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Q.While applying ice to a freshly sprained ankle, a single application should last for about:

(a) 2–5 minutes
(b) 15–20 minutes
(c) 45–60 minutes
(d) 2–3 hours
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A single ice application for a fresh ankle sprain should last 15–20 minutes — long enough to numb the tissue and constrict blood vessels, but short enough to avoid frostbite or nerve damage.

This is a straightforward MCQ that tests your understanding of cryotherapy duration in acute injury management. The principle is simple: ice reduces swelling and pain by causing vasoconstriction (narrowing of blood vessels) and slowing nerve conduction. But if you leave it on too long, you risk tissue damage — especially over a bony, poorly insulated area like the ankle.

The key concept is the hunting response (Lewis reaction): after about 15–20 minutes of cold exposure, blood vessels in the area begin to dilate again in a protective reflex. This is the body's way of preventing frostbite. So the therapeutic window is that initial 15–20 minute period — after that, you're not getting more benefit, and you're increasing risk.

Let's look at each option:

  • (a) 2–5 minutes — Too short. This barely numbs the skin, let alone the deeper ligaments. You'd need repeated applications every few minutes, which is impractical and doesn't give sustained vasoconstriction.
  • (b) 15–20 minutes — Correct. This is the standard recommendation across sports medicine protocols (e.g., PRICE principle). It achieves deep tissue cooling without triggering the hunting response or causing frostbite.
  • (c) 45–60 minutes — Dangerous. Prolonged ice application can cause ice burns, nerve palsy (especially the common peroneal nerve at the knee or ankle), and even compartment syndrome in severe cases. The hunting response would have kicked in long before this. …

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