box store, or grocery store. They can also be found through online retailers.
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    Keep it at this angle during the whole process of wrapping so that the bandage doesn't slip or move accidentally. Wrapping your foot in this position will be best for circulation and comfort. [2]
    • Once the ankle is wrapped, the foot will be able to move a bit, so don't worry that your foot will be kept at an uncomfortable angle.
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    Place the end of the bandage on the top of your foot next to the toes. Hold the end with one hand while you wrap the bandage down around the ball of the foot. Once the bandage is back around the top of the foot, you can tug it a little to keep it taut and to keep the end in place. [3]
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    It typically takes about 3 or 4 wraps to cover this area. This area gets a lot of movement when you walk or put pressure on your foot, so be sure to wrap it completely. [4]
    • If you don't cover an area on the first pass, feel free to wrap back and forth a few times until you can no longer see any skin.
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    Start moving your wraps from the back of the arch, over the heel, and to the bottom of the Achilles tendon. Go back and forth over this area a couple of times to help secure the bandage in this area. [5]
    • It's hard to keep the bandage from slipping off the heel. It typically likes to move up or down. This is actually OK to some extent, as a bit of exposed skin at the back of the heel won't prevent the bandage from giving stability and proper compression.
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    You want the wrap to end about 3 inches (7.6 cm) above your ankle bone if your injury is right at the ankle. Do a couple of wraps right at the top to anchor the ACE bandage. This will ensure that the bandage keeps light pressure on the injured area and stays in place. [6]
    • It may take a couple tries to get your wrap to end in the right spot. How many turns you do over the foot and ankle depends on how long your ACE bandage is and how tightly you wrap. Double check that you aren't wrapping it too tightly. You may need to adjust the wrap to loosen or tighten it, depending on how much compression feels comfortable.

    Tip: When you are done wrapping the ACE bandage, secure the end to the previous layer with either the Velcro at the end of the bandage or clips , whichever your bandage came with.

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    As you work your way around your foot and ankle, make sure that the elastic overlaps the last layer you made. This will help ensure that there is the right amount of compression applied to your injury and that the bandage stays in place.
    • The only area of skin that you should intentionally keep exposed is the toes. However, it's fine if some of the heel becomes exposed due to movement at the ankle. [7]
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    An elastic bandage should be wrapped tight enough to put a small amount of compression on the ankle, but it shouldn't cause numbness, tingling, or additional pain. If you experience any of these things, loosen the bandaging you have done and continue with a looser wrap. [8]
    • The bandage can get overly tight over time if your injury causes swelling. If you start to feel tingling or numbness, take off the bandage and re-wrap the area. [9]
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Method 2
Method 2 of 3:

Determining Whether to Wrap Your Ankle

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    ACE bandages are great tools for helping minor injuries to muscles and tendons heal. They give some gentle support while not completely immobilizing the area.
    • For instance, if you have lightly twisted your ankle but you are sure you have not broken anything, then wrapping it in an ACE bandage will help you.
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    Major sprains, such as those that swell, bruise, or are extremely painful right away, should be assessed by a medical professional. Simply wrapping the injured area and waiting for it to heal may lead to a serious injury healing incorrectly or not healing at all. [10]
    • A doctor will able to assess whether you have a break or sprain, and what type of treatment will help you heal most successfully.
    • Even if you have a mild fracture, your doctor may suggest wrapping the area in an ace bandage until you can get a cast put on it.
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    If you are using a compression bandage because you have actually sprained your ankle, it's important to give it a lot of time to heal before you stop wrapping it. Minor sprains can benefit from the support the bandage gives and having it on will help remind you to treat it gently as you start using it again. [11]
    • While you should keep wrapping the injured area for at least 4 days, it doesn't mean that it needs to be wrapped every moment. Letting the skin breath for a few minutes every day will give you time to clean the area and moisturize the skin if you need to. [12]
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    When you sprain your ankle it's important to start using it again as soon as possible, so that you don't start to lose strength and flexibility. Start by flexing it to get it moving. If that doesn't hurt, go further and put a small amount of weight on it. [13]
    • This doesn't mean that you should put your whole weight on it or do strenuous activities, it simply means that the ankle needs to be moved to make sure it maintains strength as it heals.
    • Your ankle will likely not be fully healed at this time. It may take months to recover completely.

    Tip: When you start using the ankle again, begin with simple stretches that don't put any weight on the ankle. For instance, try pointing your foot and then flexing it back several times. If this doesn't cause you pain, then you can move on to more weight-bearing activities.

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Method 3
Method 3 of 3:

Treating an Ankle While It's Wrapped

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    While wrapping your ankle gives it a little bit of support, it's not enough support to keep it from moving and being further stressed if you use it too strenuously. Because of this, it's important to stay off the ankle while it heals. [14]
    • If you need to move around for more than a brief moment, consider using crutches.
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    If you are lying down or sitting down relaxing, elevate your ankles above your heart. This can usually be easily done by propping your ankle up under several pillows. Do this for at least 2 days after you injure your ankle to promote circulation, although doing it whenever you are relaxing during the entire healing process can be helpful. [15]
    • Elevating the ankle reduces swelling because it prevents fluids from pooling down at the ankle.
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    your ankle for 15 minutes once every 2-3 hours. Icing your ankle will reduce swelling and pain because it limits blood blow and inflammation. Put a towel on your ankle and apply a cold pack on top of it. You can use a pre-made ice pack, a bag of ice, or a bag of frozen vegetables. [16]
    • It's important to keep the ice from getting the skin too cold, as this can cause skin damage. While the ace bandage will create some barrier to the cold, it's a good idea to add an additional barrier.
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    If your ankle continues to hurt or you have some swelling, a pain reliever can help. In particular, ibuprofen and naproxen (Advil, Motrin, and Aleve), are good at reducing swelling at the same time as relieving pain. [17]
    • Follow the dosing directions that come with your medication. If you need more pain relief than is recommended, talk to your doctor about alternative pain relievers or dosing.
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    If your ankle is discolored, very swollen, or is very painful right after you injure it, you should get emergency medical care. If you have been wrapping your ankle for more than 2 days and it has not improved at all, contact your doctor and have it looked at. [18]

    Tip: The symptoms of a minor break can be similar to a sprain, so it's important to have the injury assessed in order to treat it properly.

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      References

      1. ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=zm2802
      2. ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=zm2802
      3. ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=zm2802
      4. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      5. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      6. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      7. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      8. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      9. ↑ https://www.uofmhealth.org/health-library/tw4354spec
      1. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      2. ↑ https://www.mayoclinic.org/diseases-conditions/sprains-and-strains/diagnosis-treatment/drc-20377943
      3. ↑ https://journals.lww.com/nursing/Citation/2009/12000/Wrapping_an_ankle_with_an_elastic_compression.5.aspx
      4. ↑ https://www.mayoclinic.org/diseases-conditions/sprains-and-strains/diagnosis-treatment/drc-20377943
      5. ↑ https://www.uofmhealth.org/health-library/tw4354spec
      6. ↑ https://www.uofmhealth.org/health-library/tw4354spec
      7. ↑ https://www.healthline.com/health/chronic-pain/treating-pain-with-heat-and-cold#takeaway
      8. ↑ https://www.uofmhealth.org/health-library/tw4354spec
      9. ↑ https://www.uofmhealth.org/health-library/tw4354spec

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      • Paul Barros

        Jan 15, 2021

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