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Investigation of the effectiveness of double Tubigrip for acute grade 1 and 2 ankle sprains through a randomised controlled trial is commendable.1 However, I feel compelled to comment on aspects of this study. It is interesting that 85 (17.5%) of the 485 patients approached to take part in this study expressed a treatment preference and therefore were not randomised. Given that only 197 patients completed the study, the 85 expressing a treatment preference is equivalent to a third arm of the study. The implication of their reluctance is that patients attending the accident and emergency (A&E) department after ankle injuries expect and want treatment. This confirms what is a commonly held belief in the A&E department—that a double Tubigrip, or some other treatment option is supportive …