6 weeks ago fell and hurt ankle (medial side). went to er they said sprain. having pain directly on bones on inside side of foot and ankle. fracture?

Possibly. Need to go: To your pcp or an orthopod to get reevaluated with an xray or other tests as necessary. Some severe sprains can take a long time to heal, up to 3 months or more. Good luck.

Get MRI: "sprained" ankle usually hurts for 2-6 weeks , if pain persists or hurts in an area other than the ankle, you should see a doctor to evaluate. New xrays may be in order or an MRI to look for occult injuries that do not show up on plain x-rays.

Get an x-ray: Twisting ones’ ankle can lead to a sprained ankle. Often times, this may result in ligament or tendon injuries which may lead to ankle swelling, pain, and possibly instability. An x-ray of the foot and ankle will be able to assist in differentiating a sprain form a fracture.

X-ray: Get an x-ray to evaluate the medial side of the joint. Tendon injuries or cartilage injuries can occur as well where an MRI is indicated