My wife sprained her foot, someone laded on her heel with her toes tucked underneath..i think she hyperextended her arch. she has bruising and it still hurts. day one she iced for four hours, day two and three she iced for an hour or so....it is day 4. sh

After : After the first 24 hours, icing usually doesn't do all that much. I'm always astounded by the number of people who would rather pursue advice on line than actually get to a doctor and be properly evaluated. Almost all the posts by doctors here usually end with "go to a doctor and get it checked out." the danger of giving medical advice without taking a medical history and performing a proper physical examination, and of course, not actually seeing the patient, is that we stand a good chance at giving wrong, misleading or potentially harmful advice, and that's the last thing we want to do. Now please forgive me if i'm being presumptuous here in assuming you haven't already sought medical care for your wife, and this is merely a back-up plan to pick some medical minds. I make this assumption only because you didn't mention it in your post. Clearly, the best advice i, or anyone, can give you is to bring her to a podiatrist or orthopedist, have her foot x-rayed, and find out exactly what's going on. The sooner this happens, the sooner she's apt to get better. Good luck!

Have it evaluated.: Pain due to trauma may be due to fracture, sprains, arthritis, muscle, nerve or tendon injuries. Have the foot evaluated so that you may get her the appropriate care.

Injury: The best first thing to do is exactly what dr fox and i say all the time : seek medical care so real treatment can begin. The sooner the better ! see your podiatrist / orthopedist of your choice.