The ankle joint is one of the joints with complex structure and high activity frequency, and is the main stress area for the lower limbs to complete support, jumping and landing movements, and is also one of the joints that are more vulnerable to injury in daily life and sports. As an emergency treatment for ankle sprains, the PRICE principle has become a classic: But is the PRICE principle enough for ankle sprains? Which patients need immobilization? Which patients need surgery? Obviously, PRICE is only the principle for emergency management of ankle sprains (within 24-48 hours), but how should it be followed up? Grading of ankle sprains: There are usually 3 grades of ankle injury based on the severity of the injury. Grade 1: There is stretching of the ligaments, only microscopic damage to the ligament fibers and mild pain. Weight bearing is possible as long as it is tolerated; splinting is not required; isometric contraction exercises are feasible; full range of joint mobility exercises and muscle strength training can be performed if tolerated. Grade 2: Partial rupture of ligament fibers, moderate pain and swelling, limited mobility, and possible joint instability. Immobilization with splinting or bracing, physical therapy, and muscle and joint mobility exercises are required. Grade 3: Complete ligament rupture with significant swelling and pain and joint instability. Braking and rehabilitation are the same as grade 2, but the rehabilitation time is longer and in a few cases surgery is required. Non-surgical treatment: It has been suggested that for grade 1 and 2 ankle sprains, joint mobility exercises and gradual weight-bearing increases over a few days may result in a faster recovery from the sprain. For grade 3 ankle sprains (complete ligament tears), evidence supports early braking within 10 days of injury, after which ankle motion is initiated. Of course, many scholars still support 2-3 weeks of braking in patients with grade 3 injuries. The general recommendations are Phase 1, 1 week of PRICE principles, rest to protect the ankle and reduce swelling; Phase 2, weeks 2-3, gradual return of joint mobility, strength, and flexibility; and Phase 3, over the next few weeks to months, gradual return to sports, beginning with sports that do not require twisting of the ankle and eventually returning to sports. Surgical treatment: Only a very small number of patients with grade 3 injuries require surgical treatment after systematic non-surgical treatment has failed over several months. These patients are typically those with severe injuries, significant instability, and high sporting demands. Surgical options may be considered arthroscopic or open reconstruction to repair the ligamentous structures. Since ankle injuries are such a nuisance, why not do something to prevent them effectively!