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Doctor insights on: Ankle Sprain Vs Fracture Symptoms

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Dr. Peter Ihle
1,161 doctors shared insights

Sprains And Strains (Definition)

-R used interchangeably. They refer 2 injuries 2 mucles & ligaments. 3 degrees: 1=tweaked or hurts but no harm no foul, 2=damage 2 the structure with some bleeding & prolonged pain,but with ice, time , rest,& activity modification they heal over a few weeks,3=a complete disruption such as an ACL tear. If this happens in a muscle body, there's no repair available, painful, ...Read more


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Can a grade 1 ankle sprain lead to a fracture?

Can a grade 1 ankle sprain lead to a fracture?

No: A grade 1 sprain is a minor injury to a ligament. With conservative treatment (rest, ice, and elevation), the symptoms should subside in 7-10 days. If they don't, see your doctor, because there could always have been a fracture present from the initial injury. X-rays or other imaging might be necessary. Hope this helps! ...Read more

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What are the signs of an ankle sprain or fracture?

What are the signs of an ankle sprain or fracture?

Pain, swelling, ...: The signs of ankle sprain and a fracture can be very similar, and if the sprain (tearing of muscle fibers and tendon fibers) is bad enough, the treatment may be the same, and a bad sprain could take even longer to heal. If ia non-displaced fracture (inside ankle=medial malleolus, outside = lateral, posterior=heel), there will be swelling, pain, heat, very tender. Ice, elevate, immobilize-ortho. ...Read more

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What is the difference between an ankle sprain and fracture?

What is the difference between an ankle sprain and fracture?

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

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Could your ankle sprain turn into a fracture if not treated?

Could your ankle sprain turn into a fracture if not treated?

Ankle fracture: No, an ankle fracture generally needs increased traumatic effect or increased impact injury to break a bone. Not treating an ankle sprain can lead to instability and chronic pain, but not an ankle fracture, unless there is further injury. ...Read more

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10 weeks into recovery of high ankle sprain I found out I had stress fractures. For 4 weeks I have to rice. How do I go about exercise after this time?

10 weeks into recovery of high ankle sprain I found out I had stress fractures. For 4 weeks I have to rice. How do I go about exercise after this time?

Ask you treating Dr: There are a lot of variables in your description. This should have been explained in detail by your doctor with an opportunity given to you to ask all questions. ...Read more

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I had a high ankle sprain(2) and I did rice for 4 weeks/crutches. Then, I did 6 weeks' exercise. I found out that I had a stress fractures and went back to rice for 4 weeks. Why didn't it heal?

I had a high ankle sprain(2) and I did rice for 4 weeks/crutches. Then, I did 6 weeks' exercise. I found out that I had a stress fractures and went back to rice for 4 weeks. Why didn't it heal?

MRI: If a high ankle sprain that does not get better, need to see if there is a tear of the ligament(s) that hold the 2 leg bones together. This is often referred to as a syndesmotic injury. An MRI can visualize this. This is often a problem that needs to be fixed with a surgical procedure. ...Read more

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I have a foot/ankle sprain that hasn't healed after 3 months no fracture I'm worried what's wrong?

I have a foot/ankle sprain that hasn't healed after 3 months no fracture I'm worried what's wrong?

Have it evaluated.: Swelling may last a long time following a foot or ankle injury. An x-ray can show if there is an underlying fracture. The x-rays may be falsely negative initially in cases of small stress fractures. You may have a soft tissue injury if it is just a sprain and may have damaged the muscle, tendon, or ligaments in the area. Have it evaluated by a professional and get the appropriate treatment. ...Read more

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How long will I be out of sports with either a grade 2 or 3 ankle sprain and two nondisplaced fibula fractures (I hurt my ankle 4wks ago; I'm 17 yrs)?

Minimally 12 weeks: Without a complete history of your injury and sports activity, the non-displaced fractures will take a minimum of 6-8 weeks to heal (assuming there are no complications in healing) and in general soft tissue injuries such as the ankle sprain will be longer about 12 weeks (= 3 months). Again, that is assuming that you are compliant with treatment regimen prescribed by your doctor. ...Read more

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Ankle sprain but have fracture clinic nxt tues. Walking on it after day 1 will it make it worse?

Ankle sprain but have fracture clinic nxt tues. Walking on it after day 1 will it make it worse?

Does it hurt to : Walk on? We don't know the severity of your strain and it sounds like a fracture has not been ruled out yet. The bottom line is that it would risky for any of us to clear you to walk on this without having a good understanding of actual injury. ...Read more

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Hi- I have a grade 3 ankle sprain s/p 56 hours. X-rays negative for fracture. I am wearing a cast boot and walking FWB. Should I do NWB?

Hi- I have a grade 3 ankle sprain s/p 56 hours. X-rays negative for fracture.  I am wearing a cast boot and walking FWB. Should I do NWB?

Not necessarily: In general, you would want to stay off it to try to limit the swelling. Once you get beyond that, there is usually no contraindications to weight bearing as tolerated in a cast. The ligaments involved are not so much involved in weight bearing as they are in stabilizing the ankle and so would be protected in a cast. Discuss your specific case with your doctor. ...Read more

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For a severe ankle sprain/possible fracture, would I need an X-ray? I hurt it a while ago and it's gotten worse. Regular doctor or speaclist?

Go to ER first: They will evaluate, and advise you after evaluation as to the availability of equipment (x-ray) on the spot. ...Read more

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Had a severe ankle sprain with MASSIVE swelling > 6 wks ago. Pain not improved. No fracture. Still, mod swollen. Now pain in arch too. What is this?

Had a severe ankle sprain with MASSIVE swelling > 6 wks ago. Pain not improved. No fracture. Still, mod swollen. Now pain in arch too. What is this?

See details: This is a severe sprain with the possibility of a fracture. Have the ankle evaluated and x rayed. Severe sprains are best tested with immobilization. ...Read more

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Ankle sprain/avulsion fractured talus — 1 wk later still slight swelling, pain if bearing weight — foot turns purple & throbs when standing. Normal?

Ankle Injury: If you have an avulsion fracture of the talus it depends on the size of the avulsion. Not seeing your xray it is tough to recommend treatment. However, you need to get on crutches and be non weight bearing. When you stand the swelling has nowhere to go and stays in your foot. That's why elevation above the heart is essential. Also, ice the ankle when you get the swelling down and keep it elevated. ...Read more

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Can I still work out while wearing a walking boot? #nqlu I have a fractured bone in my foot due to an ankle sprain and must wear a walking boot for 6 weeks for the bone to heal. What type of exercises can I still engage in?

Can I still work out while wearing a walking boot? #nqlu I have a fractured bone in my foot due to an ankle sprain and must wear a walking boot for 6 weeks for the bone to heal. What type of exercises can I still engage in?

You : You can engage in any upper body activity you like, and can also swim. I would not engage in any activity that involves you standing or putting any pressure on your foot / ankle or leg. That would include cycling. ...Read more

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I have an avulsion of the distal fibula fracture due to a high ankle sprain. What is the common treatment for this type of injury?

Depends: If the fracture is displaced it may need surgical fixation. If its not displaced then bracing for 6-8 weeks minimum and then return to rehab until fully healed. It can take several month to get full healing. Other options include possible platelet or stem cell based therapies that may help healing faster/more fully. Check out Regenexx. Com. ...Read more

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Son had severe ankle sprain, and still has pain. Mri shows a pre stress fracture of talus bone with lesion on talus. What is pre stress fracture?

Son had severe ankle sprain, and still has pain.  Mri shows a pre stress fracture of talus bone with lesion on talus.  What is pre stress fracture?

MRI finding...: A pre-stress fracture is where a bone is starting to hurt but does not ever fully manifest on x-ray. Pre stress fracture syndrome requires a shorter duration of treatment. ...Read more

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Fractured fibula, high ankle sprain 5 wk. No surgery, immobilized, no weight. Still having signif. Foot swelling, numb toes and darker color top foot.

Fractured fibula, high ankle sprain 5 wk. No surgery, immobilized, no weight. Still having signif. Foot swelling, numb toes and darker color top foot.

NOrmal: Pain and swelling after a combined fracture/dislocation can persist for months. Follow up with ortho doc and xrays is required and pt is almost manidtory to regain motion and function. The numbness associated with a fracture sprain usually come from stretching the nerve(s) and may take up to a year to resolve. ...Read more

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6 days post ankle sprain, my foot ankle and bottom of leg go numb. Especially if I stand on it for a whilst. No fracture or torn ligaments only sprain?

6 days post ankle sprain, my foot ankle and bottom of leg go numb. Especially if I stand on it for a whilst. No fracture or torn ligaments only sprain?

Ankle Sprain: An ankle sprain is really a misnomer in that there are typically ligaments torn (partially or fully) around the ankle. The tearing from those ligaments may cause swelling (mild to severe) and the swelling may impinge on the surrounding skin nerves. This may be causing the numbness, especially when standing because fluid naturally builds up lower with gravity. Hope this helps, good luck! ...Read more

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MRI and Xrays taken July showed bone bruise and a grade 2 ankle sprain. Fracture boot worn for 6 weeks. How long will rehab take?

MRI and Xrays taken July showed bone bruise and a grade 2 ankle sprain. Fracture boot worn for 6 weeks. How long will rehab take?

How long?: Hard to be sure! Your doctor(s) must discuss this with you regularly! Do not be shy about asking!

Hope all goes well! ...Read more

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I am casted for an ankle sprain/and two minor fibula fractures. My foot isn't sore, so does that mean I can play sports as soon as my cast is gone?

I am casted for an ankle sprain/and two minor fibula fractures. My foot isn't sore, so does that mean I can play sports as soon as my cast is gone?

Post injury rehab: Just as important as the treatment or surgery is the rehab of the extremity. The isolation of the part will weaken the muscles and hurt your balance. Several weeks to months of physical therapy often done to help bring you back to normal, and, even then, you'll have to ease back into the sport or activity or risk reinjury of the area(s). ...Read more

Dr. Katharine Cox
792 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


Dr. Payam Rafat
1,209 doctors shared insights

Sprain (Definition)

A sprain is a medical term that describes an injury to soft tissue structures in the area. Common examples are a lumbar sprain, in which you might injure muscles in your back; or an ankle sprain in which you could injure ligaments about the ankle. Sprains can be from mild to severe, and so ...Read more