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✦ First aid

Sprains and Twisted Ankles — First Aid and Traditional After-care

Rest and cold for the first 48 hours; traditional oil massage only after swelling settles (after 72 hours).

Not yet reviewed by a physician

🚑 Emergency? Call 1990 (Suwa Seriya ambulance) or go to the nearest hospital. Traditional remedies never replace emergency care.

Go to hospital / call 1990 if

  • Cannot take 4 steps putting weight on it
  • Visible deformity or sharp pain over a bone
  • Numbness, coldness or blue colour
  • No improvement in 5–7 days

Traditionally used for

  • Pain and swelling after twisting a joint
  • Bruising

Ingredients

Ice wrapped in a cloth
Elastic bandage
Pinda or Maha Narayana oil (optional)Only after 72 hours

What to do

  1. Rest: keep weight off the joint.
  2. Cold: wrapped ice for 15–20 minutes every 2–3 hours during the first 48 hours. (20 min)
  3. Compression: wrap firmly but not tight (toes/fingers must not go blue or numb).
  4. Elevation: keep the joint raised above heart level.
  5. After 72 hours, if swelling and warmth have settled, a very gentle massage with slightly warm medicated oil may be done.

Home treatment

How it is used
External use only
Adults
As above; oil once daily only after 72 hours
Children
Not advised for children without a physician.

Do NOT

  • Do not pull or twist the joint to 'set' it if a fracture is possible.

Precautions

  • No heat, hard massage or alcohol in the first 48 hours — they increase swelling.
Important note: The information here is shared only to pass on traditional knowledge. It is not a specific medical treatment or a guarantee of recovery. Always consult a qualified doctor about any health condition.
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