In the first two weeks of rehabilitation for a syndesmotic ankle injury, what is the most appropriate non-surgical treatment approach?

• A. Progressive weight bearing with a forefoot wedge
• B. PRICE with immobilization using a posterior splint
• C. Intensive physical therapy and stretching exercises
• D. Application of heat followed by gradual strengthening

Answer: (B)

The most appropriate non-surgical treatment approach in the first two weeks of rehabilitation for a syndesmotic ankle injury is to utilize PRICE (Protection, Rest, Ice, Compression, and Elevation) with immobilization using a posterior splint.

During the initial phase after a syndesmotic injury, it is crucial to minimize movement and protect the injury site to promote healing. The PRICE principles help to reduce inflammation and limit pain, while the immobilization provided by a posterior splint helps to stabilize the joint and prevent further injury. This approach addresses the acute nature of the injury, allowing for better outcomes as the tissues begin to heal.

In contrast, other options like progressive weight bearing with a forefoot wedge or intensive physical therapy and stretching exercises might place undue strain on the injured area too early in the rehabilitation process. Application of heat and focusing on gradual strengthening is also inappropriate in the initial weeks, as it does not provide the necessary protection and support needed for recovery from a syndesmotic injury.