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.vn-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;height:3rem;margin:0 auto;max-width:77.5rem;z-index:1}@media(min-width:64rem){.vn-wrapper .vn-container{height:4.6875rem}}.vn-wrapper .vn-container.lite{max-width:100%}@media(min-width:64rem){.vn-wrapper .vn-container.lite{height:3.5rem}}.vn-wrapper .vn-menu-btn{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#fff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;height:100%;line-height:1;padding:0}.vn-wrapper .vn-menu-btn:not(.lite){margin-right:1.166875rem}@media(min-width:64rem){.vn-wrapper .vn-menu-btn:not(.lite){margin-right:0}}.vn-wrapper .vn-menu-btn i{font-size:2.25rem;width:2.25rem;overflow:hidden}.vn-wrapper .vn-menu-btn svg{fill:currentColor;pointer-events:none}.vn-wrapper .vn-menu-btn.vn-search 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.vn-logo-container .vn-logo img:not(.lite){width:7.25rem}}.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:.875rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:1.4375rem}}.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:1.5625rem}}.vn-wrapper .vn-links{background:#f9f9fc;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;height:calc(100vh - 3rem);left:-140vw;overflow:auto;padding:.5rem;position:fixed;top:3rem;-webkit-transition:left .5s ease;transition:left .5s ease;width:100%;z-index:100}@media(min-width:37.5rem){.vn-wrapper .vn-links{max-width:25rem}}@media(min-width:64rem){.vn-wrapper .vn-links.lite{height:calc(100vh - 3.5rem);top:3.5rem}}@media(min-width:64rem){.vn-wrapper .vn-links:not(.lite){background:none;-webkit-box-orient:horizontal;-webkit-box-direction:normal;-ms-flex-direction:row;flex-direction:row;height:100%;left:0;max-width:100%;overflow:visible;padding:0;position:relative;top:0}}.vn-wrapper .vn-links.open{left:0}.vn-wrapper .vn-links.open.vn-slide-out{left:-100vw}@media(min-width:37.5rem){.vn-wrapper .vn-links.open.vn-slide-out{left:0}}.vn-wrapper .vn-links .vn-search-wrapper{display:-webkit-box;display:-ms-flexbox;display:flex;height:3rem;margin-bottom:.25rem;-webkit-box-ordinal-group:0;-ms-flex-order:-1;order:-1}@media(min-width:64rem){.vn-wrapper .vn-links .vn-search-wrapper:not(.lite){background:#fff;border:1px solid #c6cedb;border-radius:5px;opacity:0;-webkit-box-ordinal-group:2;-ms-flex-order:1;order:1;position:absolute;right:2.8125rem;top:.8125rem;width:38%;-webkit-transition:all .3s ease;transition:all .3s ease;visibility:hidden}.vn-wrapper .vn-links .vn-search-wrapper:not(.lite).vn-open{visibility:visible;opacity:1}.vn-wrapper 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.vn-menu-section{left:0;opacity:1;visibility:visible}}@media(min-width:81.25rem){.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:not(:nth-child(7)){margin-right:1rem}}.vn-wrapper .vn-links .vn-menu-section{background:#f9f9fc;height:calc(100vh - 3rem);right:-140vw;overflow:auto;padding:0 1.5rem 6.25rem 1.5rem;position:fixed;top:3rem;-webkit-transition:all .5s ease;transition:all .5s ease;width:100%;z-index:10}.vn-wrapper .vn-links .vn-menu-section.lite{height:calc(100vh - 3.5rem);top:3.5rem}@media(min-width:37.5rem){.vn-wrapper .vn-links .vn-menu-section{max-width:25rem;left:-140vw;right:auto}.vn-wrapper .vn-links .vn-menu-section.open{left:0;right:auto}}.vn-wrapper .vn-links .vn-menu-section.open{right:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header{-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-bottom:1px solid #c6cedb;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;padding:.75rem 0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header h3{color:#1b1b1b;font-size:1.25rem;line-height:1;margin:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a{color:#3557ff;font-weight:400;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a img{margin-right:.5rem;width:.8125rem}.vn-wrapper .vn-links .vn-menu-section ul{margin:.75rem 0;list-style:none;padding:0}.vn-wrapper .vn-links .vn-menu-section ul li{font-size:1.125rem;font-weight:400}.vn-wrapper .vn-links .vn-menu-section ul li a{color:#1b1b1b;display:block;padding:.75rem 0;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section ul li a:hover{color:#3557ff}.vn-wrapper .vn-links .vn-menu-section ul li hr{border:1px solid #c6cedb}@media(min-width:64rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite){background:#fff;border-radius:0 0 5px 5px;border-top:0;left:-20px;margin-left:-3.75rem;max-width:none;height:auto;opacity:0;padding:1.875rem 2.875rem;position:absolute;top:4.6875rem;width:18.75rem;visibility:hidden}.vn-wrapper .vn-links .vn-menu-section:not(.lite) hr{display:none}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul{margin:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li{border-bottom:1px solid #c6cedb}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li:last-of-type{border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a{-webkit-box-align:baseline;-ms-flex-align:baseline;align-items:baseline;color:#3557ff;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:start;-ms-flex-pack:start;justify-content:flex-start}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a img{height:.75rem;margin-right:.5rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{width:60.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul{-webkit-columns:4;-moz-columns:4;columns:4;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(7),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(14),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(21){border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3{width:35rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul{-webkit-columns:2;-moz-columns:2;columns:2;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(8),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(16){border-bottom:0}}@media(min-width:64rem)and (max-width:81.25rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{margin-left:-8.75rem}}.vn-wrapper .vn-links .vn-back{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#3557ff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;padding:1rem 0}.vn-wrapper .vn-links .vn-back i{font-size:.75rem;margin-right:.3125rem}.vn-wrapper .vn-links .vn-actions{margin-top:1rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-left:1px solid #cccce7;display:-webkit-box;display:-ms-flexbox;display:flex;margin:1.1875rem 0;padding-left:1.25rem}}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe{border-left:none}}.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:0}}.vn-wrapper .vn-links .vn-actions .vn-signin{color:#3557ff;font-weight:600;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-signin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:1.0625rem;padding:0;margin:0 .9375rem;-webkit-transition:all .3s ease;transition:all .3s ease}}.vn-wrapper .vn-links .vn-actions .vn-loggedin{background:none;border:0;color:#3557ff;font-weight:600;height:3rem;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:0;padding:0;margin:0 1.25rem}.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite):before{background:url(//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e52376/client/img/person.59072d56.svg) 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Exercise","datePublished":"01/03/2010 20:00:00","headline":"Ankle Injuries: Causes, Treatments, and Prevention","author":{"@type":"Person","name":"Joseph Saling"},"dateModified":"05/25/2023 11:33:38","publisher":{"@type":"Organization","name":"WebMD","logo":{"@type":"ImageObject","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/logos/webmd/web/webmd_logo_53x12.gif"}}}</script><div class="inner-article-container"><header><h1>Ankle Injuries: Causes, Treatments, and Prevention</h1></header><div class="med-wrap"><div><div class="asset-med-rev"><div class="reviewer-info" data-chronicle="091e9c5e81e52377" data-e2e="asset-medical-review" data-metrics-module="rvdby-lnk"><span class="reviewer-photo-cont"><figure><img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/begum_jabeen_382x382.jpg?resize=51px:51px&output-quality=75" class="reviewer-photo"></figure></span><span class="reviewer-txt seperatorLine">Medically Reviewed by <a class="person" href="https://www.webmd.com/bio/jabeen-begum" data-metrics-link="0">Jabeen Begum, MD</a><span class="no-link"></span><span class="revDate"> on May 25, 2023</span></span></div><div class="byline"><span><span class="authors" data-metrics-module="wrtnby-lnk">Written by <span class="person">Joseph Saling</span></span></span></div></div></div></div><aside class="oncology-article-nav" data-metrics-module="cwnav-art"><ul class="nav-items desktop"><li><a href="#091e9c5e804af189-1-2">What Kinds of Ankle Injuries Are There?</a></li><li><a href="#091e9c5e804af189-2-4">What Causes Ankle Injuries?</a></li><li><a href="#091e9c5e804af189-2-5">Are There Different Signs for Different Ankle Injuries?</a></li><li><a href="#091e9c5e804af189-3-7">What Should Someone Do After an Ankle Injury?</a><div class="item-button"><a href="#"></a></div></li><li><a href="#091e9c5e804af189-3-8">How Does the Doctor Diagnose an Ankle Injury?</a></li><li><a href="#091e9c5e804af189-4-10">Treatment of Fractures</a></li><li><a href="#091e9c5e804af189-5-11">Treatment of Sprains</a></li><li><a href="#091e9c5e804af189-5-13">Treatment of Tendon Injuries</a></li><li><a href="#091e9c5e804af189-6-14">Can Ankle Injuries Be Prevented?</a></li><li><a href="#091e9c5e804af189-7-16">Tips to Protect Your Ankles</a></li><li class="item-button"></li></ul></aside><div class="reading-wrapper"><div class="readtime"><span>11 min read</span></div><div id="audio-placeholder-091e9c5e804af189"></div></div><div class="article__body" data-metrics-module="embd-lnk"><div class="article-page active-page" data-page="1"><section><p><a href="https://www.webmd.com/fitness-exercise/ankle-injuries-causes-and-treatments" data-crosslink-type="article">Ankle injuries</a> are often thought of as <a href="https://www.webmd.com/fitness-exercise/sports-injuries-a-to-z" data-crosslink-type="article">sports injuries</a>. But you don't have to be an athlete or even a "weekend warrior" to turn your <a href="https://www.webmd.com/fitness-exercise/guide/ankle-injuries-causes-and-treatments" data-crosslink-type="article">ankle</a> and hurt it. Something as simple as walking on an uneven surface can cause a painful, debilitating sprain.</p><p>Ankle injuries can happen to anyone at any age. However, men between 15 and 24 years old have higher rates of <a href="https://www.webmd.com/fitness-exercise/what-is-an-ankle-sprain" data-crosslink-type="article">ankle sprain</a>, compared with women older than age 30 who have higher rates than men. Half of all ankle sprains occur during an athletic activity. Every day in the U.S., 25,000 people sprain their ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common ankle injuries are sprains and <a href="https://www.webmd.com/a-to-z-guides/understanding-fractures-basic-information">fractures</a>, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.</p></section><section><h2 class="jumplink-headers" id="091e9c5e804af189-1-2">What Kinds of Ankle Injuries Are There?</h2><p>Ankle injuries are defined by the kind of tissue -- bone, ligament, or tendon -- that's damaged. The ankle is where three bones meet -- the tibia and fibula of your lower leg with the talus of your foot. These bones are held together at the ankle joint by ligaments, which are strong elastic bands of connective tissue that keep the bones in place while allowing normal ankle motion. Tendons attach muscles to the bones to do the work of making the ankle and foot move, and help keep the joints stable.</p></section><section> <p>A fracture describes a break in one or more of the bones. A sprain is the term that describes damage to ligaments when they are stretched beyond their normal range of motion. A ligament sprain can range from many microscopic tears in the fibers that comprise the ligament to a complete tear or rupture. A strain refers to damage to muscles and tendons as a result of being pulled or stretched too far.</p><p>Muscle and tendon strains are more common in the legs and lower back. In the ankle, there are two tendons that are often strained. These are the peroneal tendons, and they stabilize and protect the ankle. They can become inflamed as a result of overuse or trauma. Acute tendon tears result from a sudden trauma or force. The <a href="https://www.webmd.com/arthritis/about-inflammation" data-crosslink-type="article">inflammation</a> of a tendon is called <a href="https://www.webmd.com/osteoarthritis/guide/arthritis-tendinitis">tendinitis</a>. Microscopic tendon tears that accumulate over time, because of being repeatedly over stretched, and don’t heal properly lead to a condition called tendinosis. Tendons can also rupture. Subluxation refers to a tendon that slips out of place.</p></section></div><div class="article-page " data-page="2"><section><h2 class="jumplink-headers" id="091e9c5e804af189-2-4">What Causes Ankle Injuries?</h2><p>An ankle injury occurs when the ankle joint is twisted too far out of its normal position. Most ankle injuries occur either during sports activities or while walking on an uneven surface that forces the foot and ankle into an unnatural position. The unnatural position of the ankle in high-heeled shoes or walking in unstable, loose-fitting clogs or sandals is also a factor that may contribute to ankle injuries. In addition to wearing faulty footwear, an ankle injury can happen as a result of:</p><ul><li>Tripping or falling</li><li>Landing awkwardly after a jump</li><li>Walking or <a href="https://www.webmd.com/fitness-exercise/guide/fitness-basics-running-for-your-life">running</a> on uneven surfaces</li><li>A sudden impact such as a car crash</li><li>Twisting or rotating the ankle</li><li>Rolling the ankle</li></ul><p> </p></section><section><h2 class="jumplink-headers" id="091e9c5e804af189-2-5">Are There Different Signs for Different Ankle Injuries?</h2><p>The symptoms of a sprain and of a fracture are very similar. In fact, fractures can sometimes be mistaken for sprains. That's why it's important to have an ankle injury evaluated by a doctor as soon as possible. The signs include:</p><ul><li><a href="https://www.webmd.com/pain-management/default.htm">Pain</a>, often sudden and severe</li><li>Swelling</li><li>Bruising</li><li>Inability to walk or bear <a href="https://www.webmd.com/obesity/healthy-weight" data-crosslink-type="article">weight</a> on the injured joint</li></ul></section><section> <p>With a sprain, the ankle may also be stiff. With a fracture the area will be tender to the touch, and the ankle may also look deformed or out of place.</p><p>If the sprain is mild, the swelling and pain may be slight. But with a severe sprain, there is much swelling and the pain is typically intense.</p><p><a href="https://www.webmd.com/fitness-exercise/arthritis-tendinosis" data-crosslink-type="article">Tendinitis</a> and acute tears of the peroneal tendon result in both pain and swelling. In addition, the ankle area will feel warm to the touch with tendinitis. With an acute tear, there will be a <a href="https://www.webmd.com/balance/how-tired-is-too-tired" data-crosslink-type="article">weakness</a> or instability of the foot and ankle.</p><p>Tendinosis may take years to develop. Symptoms include:</p><ul><li>Sporadic pain on the outside of the ankle</li><li>Weakness or instability in the ankle</li><li>An increase in the height of the foot's arch</li></ul><p>With the subluxation you will notice ankle instability or weakness. You also may notice sporadic pain behind the outside ankle bone and a "snapping" feeling around the ankle bone.</p></section></div><div class="article-page " data-page="3"><section><h2 class="jumplink-headers" id="091e9c5e804af189-3-7">What Should Someone Do After an Ankle Injury?</h2><p>You can apply <a href="https://www.webmd.com/first-aid/tc/default.htm" data-crosslink-type="article">first aid</a> for an ankle injury by remembering R.I.C.E: rest, ice, compression, elevation.</p><ul><li><strong>Rest.</strong> It's important to rest the ankle to prevent further damage and keep weight off of it.</li><li><strong>Ice.</strong> Using ice will help slow or reduce the swelling and provide a numbing sensation that will ease the pain. Proper icing includes icing within 48 hours of an injury, never leave ice on for longer than 15 minutes to 20 minutes at a time to prevent <a href="https://www.webmd.com/skin-problems-and-treatments/frostbite-how-spot-treat-prevent" data-crosslink-type="article" id="ce5a3d71-13b5-44c4-80d8-b41a48e9b241">frostbite</a>. Wait 40 minutes to 45 minutes before applying ice again to allow tissues to return to normal temperature and sensation, and repeat as needed. You can apply an ice compress using a plastic freezer bag filled with ice cubes and water to <a href="https://www.webmd.com/allergies/cm/rm-quiz-indoor-allergies" data-crosslink-type="tools" id="4d3f12ff-8a9a-4373-a260-26ed0dea23a1">mold</a> to your ankle or use a frozen bag of veggies like corn or peas, (don’t eat them after you use them and refreeze them), use a layer of towel between your <a href="https://www.webmd.com/beauty/cosmetic-procedures-overview-skin" data-crosslink-type="article" id="03082b22-495a-4ed3-ba3a-1a27e1930d14">skin</a> and the plastic bag.</li><li><strong>Compression.</strong> Wrapping the injured ankle with an elastic bandage or off-the-shelf compression wrap will help keep it immobile and supported. Be sure not to wrap the ankle too tightly. If your toes turn blue, get cold, or lose sensation, the wrap is too tight.</li><li><strong>Elevate.</strong> Elevating the injured ankle to at least the level of your <a href="https://www.webmd.com/heart/picture-of-the-heart">heart</a> will reduce swelling and pain.</li></ul><p>It is important not to put any weight on the ankle until after it's been evaluated by a doctor, which should be done as soon as possible. Fractures and sprains that are ignored or aren't treated properly can lead to long-term chronic problems with the ankle, such as repeated injury, ankle weakness, and <a href="https://arthritis.webmd.com/default.htm">arthritis</a>.</p></section><section><h2 class="jumplink-headers" id="091e9c5e804af189-3-8">How Does the Doctor Diagnose an Ankle Injury?</h2><p>The first thing a doctor will do is ask questions about how the injury occurred. Then the doctor will examine the ankle, noting the amount of swelling and bruising. The <a href="https://www.webmd.com/a-to-z-guides/annual-physical-examinations">physical examination</a> of the ankle may be painful because the doctor needs to move the ankle to evaluate the pain and swelling in order to make a proper diagnosis.</p><div id="art-091e9c5e804af189-em-image-1" class="em-mod-image" ref="art-091e9c5e804af189-em-image-1"> <aside data-e2e="ia-image" align="left" class="ia-module-container ia-image landscape " data-metric-module="ia-img-soc"> <figure> <div class="main"> <img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/miniBEADs/ankle_minibead/ankle_1800x1200.jpg" alt="photo of Ankle anatomy"/> </div> <figcaption> <p class="module_description" > Your ankle is made up of three bones: the tibia, the fibula, and the talus. The 3 other bony bumps have their own names. Photo credit: WebMD. </p> </figcaption> </figure> </aside> </div></section></div><div class="article-page " data-page="4"><section> <p>The doctor may order an ankle X-ray to determine whether there are any broken bones. In addition to an ankle X-ray, your doctor may ask for X-rays of the leg and foot to determine whether there may be other related injuries. If the doctor suspects a stress fracture, the doctor will ask for other imaging scans such as an <a href="https://www.webmd.com/a-to-z-guides/what-is-an-mri" data-crosslink-type="article">MRI</a>, which will show more detail about the injury. If there is a fracture, the doctor may also ask for a <a href="https://www.webmd.com/heart-disease/stress-test" data-crosslink-type="article" id="21f7492b-3af6-4802-9828-6696a721e34e">stress test</a>, which is a special X-ray taken with pressure applied to the joint. This will help the doctor determine whether surgery is needed.</p><p>For most ankle injuries, pain is controlled by using an over-the-counter <a href="https://www.webmd.com/drugs/index-drugs.aspx" data-crosslink-type="article">medication</a> such as <a href="https://www.webmd.com/drugs/2/drug-362/acetaminophen+oral/details" data-crosslink-type="article">acetaminophen</a> or other nonsteroidal anti-inflammatory drug such as <a href="https://www.webmd.com/drugs/mono-9368-IBUPROFEN+-+ORAL.aspx?drugid=5166&drugname=ibuprofen+oral" data-crosslink-type="article">ibuprofen</a>. The specific treatment of the injury depends on the type of injury.</p></section><section><h2 class="jumplink-headers" id="091e9c5e804af189-4-10">Treatment of Fractures</h2><p>Fractures can be treated either surgically or nonsurgically. The doctor may treat the break without surgery by immobilizing the ankle if only one bone is broken, and if the bones are not out of place and the ankle is stable. Typically the doctor will do this by putting on a brace that works as a splint or by putting on a cast. If the ankle is unstable, the fracture will be treated surgically. Often, the ankle is made stable by using a metal plate and screws to hold the bones in place. Following the surgery, the ankle is protected with a splint until the swelling goes down and then with a cast.</p><p>It usually takes at least 6 weeks for the bones to heal. Your doctor will probably ask you to keep weight off the ankle during that time so the bones can heal in the proper alignment. Ligaments and tendons can take longer to heal after a fracture is fully mended. It can take as long as 2 years to completely recover full pain-free motion and strength after an ankle fracture, although most people are able to resume their normal daily routine within 3 to 4 months.</p><p>After the doctor has determined it is safe for you to start moving your ankle, you may need <a href="https://www.webmd.com/pain-management/what-is-physical-therapy" data-crosslink-type="article">physical therapy</a> to provide gait training, balance, strengthening, and mobility exercises. The therapist will develop a home program that you can use to regain your previous normal function. It can take several months to return to a normal walking pattern without limping.</p></section></div><div class="article-page " data-page="5"><section><h2 class="jumplink-headers" id="091e9c5e804af189-5-11">Treatment of Sprains</h2><p>The treatment for sprains depends on the severity of the injury. They are graded as mild, moderate, or severe. Surgery is not usually a treatment option unless the damage is extensive, involves more than the ligaments, or when other treatment options fail.</p><p>Mild sprains -- called grade 1 -- are treated with the RICE approach for several days until the pain and swelling improve. With a mild sprain, you won't need a splint or a cast. Your doctor will tell you to put weight on the ankle fairly soon -- within 1 to 3 days -- as long as you can tolerate it and will prescribe range-of-motion, <a href="https://www.webmd.com/fitness-exercise/features/how-to-stretch" data-crosslink-type="article" id="a321303c-9644-4cf1-bd38-94cbcdddf1a2">stretching</a>, and strengthening exercises.</p><p>If your sprain is classified as moderate, or grade 2, the doctor will use the RICE approach but allow more time for healing to occur. The doctor may also use a device such as a boot or a splint to immobilize the ankle. You will be given exercises to do first to improve range of motion and then to stretch and strengthen the ankle. The doctor may also prescribe physical therapy to help you regain full use of your ankle.</p></section><section><pagebreak /> <p>Grade 3 or a severe sprain involves a complete tear or rupture of a ligament and takes considerably longer to heal. It's treated with immobilization of the joint followed by a longer period of physical therapy for range of motion, <a href="https://www.webmd.com/fitness-exercise/video/gym-smarts-stretching-hamstrings-calves" data-crosslink-type="video" id="e84f231e-e29e-4591-9bde-68becf83cd1e">stretching</a>, and strength building. Occasionally, especially if the sprain does not heal in a reasonable time, surgery will be considered for reconstructing the torn ligaments.</p><p>Typically, the initial treatment of a sprain includes resting and protecting the ankle until swelling goes down for about 1 week. That's followed by a period of 1 to 2 weeks of exercise to restore range of motion, strength, and flexibility. It can take several more weeks to several months to gradually return to your normal activities while you continue to <a href="https://www.webmd.com/fitness-exercise/ss/slideshow-7-most-effective-exercises" data-crosslink-type="slideshows" id="961bd319-1336-4af0-b622-fdeedcd4165f">exercise</a>.</p></section><section><h2 class="jumplink-headers" id="091e9c5e804af189-5-13">Treatment of Tendon Injuries</h2><p>Options for treating tendon injuries are similar to options for treating sprains. They include:</p><ul><li>Immobilization using a cast or splint</li><li>Oral or injected anti-inflammatory drugs to reduce pain</li><li>Physical therapy for range of motion, strength, and balance</li><li>A brace to provide support during activities</li><li>Surgery to repair the tendon or tendons and sometimes to repair the supporting structures of the foot</li></ul><p> </p></section></div><div class="article-page " data-page="6"><section><h2 class="jumplink-headers" id="091e9c5e804af189-6-14">Can Ankle Injuries Be Prevented?</h2><p>Flexibility, strengthening, and balance exercises can help prevent an ankle injury or keep you from re-injuring your ankle.</p><p><strong>Exercises for your ankles</strong></p><p>Working your muscles can help protect your ligaments. You can start working on your ankle once your range of motion is back and you can put weight on it. If you are recovering from an injury, don’t just work your injured ankle. <a href="https://www.webmd.com/fitness-exercise/default.htm">Exercise</a> the healthy one to keep it that way.</p><p>Flexibility training can loosen tight leg muscles. Try these stretches:</p><p><a href="https://www.webmd.com/fitness-exercise/picture-of-the-calf-muscle">Calf</a> stretch</p><ol><li>Stand about 2 feet from a wall, facing the wall.</li><li>Place your hands on the wall about shoulder-width apart.</li><li>Put one foot behind the other, toes pointed straight ahead.</li><li>Keep your back leg straight and both heels down.</li><li>Gently bend your front <a href="https://www.webmd.com/pain-management/knee-pain/picture-of-the-knee">knee</a> until you feel the stretch in the back of your other leg.</li><li>Reverse the order of your feet and repeat to stretch both legs.</li></ol><p>Heel stretch</p><ol><li>Sit on the floor with your <a href="https://www.webmd.com/pain-management/knee-pain/rm-quiz-know-your-knees">knee</a> bent slightly. Loop a towel around the top of your foot.</li><li>Gently pull back until you feel the stretch in your calf and heel.</li></ol></section><section><pagebreak /> <p>Do these exercises six times a day for each leg, especially after <a href="https://www.webmd.com/fitness-exercise/ss/slideshow-7-most-effective-exercises">exercise</a> or another activity.</p><p><strong>Leg-strengthening exercises</strong></p><p>Strong leg muscles keep your ankles more stable. Grab a chair and take a seat to work the front and inner sides of your shins.</p><p>Front “push-out”</p><ol><li>With the chair beside a wall, hold your foot flat on the floor and against the wall.</li><li>Push the foot against the wall and hold for 3 seconds.</li></ol><p>Front “push-up”</p><ol><li>Put your injured foot flat on the floor.</li><li>Place the heel of the other foot on top of the hurt one.</li><li>Push down with the top heel while pushing up with the other foot.</li><li>Hold for 3 seconds.</li><li>Repeat on the other foot.</li></ol><p>Inner “push-in”</p><ol><li>With your feet flat on the floor, push them against each other.</li><li>Hold for 3 seconds.</li></ol><p>Do three sets of 20 reps most days of the week.</p><p><strong>Balance exercises</strong></p><p>If you don’t have good balance, your odds of hurting your ankles go up. Do this exercise to stay steady on your feet:</p><ol><li>Stand on one leg as long as you can (up to 30 seconds).</li><li>Switch to the other leg and do the same thing.</li><li>Repeat three to five times on each leg.</li></ol><p>Make it more of a challenge by doing something while standing on one foot, like brushing your hair or talking on the phone.</p></section></div><div class="article-page " data-page="7"><section><h2 class="jumplink-headers" id="091e9c5e804af189-7-16">Tips to Protect Your Ankles</h2><p>You can help prevent a sprain with these simple precautions:</p><p><strong>Avoid exercising or playing sports when you are tired or </strong>in pain.</p><p><strong>Warm up.</strong> Do ankle stretches before playing sports or exercising.</p><p><strong>Watch your step!</strong> Take your time when you walk on cracked sidewalks or uneven surfaces.</p><p><strong>Run on flat surfaces</strong> to minimize the chance that you will twist and injure your ankle.</p><p><strong>Target your workouts to keep you strong</strong> for whatever sport you are playing.</p><p><strong>Wear sensible shoes.</strong> Choose footwear that fits well and is suited to what you’re doing. Wear athletic shoes cushioned at the heel and arch for walking and running. For court sports, choose ones that are wider and flatter. Pick boots that support your foot and ankle for hiking or working on uneven land. And consider shoe inserts to keep your arch supported and ankle lined up the way it should be.</p><p><strong>Don't wear shoes with worn-down heels</strong> on one side.</p><p><strong>Ditch the stilettos.</strong> Wearing high heels is one of the biggest causes of ankle sprains among women.</p></section></div></div><div class="related-articles" data-metrics-module="cwnav-art" data-metrics-sel="li"></div><footer><div class="pub-info-and-share-bar"><div class="article__publication-sources"><section class="asset-footer"><div class="asset-footer-top"><div class="asset-footer-buttons"><button class="sources-btn">Sources</button><button class="update-history-btn">Update History</button></div><div class="asset-footer-top-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg 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19.1375 5.8625C19.7125 6.4375 20 7.15 20 8V14H16V18ZM18 12V8C18 7.71667 17.9042 7.47917 17.7125 7.2875C17.5208 7.09583 17.2833 7 17 7H3C2.71667 7 2.47917 7.09583 2.2875 7.2875C2.09583 7.47917 2 7.71667 2 8V12H4V10H16V12H18Z" fill="#3557FF" data-v-00aa1eb2></path></svg></div></div></div><div class="save-container"><div class="auth-overlay-popup-holder" data-v-28242611><div class="bookmark-holder drug-generic-name" data-metrics-module="bkmk" data-v-28242611></div></div></div></div></div><div class="asset-footer-content"><div class="sources-section" style="display:none;"><div class="sources-wrapper" data-metrics-module="src"><p>SOURCES:</p><p>American Academy of Orthopaedic Surgeons: "Ankle Fractures."</p><p>American Orthopaedic Society for Sports Medicine: "Ankle Sprains: How to Speed Your Recovery."</p><p>FamilyDoctor.org: "Ankle Sprains: Healing and Preventing Injury."</p><p>American Academy of Orthopaedic Surgeons: "Sprained Ankle."</p><p>American College of Foot and Ankle Surgeons: "Peroneal Tendon Injuries."</p><p>National Institute of Arthritis and Musculoskeletal and Skin Diseases: "Sprains and Strains."</p><p>American Physical Therapy Association: “Physical Therapist's Guide to Ankle Sprain.”</p><p>American Orthopaedic Foot and Ankle Society: “How to Strengthen Your Ankle After a Sprain.”</p><p>Sydney Sports Medicine Center: “Ankle Sprain Rehabilitation.”</p><p>American Physical Therapy Association: “6 Balance Exercises You Can Safely Perform at Home.”</p><p>Nemours Foundation: “Ankle Sprains.”</p><p>Harvard Medical School: “Healthy ankles: Your Mobility Depends on Them.”</p><p>Photo credit: WebMD.</p></div></div></div><div class="asset-footer-bottom"><a href="https://www.webmd.com/about-webmd-policies/about-privacy-policy" class="asset-footer-policy"> View privacy policy, copyright and trust info </a></div><div class="asset-footer-bottom-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" 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The most common ankle injuries are sprains and \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fa-to-z-guides\u002Funderstanding-fractures-basic-information\"\u003Efractures\u003C\u002Fa\u003E, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EWhat Kinds of Ankle Injuries Are There?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EAnkle injuries are defined by the kind of tissue -- bone, ligament, or tendon -- that's damaged. The ankle is where three bones meet -- the tibia and fibula of your lower leg with the talus of your foot. These bones are held together at the ankle joint by ligaments, which are strong elastic bands of connective tissue that keep the bones in place while allowing normal ankle motion. Tendons attach muscles to the bones to do the work of making the ankle and foot move, and help keep the joints stable.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"2\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EWhat Kinds of Ankle Injuries Are There? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EA fracture describes a break in one or more of the bones. A sprain is the term that describes damage to ligaments when they are stretched beyond their normal range of motion. A ligament sprain can range from many microscopic tears in the fibers that comprise the ligament to a complete tear or rupture. A strain refers to damage to muscles and tendons as a result of being pulled or stretched too far.\u003C\u002Fp\u003E\u003Cp\u003EMuscle and tendon strains are more common in the legs and lower back. In the ankle, there are two tendons that are often strained. These are the peroneal tendons, and they stabilize and protect the ankle. They can become inflamed as a result of overuse or trauma. Acute tendon tears result from a sudden trauma or force. The \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Farthritis\u002Fabout-inflammation\" crosslinktype=\"Article\"\u003Einflammation\u003C\u002Fa\u003E of a tendon is called \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fosteoarthritis\u002Fguide\u002Farthritis-tendinitis\"\u003Etendinitis\u003C\u002Fa\u003E. Microscopic tendon tears that accumulate over time, because of being repeatedly over stretched, and don’t heal properly lead to a condition called tendinosis. Tendons can also rupture. Subluxation refers to a tendon that slips out of place.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"3\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"2\" \u002F\u003E\u003Csection_header\u003EWhat Causes Ankle Injuries?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EAn ankle injury occurs when the ankle joint is twisted too far out of its normal position. Most ankle injuries occur either during sports activities or while walking on an uneven surface that forces the foot and ankle into an unnatural position. The unnatural position of the ankle in high-heeled shoes or walking in unstable, loose-fitting clogs or sandals is also a factor that may contribute to ankle injuries. In addition to wearing faulty footwear, an ankle injury can happen as a result of:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003ETripping or falling\u003C\u002Fli\u003E\u003Cli\u003ELanding awkwardly after a jump\u003C\u002Fli\u003E\u003Cli\u003EWalking or \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fguide\u002Ffitness-basics-running-for-your-life\"\u003Erunning\u003C\u002Fa\u003E on uneven surfaces\u003C\u002Fli\u003E\u003Cli\u003EA sudden impact such as a car crash\u003C\u002Fli\u003E\u003Cli\u003ETwisting or rotating the ankle\u003C\u002Fli\u003E\u003Cli\u003ERolling the ankle\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EAre There Different Signs for Different Ankle Injuries?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe symptoms of a sprain and of a fracture are very similar. In fact, fractures can sometimes be mistaken for sprains. That's why it's important to have an ankle injury evaluated by a doctor as soon as possible. The signs include:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fpain-management\u002Fdefault.htm\"\u003EPain\u003C\u002Fa\u003E, often sudden and severe\u003C\u002Fli\u003E\u003Cli\u003ESwelling\u003C\u002Fli\u003E\u003Cli\u003EBruising\u003C\u002Fli\u003E\u003Cli\u003EInability to walk or bear \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fobesity\u002Fhealthy-weight\" crosslinktype=\"Article\"\u003Eweight\u003C\u002Fa\u003E on the injured joint\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"4\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EAre There Different Signs for Different Ankle Injuries? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EWith a sprain, the ankle may also be stiff. With a fracture the area will be tender to the touch, and the ankle may also look deformed or out of place.\u003C\u002Fp\u003E\u003Cp\u003EIf the sprain is mild, the swelling and pain may be slight. But with a severe sprain, there is much swelling and the pain is typically intense.\u003C\u002Fp\u003E\u003Cp\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Farthritis-tendinosis\" crosslinktype=\"Article\"\u003ETendinitis\u003C\u002Fa\u003E and acute tears of the peroneal tendon result in both pain and swelling. In addition, the ankle area will feel warm to the touch with tendinitis. With an acute tear, there will be a \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fbalance\u002Fhow-tired-is-too-tired\" crosslinktype=\"Article\"\u003Eweakness\u003C\u002Fa\u003E or instability of the foot and ankle.\u003C\u002Fp\u003E\u003Cp\u003ETendinosis may take years to develop. Symptoms include:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003ESporadic pain on the outside of the ankle\u003C\u002Fli\u003E\u003Cli\u003EWeakness or instability in the ankle\u003C\u002Fli\u003E\u003Cli\u003EAn increase in the height of the foot's arch\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003EWith the subluxation you will notice ankle instability or weakness. You also may notice sporadic pain behind the outside ankle bone and a \"snapping\" feeling around the ankle bone.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"5\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"3\" \u002F\u003E\u003Csection_header\u003EWhat Should Someone Do After an Ankle Injury?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EYou can apply \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffirst-aid\u002Ftc\u002Fdefault.htm\" crosslinktype=\"Article\"\u003Efirst aid\u003C\u002Fa\u003E for an ankle injury by remembering R.I.C.E: rest, ice, compression, elevation.\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cstrong\u003ERest.\u003C\u002Fstrong\u003E It's important to rest the ankle to prevent further damage and keep weight off of it.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EIce.\u003C\u002Fstrong\u003E Using ice will help slow or reduce the swelling and provide a numbing sensation that will ease the pain. Proper icing includes icing within 48 hours of an injury, never leave ice on for longer than 15 minutes to 20 minutes at a time to prevent \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fskin-problems-and-treatments\u002Ffrostbite-how-spot-treat-prevent\" crosslinktype=\"Article\" id=\"ce5a3d71-13b5-44c4-80d8-b41a48e9b241\"\u003Efrostbite\u003C\u002Fa\u003E. Wait 40 minutes to 45 minutes before applying ice again to allow tissues to return to normal temperature and sensation, and repeat as needed. You can apply an ice compress using a plastic freezer bag filled with ice cubes and water to \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fallergies\u002Fcm\u002Frm-quiz-indoor-allergies\" crosslinktype=\"Tools\" id=\"4d3f12ff-8a9a-4373-a260-26ed0dea23a1\"\u003Emold\u003C\u002Fa\u003E to your ankle or use a frozen bag of veggies like corn or peas, (don’t eat them after you use them and refreeze them), use a layer of towel between your \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fbeauty\u002Fcosmetic-procedures-overview-skin\" crosslinktype=\"Article\" id=\"03082b22-495a-4ed3-ba3a-1a27e1930d14\"\u003Eskin\u003C\u002Fa\u003E and the plastic bag.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003ECompression.\u003C\u002Fstrong\u003E Wrapping the injured ankle with an elastic bandage or off-the-shelf compression wrap will help keep it immobile and supported. Be sure not to wrap the ankle too tightly. If your toes turn blue, get cold, or lose sensation, the wrap is too tight.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EElevate.\u003C\u002Fstrong\u003E Elevating the injured ankle to at least the level of your \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fheart\u002Fpicture-of-the-heart\"\u003Eheart\u003C\u002Fa\u003E will reduce swelling and pain.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003EIt is important not to put any weight on the ankle until after it's been evaluated by a doctor, which should be done as soon as possible. Fractures and sprains that are ignored or aren't treated properly can lead to long-term chronic problems with the ankle, such as repeated injury, ankle weakness, and \u003Ca link_friendlyurl=\"https:\u002F\u002Farthritis.webmd.com\u002Fdefault.htm\"\u003Earthritis\u003C\u002Fa\u003E.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"6\" \u002F\u003E\u003Csection_header\u003EHow Does the Doctor Diagnose an Ankle Injury?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe first thing a doctor will do is ask questions about how the injury occurred. Then the doctor will examine the ankle, noting the amount of swelling and bruising. The \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fa-to-z-guides\u002Fannual-physical-examinations\"\u003Ephysical examination\u003C\u002Fa\u003E of the ankle may be painful because the doctor needs to move the ankle to evaluate the pain and swelling in order to make a proper diagnosis.\u003C\u002Fp\u003E\u003Cembeded_module class=\"wbmdembededmodule cke_widget_inline\" align=\"left\" suppress_from_site=\"false\" suppress_from_fed=\"false\" suppress_share=\"true\" thumbnail=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticle_thumbnails\u002FminiBEADs\u002Fankle_minibead\u002Fankle_1800x1200.jpg\" _chronic_id=\"99917e13-7bab-478f-b499-ed37a0db1fc1\" asset_title=\"\" asset_description=\"Your ankle is made up of three bones: the tibia, the fibula, and the talus. The 3 other bony bumps have their own names. Photo credit: WebMD.\" module_title=\"\" module_description=\"\" link_out_url=\"\" link_out_position=\"\" type=\"image\" height=\"1200\" width=\"1800\" alt=\"photo of Ankle anatomy\" aspen_id=\"99917e13-7bab-478f-b499-ed37a0db1fc1\"\u003E\u003C\u002Fembeded_module\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"4\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHow Does the Doctor Diagnose an Ankle Injury? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe doctor may order an ankle X-ray to determine whether there are any broken bones. In addition to an ankle X-ray, your doctor may ask for X-rays of the leg and foot to determine whether there may be other related injuries. If the doctor suspects a stress fracture, the doctor will ask for other imaging scans such as an \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fa-to-z-guides\u002Fwhat-is-an-mri\" crosslinktype=\"Article\"\u003EMRI\u003C\u002Fa\u003E, which will show more detail about the injury. If there is a fracture, the doctor may also ask for a \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fheart-disease\u002Fstress-test\" crosslinktype=\"Article\" id=\"21f7492b-3af6-4802-9828-6696a721e34e\"\u003Estress test\u003C\u002Fa\u003E, which is a special X-ray taken with pressure applied to the joint. This will help the doctor determine whether surgery is needed.\u003C\u002Fp\u003E\u003Cp\u003EFor most ankle injuries, pain is controlled by using an over-the-counter \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdrugs\u002Findex-drugs.aspx\" crosslinktype=\"Article\"\u003Emedication\u003C\u002Fa\u003E such as \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdrugs\u002F2\u002Fdrug-362\u002Facetaminophen+oral\u002Fdetails\" crosslinktype=\"Article\"\u003Eacetaminophen\u003C\u002Fa\u003E or other nonsteroidal anti-inflammatory drug such as \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdrugs\u002Fmono-9368-IBUPROFEN+-+ORAL.aspx?drugid=5166&drugname=ibuprofen+oral\" crosslinktype=\"Article\"\u003Eibuprofen\u003C\u002Fa\u003E. The specific treatment of the injury depends on the type of injury.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"7\" \u002F\u003E\u003Csection_header\u003ETreatment of Fractures\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EFractures can be treated either surgically or nonsurgically. The doctor may treat the break without surgery by immobilizing the ankle if only one bone is broken, and if the bones are not out of place and the ankle is stable. Typically the doctor will do this by putting on a brace that works as a splint or by putting on a cast. If the ankle is unstable, the fracture will be treated surgically. Often, the ankle is made stable by using a metal plate and screws to hold the bones in place. Following the surgery, the ankle is protected with a splint until the swelling goes down and then with a cast.\u003C\u002Fp\u003E\u003Cp\u003EIt usually takes at least 6 weeks for the bones to heal. Your doctor will probably ask you to keep weight off the ankle during that time so the bones can heal in the proper alignment. Ligaments and tendons can take longer to heal after a fracture is fully mended. It can take as long as 2 years to completely recover full pain-free motion and strength after an ankle fracture, although most people are able to resume their normal daily routine within 3 to 4 months.\u003C\u002Fp\u003E\u003Cp\u003EAfter the doctor has determined it is safe for you to start moving your ankle, you may need \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fpain-management\u002Fwhat-is-physical-therapy\" crosslinktype=\"Article\"\u003Ephysical therapy\u003C\u002Fa\u003E to provide gait training, balance, strengthening, and mobility exercises. The therapist will develop a home program that you can use to regain your previous normal function. It can take several months to return to a normal walking pattern without limping.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"8\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"5\" \u002F\u003E\u003Csection_header\u003ETreatment of Sprains\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThe treatment for sprains depends on the severity of the injury. They are graded as mild, moderate, or severe. Surgery is not usually a treatment option unless the damage is extensive, involves more than the ligaments, or when other treatment options fail.\u003C\u002Fp\u003E\u003Cp\u003EMild sprains -- called grade 1 -- are treated with the RICE approach for several days until the pain and swelling improve. With a mild sprain, you won't need a splint or a cast. Your doctor will tell you to put weight on the ankle fairly soon -- within 1 to 3 days -- as long as you can tolerate it and will prescribe range-of-motion, \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Ffeatures\u002Fhow-to-stretch\" crosslinktype=\"Article\" id=\"a321303c-9644-4cf1-bd38-94cbcdddf1a2\"\u003Estretching\u003C\u002Fa\u003E, and strengthening exercises.\u003C\u002Fp\u003E\u003Cp\u003EIf your sprain is classified as moderate, or grade 2, the doctor will use the RICE approach but allow more time for healing to occur. The doctor may also use a device such as a boot or a splint to immobilize the ankle. You will be given exercises to do first to improve range of motion and then to stretch and strengthen the ankle. The doctor may also prescribe physical therapy to help you regain full use of your ankle.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"9\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003ETreatment of Sprains continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EGrade 3 or a severe sprain involves a complete tear or rupture of a ligament and takes considerably longer to heal. It's treated with immobilization of the joint followed by a longer period of physical therapy for range of motion, \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fvideo\u002Fgym-smarts-stretching-hamstrings-calves\" crosslinktype=\"Video\" id=\"e84f231e-e29e-4591-9bde-68becf83cd1e\"\u003Estretching\u003C\u002Fa\u003E, and strength building. Occasionally, especially if the sprain does not heal in a reasonable time, surgery will be considered for reconstructing the torn ligaments.\u003C\u002Fp\u003E\u003Cp\u003ETypically, the initial treatment of a sprain includes resting and protecting the ankle until swelling goes down for about 1 week. That's followed by a period of 1 to 2 weeks of \u003Ca link_friendlyurl=\"\" crosslinktype=\"Article\"\u003Eexercise\u003C\u002Fa\u003E to restore range of motion, strength, and flexibility. It can take several more weeks to several months to gradually return to your normal activities while you continue to \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fss\u002Fslideshow-7-most-effective-exercises\" crosslinktype=\"Slideshows\" id=\"961bd319-1336-4af0-b622-fdeedcd4165f\"\u003Eexercise\u003C\u002Fa\u003E.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003ETreatment of Tendon Injuries\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EOptions for treating tendon injuries are similar to options for treating sprains. They include:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EImmobilization using a cast or splint\u003C\u002Fli\u003E\u003Cli\u003EOral or injected anti-inflammatory drugs to reduce pain\u003C\u002Fli\u003E\u003Cli\u003EPhysical therapy for range of motion, strength, and balance\u003C\u002Fli\u003E\u003Cli\u003EA brace to provide support during activities\u003C\u002Fli\u003E\u003Cli\u003ESurgery to repair the tendon or tendons and sometimes to repair the supporting structures of the foot\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"10\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"6\" \u002F\u003E\u003Csection_header\u003ECan Ankle Injuries Be Prevented?\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EFlexibility, strengthening, and balance exercises can help prevent an ankle injury or keep you from re-injuring your ankle.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EExercises for your ankles\u003C\u002Fstrong\u003E\u003C\u002Fp\u003E\u003Cp\u003EWorking your muscles can help protect your ligaments. You can start working on your ankle once your range of motion is back and you can put weight on it. If you are recovering from an injury, don’t just work your injured ankle. \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fdefault.htm\"\u003EExercise\u003C\u002Fa\u003E the healthy one to keep it that way.\u003C\u002Fp\u003E\u003Cp\u003EFlexibility training can loosen tight leg muscles. Try these stretches:\u003C\u002Fp\u003E\u003Cp\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fpicture-of-the-calf-muscle\"\u003ECalf\u003C\u002Fa\u003E stretch\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003EStand about 2 feet from a wall, facing the wall.\u003C\u002Fli\u003E\u003Cli\u003EPlace your hands on the wall about shoulder-width apart.\u003C\u002Fli\u003E\u003Cli\u003EPut one foot behind the other, toes pointed straight ahead.\u003C\u002Fli\u003E\u003Cli\u003EKeep your back leg straight and both heels down.\u003C\u002Fli\u003E\u003Cli\u003EGently bend your front \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fpain-management\u002Fknee-pain\u002Fpicture-of-the-knee\"\u003Eknee\u003C\u002Fa\u003E until you feel the stretch in the back of your other leg.\u003C\u002Fli\u003E\u003Cli\u003EReverse the order of your feet and repeat to stretch both legs.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003Cp\u003EHeel stretch\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003ESit on the floor with your \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fpain-management\u002Fknee-pain\u002Frm-quiz-know-your-knees\"\u003Eknee\u003C\u002Fa\u003E bent slightly. Loop a towel around the top of your foot.\u003C\u002Fli\u003E\u003Cli\u003EGently pull back until you feel the stretch in your calf and heel.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"11\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003ECan Ankle Injuries Be Prevented? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EDo these exercises six times a day for each leg, especially after \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Ffitness-exercise\u002Fss\u002Fslideshow-7-most-effective-exercises\"\u003Eexercise\u003C\u002Fa\u003E or another activity.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003ELeg-strengthening exercises\u003C\u002Fstrong\u003E\u003C\u002Fp\u003E\u003Cp\u003EStrong leg muscles keep your ankles more stable. Grab a chair and take a seat to work the front and inner sides of your shins.\u003C\u002Fp\u003E\u003Cp\u003EFront “push-out”\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003EWith the chair beside a wall, hold your foot flat on the floor and against the wall.\u003C\u002Fli\u003E\u003Cli\u003EPush the foot against the wall and hold for 3 seconds.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003Cp\u003EFront “push-up”\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003EPut your injured foot flat on the floor.\u003C\u002Fli\u003E\u003Cli\u003EPlace the heel of the other foot on top of the hurt one.\u003C\u002Fli\u003E\u003Cli\u003EPush down with the top heel while pushing up with the other foot.\u003C\u002Fli\u003E\u003Cli\u003EHold for 3 seconds.\u003C\u002Fli\u003E\u003Cli\u003ERepeat on the other foot.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003Cp\u003EInner “push-in”\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003EWith your feet flat on the floor, push them against each other.\u003C\u002Fli\u003E\u003Cli\u003EHold for 3 seconds.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003Cp\u003EDo three sets of 20 reps most days of the week.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EBalance exercises\u003C\u002Fstrong\u003E\u003C\u002Fp\u003E\u003Cp\u003EIf you don’t have good balance, your odds of hurting your ankles go up. Do this exercise to stay steady on your feet:\u003C\u002Fp\u003E\u003Col\u003E\u003Cli\u003EStand on one leg as long as you can (up to 30 seconds).\u003C\u002Fli\u003E\u003Cli\u003ESwitch to the other leg and do the same thing.\u003C\u002Fli\u003E\u003Cli\u003ERepeat three to five times on each leg.\u003C\u002Fli\u003E\u003C\u002Fol\u003E\u003Cp\u003EMake it more of a challenge by doing something while standing on one foot, like brushing your hair or talking on the phone.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"12\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"7\" \u002F\u003E\u003Csection_header\u003ETips to Protect Your Ankles\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EYou can help prevent a sprain with these simple precautions:\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EAvoid exercising or playing sports when you are tired or \u003C\u002Fstrong\u003Ein pain.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EWarm up.\u003C\u002Fstrong\u003E Do ankle stretches before playing sports or exercising.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EWatch your step!\u003C\u002Fstrong\u003E Take your time when you walk on cracked sidewalks or uneven surfaces.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003ERun on flat surfaces\u003C\u002Fstrong\u003E to minimize the chance that you will twist and injure your ankle.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003ETarget your workouts to keep you strong\u003C\u002Fstrong\u003E for whatever sport you are playing.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EWear sensible shoes.\u003C\u002Fstrong\u003E Choose footwear that fits well and is suited to what you’re doing. Wear athletic shoes cushioned at the heel and arch for walking and running. For court sports, choose ones that are wider and flatter. Pick boots that support your foot and ankle for hiking or working on uneven land. And consider shoe inserts to keep your arch supported and ankle lined up the way it should be.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EDon't wear shoes with worn-down heels\u003C\u002Fstrong\u003E on one side.\u003C\u002Fp\u003E\u003Cp\u003E\u003Cstrong\u003EDitch the stilettos.\u003C\u002Fstrong\u003E Wearing high heels is one of the biggest causes of ankle sprains among women.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E"},"citations":{"#cdata-section":"\u003Cp\u003ESOURCES:\u003C\u002Fp\u003E\u003Cp\u003EAmerican Academy of Orthopaedic Surgeons: \"Ankle Fractures.\"\u003C\u002Fp\u003E\u003Cp\u003EAmerican Orthopaedic Society for Sports Medicine: \"Ankle Sprains: How to Speed Your Recovery.\"\u003C\u002Fp\u003E\u003Cp\u003EFamilyDoctor.org: \"Ankle Sprains: Healing and Preventing Injury.\"\u003C\u002Fp\u003E\u003Cp\u003EAmerican Academy of Orthopaedic Surgeons: \"Sprained Ankle.\"\u003C\u002Fp\u003E\u003Cp\u003EAmerican College of Foot and Ankle Surgeons: \"Peroneal Tendon Injuries.\"\u003C\u002Fp\u003E\u003Cp\u003ENational Institute of Arthritis and Musculoskeletal and Skin Diseases: \"Sprains and Strains.\"\u003C\u002Fp\u003E\u003Cp\u003EAmerican Physical Therapy Association: “Physical Therapist's Guide to Ankle Sprain.”\u003C\u002Fp\u003E\u003Cp\u003EAmerican Orthopaedic Foot and Ankle Society: “How to Strengthen Your Ankle After a Sprain.”\u003C\u002Fp\u003E\u003Cp\u003ESydney Sports Medicine Center: “Ankle Sprain Rehabilitation.”\u003C\u002Fp\u003E\u003Cp\u003EAmerican Physical Therapy Association: “6 Balance Exercises You Can Safely Perform at Home.”\u003C\u002Fp\u003E\u003Cp\u003ENemours Foundation: “Ankle Sprains.”\u003C\u002Fp\u003E\u003Cp\u003EHarvard Medical School: “Healthy ankles: Your Mobility Depends on Them.”\u003C\u002Fp\u003E\u003Cp\u003EPhoto credit: WebMD.\u003C\u002Fp\u003E"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}}}},"staticPublicPath":"\u002Fstatic_vue\u002F091e9c5e81e52376\u002Fclient\u002F","isInteractivePage":false},"flow":{"flowInfo":{"guideArticle":{"assetId":"091e9c5e80094727","channelId":"1046","contentType":"Article"}}},"quiz":{"rmq":{}}}</script> <script>window.__INITIAL_STATE__.route.hash = window.location.hash; window.__INITIAL_STATE__.route.fullPath = window.location.pathname; window.__INITIAL_STATE__.route.path = window.location.pathname; if(window.location.search !== ""){ var search = window.location.search.substring(1); window.__INITIAL_STATE__.route.query=JSON.parse('{"' + search.replace(/&/g, '","').replace(/=/g,'":"') + '"}', function(key, value) { return key===""?value:decodeURIComponent(value) }) } else {window.__INITIAL_STATE__.route.query={};}</script><script>try{var _comscore=_comscore||[];_comscore.push({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}}),function(){var e=document.createElement('script'),o=document.getElementsByTagName('script')[0];e.async=!0,e.src='https://sb.scorecardresearch.com/cs/6035829/beacon.js',o.parentNode.insertBefore(e,o),window.__INITIAL_STATE__?window.document.addEventListener('before_pv',function(){window.document.addEventListener('onAdobeOmniBeforePv',function(){window.biConsumerIsReady&&self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})},{once:!0}):window.document.addEventListener('onAdobeOmniBeforePv',function(){self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})}()}catch(e){}</script><noscript><img src='https://sb.scorecardresearch.com/p?c1=2&c2=6035829&cv=3.9.1&cj=1'></noscript>  <script id="cookieConsentScriptNonEU" async="async" src="https://img.lb.wbmdstatic.com/webmd_static_vue/file-explorer/webmd/consumer_assets/site_images/webmd-ccm/webmd-ccm-lite.min.js"></script><script type="text/javascript" async="async" importance="high" src="https://securepubads.g.doubleclick.net/tag/js/gpt.js" id="GPT_JS"></script><script>window.webmd.googleloaded = true; window.googleloaded = true; </script> <script>window.performance.mark('page-end');</script> <link rel="stylesheet" href="//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e52376/client/css/non-critical-1732570906135.f64d91a6.css"> <link rel="stylesheet" href="//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e52376/client/css/pagetype-oncology-1732570906135.b84c3554.css"> </body> </html>