Revolutionizing Ankle Injury Recovery with Sustain Physical Therapy in Boston

Revolutionizing Ankle Injury Recovery with Sustain Physical Therapy in Boston


Last weekend, a friend in Boston experienced a common yet challenging issue: an ankle sprain from a brief encounter with snow. Their immediate thought was to rely on the classic R.I.C.E. method. However, at Sustain Physical Therapy in Boston, we’re advocates for a more advanced approach. Ankle physical therapy and injury recovery have evolved significantly, offering new insights into effective healing.

The Evolution from R.I.C.E. to PEACE & LOVE:

For years, R.I.C.E. (Rest, Ice, Compression, Elevation) has been the go-to recommendation for managing acute injuries like ankle sprains. However, advancements in physical therapy have unveiled that Ice and Rest might actually decelerate the healing process, particularly in the crucial early stages of injury recovery.

The new, more comprehensive acronym PEACE & LOVE integrates the latest findings in physical therapy, especially relevant for ankle physical therapy:

  • Protect: Limiting aggravating movements to prevent further injury.
  • Elevate: Keeping the injured area elevated to reduce swelling.
  • Avoid NSAIDs: Steering clear of non-steroidal anti-inflammatory drugs that might hinder natural healing.
  • Compression: Applying gentle compression to support the injured area.
  • Education: Understanding the injury and seeking professional advice, particularly from a physical therapy expert in Boston.
  • Load: Gradually reintroducing weight-bearing activities as pain allows.
  • Optimism: Encouraging a positive outlook and movement.
  • Vascularization: Engaging in light cardiac activities to enhance blood flow and healing.
  • Exercise: Performing targeted exercises to regain strength and mobility.

Understanding the Injury Process:

Understanding the Injury Process:

Injury recovery, especially for ankle injuries, progresses through distinct phases. At Sustain Physical Therapy in Boston, we guide patients through each phase, focusing on tailored strategies for optimal recovery:

  1. Inflammatory Phase (0-6 days): This initial response involves the immune system sending white blood cells to the injury site, starting the healing process.
  2. Proliferation Phase (4-21 Days): The body begins regenerating tissue to replace what was damaged. Managing scar tissue formation is critical during this period, and physical therapy can play a significant role.
  3. Remodeling Phase (21 Days – 2 years): The new tissue matures and strengthens. The duration of this phase varies based on the severity of the injury and the individual’s healing process.

Physical therapy, particularly ankle physical therapy, in Boston is essential in supporting patients through each phase. By understanding and respecting the body’s natural healing process, we can optimize recovery and prevent future injuries.

Practical Application and Performance Training:

Effective recovery from an ankle injury involves a balance of rest and movement. At Sustain Physical Therapy in Boston, we emphasize the importance of gradually reintroducing movement and load to the injured ankle. Performance training becomes pivotal as the ankle regains strength, incorporating exercises that enhance stability, flexibility, and overall function.


Dealing with any acute injury requires careful management and expert guidance. At Sustain Physical Therapy in Boston, we provide personalized care and advanced strategies to help you recover effectively and return to your active lifestyle. Whether you’re an athlete or simply seeking to regain full mobility, our team is here to support your journey to recovery. Schedule a free consultation with our expert DPTs and take the first step towards a pain-free, active life.

a man in a green shirt smiling in front of a gym.

Dr. Adam Babcock PT, DPT

Sustained Fitness and PT

"We Help Active Adults Quickly Recover From Pain Or Injury So They Can Stay Active, Get Back To What They Love To Do, and Do It For Decades"