Broken Ankle vs Sprained Ankle: The Best Care Practices

Broken Ankle vs Sprained Ankle: Understanding the Differences and How to Deal with Them

Ankle injuries can be painful and distressing, often leaving us wondering whether it’s a broken ankle or a sprained ankle. Understanding the differences between the two is crucial for appropriate treatment and recovery. In this comprehensive guide, we’ll explore the nuances of broken ankle vs sprained ankle, including their symptoms, treatments, and recovery strategies.


Broken ankle vs sprained ankle
Learn about the differences between a broken ankle vs sprained ankle. Discover how to distinguish between the two, their symptoms, treatments, and recovery tips. Get expert insights on managing ankle injuries.

Broken Ankle vs Sprained Ankle: A Detailed Comparison

Distinguishing the Two: Broken Ankle vs Sprained Ankle

In the realm of ankle injuries, differentiating between a broken ankle and a sprained ankle is essential. Both injuries can cause pain, swelling, and limited mobility, but the underlying causes are distinct.

Broken Ankle:

A broken ankle, also known as an ankle fracture, occurs when one or more bones in the ankle joint break. This can result from a sudden impact, a fall, or a high-energy trauma such as a car accident. The severity of the break can range from a hairline fracture to a complete fracture where the bone is displaced.

Sprained Ankle:

On the other hand, a sprained ankle happens when the ligaments that connect the bones are stretched or torn. This often occurs due to sudden twists, turns, or awkward landings. Sprains are categorized into different grades, with Grade I being a mild stretch and Grade III involving a complete tear of the ligament.


Broken Ankle vs Sprained Ankle: Symptoms and Signs

Distinguishing between a broken ankle and a sprained ankle can be challenging due to similar symptoms. However, paying attention to specific signs can provide valuable clues.

Broken Ankle Symptoms:

When it comes to identifying a broken ankle, early recognition is crucial for prompt medical attention and effective treatment. Here are some key symptoms to watch out for:

1. Severe Pain and Swelling

If you’ve injured your ankle and are experiencing intense pain accompanied by significant swelling, it could be indicative of a fracture. The pain is often localized around the affected area and may worsen with movement.

2. Bruising and Discoloration

Noticeable bruising or discoloration around the ankle is another common sign of a potential fracture. The pooling of blood beneath the skin occurs due to the trauma and damage to blood vessels during the injury.

3. Limited Range of Motion

A broken ankle can restrict your ability to move the joint freely. If you find it challenging to flex, point, or rotate your foot, it’s advisable to seek medical attention.

4. Deformity or Misalignment

In some cases, a broken ankle can result in visible deformity or misalignment of the joint. If you notice that your ankle looks noticeably different or isn’t aligned as it should be, it’s a clear indication of a fracture.

Recognizing Sprained Ankle Symptoms

1. Pain and Tenderness

One of the first signs of a sprained ankle is pain. You may experience a sharp or dull pain around the affected area. The pain can range from mild discomfort to intense throbbing. Additionally, the ankle might be tender to touch due to the inflammation of the ligaments.

2. Swelling and Bruising

Swelling is a common reaction of the body to injuries, and a sprained ankle is no exception. You might notice swelling around the ankle within the first few hours after the injury. This is often accompanied by bruising, which can develop due to blood vessels breaking from the impact of the sprain.

3. Limited Range of Motion

A sprained ankle can restrict your ability to move your foot and walk comfortably. If you find it difficult to put weight on the affected foot or experience pain when attempting to move it, you might be dealing with a sprain.

4. Instability

Ankles play a crucial role in maintaining balance. If you’ve sprained your ankle, you might notice a feeling of instability while standing or walking. This instability occurs because the ligaments, responsible for holding the bones together, have been compromised.

5. Popping Sensation

In some cases, a sprain can be accompanied by a distinct popping or snapping sensation at the time of injury. This can be an indicator that the ligament has been stretched or torn.


Broken Ankle vs Sprained Ankle: Causes

Common Causes of Broken Ankles

1. Traumatic Injuries

High-impact accidents, such as car collisions or falls from heights, are common causes of traumatic ankle fractures. The force generated during such incidents can overwhelm the ankle’s structural integrity, leading to bone fractures and associated injuries.

2. Sports-Related Accidents

Engaging in sports that involve rapid changes in direction, jumping, or collision with other players can put the ankle at risk. Sports like basketball, soccer, and skateboarding carry a higher likelihood of ankle injuries due to the sudden and forceful movements involved.

3. Slip and Falls

Slippery surfaces, uneven terrain, or simply losing one’s balance can result in a fall that leads to a broken ankle. This is particularly true among older adults, whose bone density may be compromised, making fractures more likely.

4. Osteoporosis and Weakened Bones

Osteoporosis, a condition characterized by reduced bone density, can render the bones more fragile and susceptible to fractures. Even a minor fall or twist can lead to a broken ankle in individuals with osteoporosis.

5. Repetitive Stress

Engaging in activities that involve repetitive impact on the ankle, such as running or jumping, can gradually weaken the bone and increase the risk of fractures over time. Stress fractures, which are tiny cracks in the bone, can develop due to these repetitive movements.

Common Causes of Sprained Ankle

1. Awkward Landings

One of the primary causes of sprained ankles is awkward landings, especially during physical activities such as running, jumping, or playing sports. When you land on an uneven surface or with improper form, the sudden twist can lead to ligament damage.

2. Weak Ankle Muscles

Weak ankle muscles can contribute to the likelihood of sprained ankles. Muscles provide stability to the joint, and if they are not adequately strengthened, the ligaments bear excess stress during movement.

3. Inadequate Warm-Up

Failing to properly warm up before engaging in physical activities can increase the risk of injury. Cold muscles and ligaments are more prone to damage, making it crucial to perform dynamic stretches and warm-up exercises.

4. Wearing Improper Footwear

Wearing shoes that do not provide proper support or do not fit well can lead to an increased risk of sprained ankles. Shoes with good ankle support and proper cushioning are essential for injury prevention.

5. Uneven Surfaces

Walking or running on uneven surfaces, such as rocky terrain or slippery floors, can lead to unexpected twists and sprains. Paying attention to your surroundings and choosing appropriate paths can help mitigate this risk.

Broken Ankle vs Sprained Ankle: Diagnoses

The Diagnostic Process For Broken Ankle

If you suspect a broken ankle based on the signs and symptoms, it’s important to seek medical attention promptly. A medical professional, usually an orthopedic specialist or an emergency room doctor, will conduct a thorough evaluation to confirm the diagnosis. The diagnostic process typically involves:

1. Physical Examination

During the physical examination, the doctor will carefully assess the injured ankle. They will look for visible signs of injury, check for tenderness, and evaluate your range of motion. They might gently manipulate the ankle to determine the extent of pain and assess its stability.

2. Imaging Tests

Imaging tests are crucial for accurately diagnosing a broken ankle. The most common imaging methods include:

  • X-rays: X-ray images provide a clear view of the bones and can help identify fractures, dislocations, or any misalignments.
  • MRI (Magnetic Resonance Imaging): In some cases, an MRI might be recommended to get a more detailed view of the bones, ligaments, and soft tissues.

3. Medical History

The doctor will inquire about the circumstances of the injury and your medical history. This information is essential for understanding how the injury occurred and whether there are any underlying factors that could complicate the treatment.


Diagnosing a Sprained Ankle

While recognizing the symptoms is a crucial step, a proper diagnosis should be made by a medical professional. They may perform the following assessments:

1. Physical Examination

A physician will physically examine the injured ankle, assessing its appearance, swelling, and tenderness. They may also inquire about the circumstances of the injury.

2. Imaging Tests

To rule out more severe injuries like fractures, X-rays may be conducted. While a sprained ankle may not always show up on an X-ray, it helps ensure there are no broken bones.

3. MRI or Ultrasound

For more severe sprains or cases where the ligament damage isn’t evident, advanced imaging tests like MRI or ultrasound might be recommended. These provide a more detailed view of the ligaments and soft tissues.

Differentiating from Similar Injuries

Sprain vs. Fracture

A common point of confusion is distinguishing between a sprained ankle and a fractured one. While both can cause pain and swelling, fractures involve a break in the bone, whereas sprains involve ligament damage.

Sprain vs. Strain

Another similar injury is a strain, which involves the stretching or tearing of muscles or tendons. Differentiating between a sprain and a strain is vital for proper treatment.


Broken Ankle vs Sprained Ankle: Treatment Options

Treatment Approaches: Healing Broken and Sprained Ankles

The approach to treating a broken ankle or a sprained ankle varies based on the injury’s severity and location.

Broken Ankle Treatment options:

The first step in receiving the appropriate treatment for a broken ankle is an accurate diagnosis. Orthopedic specialists use a combination of physical examinations, X-rays, and sometimes advanced imaging techniques like MRIs to determine the severity and location of the fracture. This helps them formulate a tailored treatment plan.

1. Non-Surgical Treatments

  1. Immobilization: For minor fractures or stable ankle fractures, immobilization is often the go-to treatment. This involves wearing a cast, splint, or brace to keep the ankle stabilized and aligned, promoting proper healing.
  2. Rest and Elevation: Rest is crucial for the initial healing process. Elevating the ankle above the level of the heart can help reduce swelling and alleviate pain.
  3. Pain Management: Over-the-counter pain relievers and prescribed medications can effectively manage pain during the healing process.

2. Surgical Treatments

  1. Open Reduction and Internal Fixation (ORIF): In complex fractures where the bones are misaligned or displaced, surgery may be necessary. ORIF involves realigning the bones surgically and using screws, plates, or rods to hold them in place.
  2. Arthroscopy: In some cases, minimally invasive procedures like arthroscopy can be used to visualize and treat certain types of ankle fractures. This technique involves small incisions and the use of a tiny camera to guide the surgeon.

Rehabilitation and Physical Therapy for Broken Ankle

After the initial treatment, rehabilitation and physical therapy play a crucial role in restoring the ankle’s strength, flexibility, and function. Physical therapists design customized exercise programs that gradually increase in intensity, helping patients regain mobility and preventing stiffness.

Advanced Techniques for Healing with Broken Ankle

  1. Stem Cell Therapy: Emerging as a promising technique, stem cell therapy can accelerate the healing process by promoting tissue regeneration. Stem cells are injected into the fracture site, stimulating the body’s natural healing mechanisms.
  2. Ultrasound Stimulation: Low-intensity pulsed ultrasound has shown effectiveness in promoting bone healing. This non-invasive technique improves blood circulation and bone formation at the fracture site.


The Best Treatments for a Sprained Ankle

Before delving into the treatments, let’s understand what a sprained ankle is. A sprained ankle occurs when the ligaments that support the ankle joint are stretched or torn due to excessive force. This can happen while walking on an uneven surface, participating in sports, or even just stepping awkwardly. The severity of a sprain can range from mild to severe, with symptoms like pain, swelling, bruising, and difficulty bearing weight.

Immediate First Aid For Sprained Ankle

If you’ve just sprained your ankle, it’s crucial to administer immediate first aid to minimize damage and promote faster healing. Follow these steps:

1. Rest

The first and foremost step is to rest the injured ankle. Avoid putting any weight on it to prevent further strain on the affected ligaments.

2. Ice

Applying ice to the injured area can help reduce swelling and alleviate pain. Wrap ice in a cloth and apply it to the ankle for 15-20 minutes every hour.

3, Compression

Using a compression bandage can provide support and reduce swelling. Make sure not to wrap it too tightly, as this can impede blood circulation.

4. Elevation

Elevating the injured ankle above heart level can aid in reducing swelling. Prop your ankle on a pillow or cushion whenever possible.


Professional Medical Treatment For Sprained Ankle

While immediate first aid is essential, it’s recommended to seek professional medical treatment for a proper diagnosis and personalized care plan. A medical professional can determine the severity of the sprain and recommend the best course of action.

1. Physical Therapy

Physical therapy plays a crucial role in the recovery process. A skilled therapist will guide you through exercises that help strengthen the ankle, improve flexibility, and restore normal range of motion.

2. Bracing and Splinting

Depending on the severity of the sprain, your healthcare provider might recommend a brace or splint to immobilize the ankle and promote healing.

3. Medications

Over-the-counter pain relievers like ibuprofen can help manage pain and reduce inflammation. However, consult a healthcare provider before taking any medication.

4. Rehabilitation

Rehabilitation is essential for a complete recovery. Gradually introducing weight-bearing activities and functional movements under professional supervision ensures that the ankle heals properly.

Home Remedies For Sprained Ankle

In addition to professional treatments, several home remedies can accelerate healing and provide relief:

1. R.I.C.E Method

Rest, Ice, Compression, and Elevation (R.I.C.E) remains effective beyond the initial injury phase. Continue practicing these steps to alleviate pain and reduce swelling.

2. Gentle Exercises

Once the acute phase has passed, gentle exercises like ankle circles, toe raises, and alphabet writing with your toes can enhance circulation and flexibility.

3. Nutrition

A balanced diet rich in nutrients like vitamins C and D, calcium, and protein can aid in tissue repair and overall recovery.

4. Herbal Remedies

Certain herbs like arnica and chamomile possess anti-inflammatory properties and can be applied as topical ointments or used in compresses.


Broken Ankle vs Sprained Ankle: Preventions

How to Prevent a Broken Ankle

To effectively prevent a broken ankle, it’s essential to have a clear understanding of the intricate anatomy of this joint. The ankle is a complex structure comprising bones, ligaments, tendons, and muscles. The primary bones involved are the tibia and fibula of the lower leg, which connect to the talus bone of the foot. Ligaments provide stability, and tendons facilitate movement. Being aware of these structures and their functions can help you take proactive steps to prevent injuries.

1. Wearing Appropriate Footwear

One of the most underrated aspects of ankle health is wearing proper footwear. High-quality footwear provides the necessary support and cushioning to your ankles, reducing the risk of injuries. When engaging in physical activities such as running, hiking, or playing sports, ensure that your shoes are well-fitted and designed for the specific activity. For individuals with a history of ankle issues, investing in shoes with ankle support can make a significant difference.

2. Strengthening Ankle Muscles through Exercise

Regular exercise targeted at strengthening the muscles around your ankles can play a crucial role in injury prevention. Incorporate exercises that focus on balance, stability, and flexibility. Simple activities like calf raises, ankle circles, and resistance band exercises can help enhance the strength of the muscles that support your ankles.

3. Maintaining a Healthy Body Weight

Excess body weight can put unnecessary strain on your ankles and increase the risk of fractures. Maintaining a healthy body weight through a balanced diet and regular exercise not only benefits your overall health but also reduces the load on your ankles. By alleviating this stress, you can significantly decrease the chances of sustaining a broken ankle during everyday activities.

4. Prioritizing Proper Walking and Running Techniques

Believe it or not, the way you walk and run can impact the health of your ankles. Striking the ground with your heel first and then rolling onto the balls of your feet can provide better shock absorption, minimizing the impact on your ankles. Additionally, avoid overstriding and ensure your foot is landing directly beneath your body to maintain stability and reduce the risk of twisting an ankle.

5. Enhancing Ankle Flexibility

Having flexible ankles can contribute to injury prevention. Incorporate regular stretching exercises that focus on ankle mobility. A simple seated ankle stretch or using a resistance band to improve ankle flexibility can go a long way in maintaining joint health and preventing injuries.

6. Being Mindful of Surroundings

Accidents often happen when we’re not fully present in the moment. Being mindful of your surroundings can help you avoid potential hazards that could lead to a broken ankle. Watch out for uneven surfaces, slippery floors, and obstacles that could cause you to trip or twist your ankle.

7. Seeking Professional Guidance

If you have a history of ankle injuries or are unsure about the best practices to prevent them, seeking advice from a medical professional is highly recommended. A podiatrist or orthopedic specialist can assess your specific situation, recommend tailored exercises, and provide guidance on injury prevention strategies.


How to Prevent Sprained Ankle

In our quest to lead a healthy and active lifestyle, the last thing we need is a sprained ankle. A sprained ankle can be not only painful but also a major setback in our daily routine. Whether you’re an athlete, a fitness enthusiast, or just someone who enjoys taking walks, understanding how to prevent a sprained ankle is crucial. This comprehensive guide will provide you with practical tips and insights to keep your ankles strong and injury-free.

1. Importance of Ankle Health

Our ankles play a pivotal role in supporting our body weight and enabling various movements. They are intricate structures consisting of bones, ligaments, tendons, and muscles. A sprained ankle occurs when the ligaments – which connect bone to bone – are stretched or torn due to sudden twisting, rolling, or turning of the ankle. While accidents happen, there are proactive steps you can take to reduce the risk of such injuries.

2. Maintain Strong Ankle Muscles

One of the most effective ways to prevent a sprained ankle is to work on strengthening the muscles around the ankle joint. Focusing on exercises that target the calf muscles, such as calf raises, can provide added stability to the ankle. Additionally, incorporating balance exercises like standing on one leg can enhance proprioception – your body’s ability to sense its position in space – reducing the chances of stumbling or twisting your ankle.

3. Choose the Right Footwear

Wearing appropriate footwear is paramount in preventing ankle injuries. Make sure your shoes provide proper arch support and cushioning. If you engage in specific activities like running or hiking, invest in shoes designed for those activities. High-top sneakers or boots with good ankle support can also be beneficial, especially if you’re prone to rolling your ankles.

4. Warm Up and Stretch

Never underestimate the power of a proper warm-up and stretching routine. Before engaging in any physical activity, spend a few minutes warming up your muscles with light cardio. Follow it up with dynamic stretches that focus on your lower body, including your ankles. Engaging in a dynamic warm-up can increase blood flow to the muscles and improve their flexibility, reducing the risk of sudden strains.

5. Mind Your Terrain

Being mindful of your surroundings can significantly reduce the risk of a sprained ankle. Uneven surfaces, loose gravel, or slippery floors can all contribute to an unexpected twist or fall. When walking or running, pay attention to where you’re stepping and adjust your pace accordingly. This simple awareness can go a long way in preventing unnecessary injuries.

6. Avoid Overexertion

While pushing your physical limits can be rewarding, overexertion can lead to accidents. Gradually increase the intensity and duration of your workouts to give your muscles and ligaments time to adapt. Sudden bursts of intense activity can strain your ankles and increase the likelihood of a sprain.

7. Use Ankle Braces or Supports

For those with a history of ankle injuries or who engage in high-impact activities, using ankle braces or supports can provide an extra layer of protection. These devices can stabilize the ankle joint and limit its range of motion, reducing the risk of sudden twists. Consult a medical professional to determine if ankle braces are suitable for your needs.

8. Stay Hydrated and Maintain a Healthy Diet

Believe it or not, staying hydrated and consuming a balanced diet can indirectly contribute to ankle health. Proper hydration supports muscle function and helps prevent muscle cramps, which can alter your gait and increase the risk of tripping. Additionally, a diet rich in nutrients like calcium and vitamin D promotes strong bones and supports overall joint health.

Preventing Complications

Proper care and attention during the recovery phase can prevent complications such as chronic pain, arthritis, or long-term mobility issues. Following your doctor’s recommendations, attending follow-up appointments, and adhering to the prescribed rehabilitation exercises are essential for a successful outcome.


The Road to Recovery

Recovering from a broken ankle requires patience and dedication. Each person’s journey is unique, but with the right treatment plan, the support of medical professionals, and a positive mindset, you can regain your strength and mobility.

Recovery and Rehabilitation: What to Expect

Understanding the recovery timeline for broken and sprained ankles can facilitate a smoother healing process.

Broken Ankle Recovery:

  • Short-term Immobilization: Casts or splints are worn for several weeks to promote bone healing.
  • Long-term Rehabilitation: Physical therapy focuses on rebuilding strength, flexibility, and mobility.
  • Gradual Return to Activities: Activities are reintroduced gradually, following medical advice.

Sprained Ankle Recovery:

  • Rest and Healing: Adequate rest is essential during the initial phase to allow ligaments to heal.
  • Progressive Mobility: As pain and swelling reduce, mobility is gradually increased.
  • Preventive Measures: Strengthening exercises and balance training can reduce the risk of future sprains.

Immediate Steps after Injury

When you sustain a broken ankle, it’s imperative to take immediate actions that can positively impact your recovery:

1. Seek Medical Attention

The first and foremost step is to seek medical attention. Consult a healthcare professional or visit the emergency room to accurately diagnose the severity of the fracture. X-rays and other imaging tests may be conducted to determine the extent of the injury.

2. Immobilization

Stabilizing the ankle is crucial to prevent further damage. Depending on the severity of the fracture, your healthcare provider might recommend a cast, brace, or even surgery to realign and immobilize the bones properly.


Recovery Phases

Broken ankle recovery typically involves three phases: initial healing, weight-bearing, and rehabilitation.

1. Initial Healing Phase

During this phase, the focus is on allowing the bones to heal naturally. This often requires wearing a cast or using crutches to avoid putting weight on the injured ankle. Follow your healthcare provider’s instructions diligently to ensure proper healing.

2. Weight-Bearing Phase

Once your healthcare provider gives the green light, you’ll gradually transition to weight-bearing activities. Physical therapy and exercises play a vital role in restoring your ankle’s strength and flexibility. These exercises might include ankle circles, toe curls, and resistance band workouts.

3. Rehabilitation Phase

The final phase involves comprehensive rehabilitation to regain full functionality. Working closely with a physical therapist, you’ll engage in targeted exercises that focus on balance, stability, and range of motion. These exercises might involve standing on one leg, walking on uneven surfaces, and performing calf stretches.

Tips for a Speedy Recovery

A successful recovery requires patience, commitment, and adherence to best practices:

1. Nutrition and Hydration

Maintain a balanced diet rich in essential nutrients like calcium, vitamin D, and protein. These nutrients are vital for bone health and overall recovery. Staying hydrated also aids in the healing process.

2. Rest and Elevation

Elevating your injured ankle above heart level can reduce swelling and promote blood circulation. Adequate rest is equally important, as it allows your body to dedicate energy to healing.

3. Follow Medical Advice

Always follow your healthcare provider’s advice and attend follow-up appointments. They will monitor your progress and make necessary adjustments to your recovery plan.

4. Gradual Return to Activities

As your ankle heals, gradually reintroduce activities into your routine. Start with low-impact exercises and activities that don’t strain the injured area. Over time, you can work your way back to your regular activities.


Coping with Emotional Challenges

Recovering from a broken ankle can be mentally challenging. It’s essential to address any feelings of frustration, anxiety, or depression that may arise during your recovery journey. Consider talking to a therapist or joining support groups to share experiences and gain valuable insights.

The Road to Full Recovery

In conclusion, a broken ankle might be a setback, but with the right recovery methods, you can pave the way for a successful rehabilitation journey. By following the steps outlined in this guide and seeking professional guidance, you can regain your mobility, strength, and confidence.

Remember, each individual’s recovery timeline varies, so be patient with yourself and celebrate each milestone achieved. Your dedication and commitment to your recovery will ultimately determine the outcomes you achieve.


FAQs about Broken Ankle vs Sprained Ankle

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Conclusion: Making Informed Choices for Healing

Broken ankle vs sprained ankle? Distinguishing between a broken ankle and a sprained ankle is essential for receiving the right treatment. Prompt medical evaluation, accurate diagnosis, and proper care are key to a successful recovery. Whether it’s a fracture or a sprain, taking the necessary steps for healing will help restore ankle health and mobility.


73 thoughts on “Broken Ankle vs Sprained Ankle: The Best Care Practices”

  1. Wow. Thanks a lot for this article. I thought I had a torn achilles tendon but from the descriptions here, definitely a ligament sprain.

  2. Outstanding, and very informative. I have always confused the two and administered the wrong first aid and treatment. thanx for the detailed explanation. now I know what to do.

  3. This information is so much helpful if you you notice any severe pain on your legs please never hesitate to see physiotherapy

  4. I’m so happy that I’ve found this article. A family member twisted his ankle three days ago, and we thought by putting ice on it, would make it better. After reading this, I think it would be best for us to go see a doctor to be sure about what’s happening.

    Thank you

  5. I’m so happy that I’ve found this article. A family member twisted his ankle three days ago, and we thought by putting ice on it, it would make things better. After reading this, I think it would be best for him to go see a doctor.

    Thank you!

  6. This is very informativvery helpful THANK YOU FOR THE INFORMATIONe and gives help. My son experienced sprain recently and this discussion helps.

  7. I find information from this article to be useful, thorough and applicable. Will keep it in mind and thanks for all the new information I learned on the matter.

  8. thank u for giving us valuable information i learn a lot about broken ankle and sprained ankle , your content are always useful to learn

  9. All in all seems there can be confusion between sprain and broken especially if its a Grade 3 sprain, in that case the best option would be a scan of some sort. Thanks for sorting out the differences this saves we the sports men a few worries and some quick remedies as well.


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