Foot fracture or sprain if ankle tight?

Either: You need an exam and x-ray to tell the differance.

Need X-ray: You need to get your foot/ankle checked and x-rays taken in order to determine if a fracture is present. If this is a recent injury, the tightness can be from swelling from both conditions. However, it is important to diagnose the correct condition so proper treatment can be rendered.

Many possibilities: Your pain could be as a result of many different things. A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. Causes of pain may include: trauma (fracture, sprain, arthritis, tight shoes), infection, metabolic conditions (gout), musculoskeletal or biomechanical abnormality and neurologic conditions (neuropathy).