Tip from Xtreme Expeditions' Doc:

> Sprain/Strain:
> Obviously a sprained ankle is about as bad a thing that can happen when
>
> your only mobility is the feet you hiked in on. What's worse,
>
> the application of ice to the injury may not be a ready-made option.
>
> Its purpose (if done fast enough), is to lessen the leaking of blood from
>
> within now-torn blood vessels into the surrounding tissue areas,
>
> which makes swelling worse and slows the body's ability to later clean
>
> up the damage.
>
> However, the use of the mnemonic R.I.C.E. (Rest, Ice, Compression,
>
> Elevation), can still be useful. Rest is essential...Compression snug
>
> enough wrap to slow the easy leakage of blood and lymph fluids into
>
> torn tissues...The real key, once you can get off the affected area,
>
> is elevation, but it must be done right...The elevated part must be
>
> higher than your HEART for as long as possible!
>
> When nothing else is available, some 50% concentration of DMSO
>
> (dimethylsulfoxide) can be helpful in the first aid kit.
>
> It reduces tissue swelling when applied all around the affected area.
>
> However, the area must be well cleaned without chemicals, and the stuff
>
> can itch while it's working (along with making your mouth taste funny).
>
> Breaking a vitamin E capsule and smearing it over the area can at least
>
> stop the itch. Best of luck on your trek, and here's hoping for no injuries!
>
> Good Health, Allan Spreen, MD
>
jr


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