The need for analgesia should always be addressed. As individual perception of pain varies, a simple ankle sprain may only require an elastic bandage or acetaminophen in most patients, while some will require oral narcotics. Although some studies suggest that the anti-inflammatory effect of NSAIDs is useful in treating ligamentous injuries,18 other studies suggest that there is no benefit.23 Patients who are in significant distress or who should be kept NPO because of anticipated surgery require parenteral analgesia.
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