Which protocol is commonly used in the acute stage to manage swelling?

• A. Compression therapy only
• B. R.I.C.E.
• C. Passive range of motion exercises
• D. Heat therapy to the area

Answer: (B)

In the acute stage, swelling is best managed with a RICE approach because it directly targets inflammation and edema early on. Rest minimizes further tissue stress, Ice causes local vasoconstriction and reduces metabolic demand, Compression helps limit fluid buildup and supports venous/lymphatic return, and Elevation uses gravity to decrease hydrostatic pressure and aid drainage. Together, these steps slow swelling and pain and set the stage for faster recovery.

Why the other options aren’t ideal in the acute phase: relying on compression alone misses the cooling and drainage benefits, and passive range of motion can aggravate swelling if done too soon. Heat increases blood flow and would worsen swelling initially.