I've had an x-ray of ankle. what if an mri doesn't show an injury but i still have pain. what will the orthopedic do ?

Ankle scope: The surgeon will probably do an exploratory ankle arthroscopy.

See below: Depending on location of pain arthroscopic surgery may be necessary to explore the ankle.

Ankle pain: If xray and MRI are neg most would rec an initial triak of conservative trestment w physical therapy directed at the area of pain and possible anti inflammaties. If the pain was not associated w injury additional lab work looking at autoimmune conditions may ne needed.