What is an Ankle Sprain?
An ankle sprain is a common injury that happens when the ankle twists, rolls, or lands awkwardly, stretching or tearing the ligaments that support the joint. Because these injuries vary in severity, getting the right diagnosis and care is essential for proper healing. At Texas Foot & Ankle Center, our podiatrists provide trusted and effective treatment for ankle sprains of all levels.
What Is an Ankle Sprain?
An ankle sprain occurs when the ligaments surrounding the ankle joint are damaged. These strong tissues are responsible for stabilizing the joint and preventing excessive movement. When they’re overstretched or torn, it can result in pain, swelling, bruising, and limited ability to walk. The severity of the ligament damage determines how long recovery may take, which can range from a couple of weeks to several months.
Symptoms of an Ankle Sprain
Many people notice symptoms immediately after the injury. You may hear or feel a “pop” as the ankle gives way, followed by sharp pain when you try to bear weight. Swelling typically develops quickly and bruising may appear on the inside or outside of the ankle, sometimes spreading into the foot over the next few days. The injured area often feels tender to the touch, and stiffness or limited mobility is common.
Ankle sprains are classified into three grades:
- Grade 1 involves mild stretching or a tiny tear with slight tenderness.
- Grade 2 includes a partial tear with moderate pain and swelling.
- Grade 3 is a complete tear that causes significant swelling, severe pain, and difficulty walking.
What Causes an Ankle Sprain?
Most ankle sprains occur when the ankle rolls inward (inversion). Less commonly, the ankle may twist outward (eversion). These movements usually happen suddenly, such as during a quick direction change, a misstep, or landing awkwardly while walking or exercising.
Common situations include sports collisions, running on uneven ground, tripping or missing a step, and wearing unstable footwear like high heels. Previous sprains, weak ankles, poor footwear support, and uneven surfaces increase the likelihood of injury.
How to Treat an Ankle Sprain
Initial treatment focuses on reducing swelling and protecting the injured ligaments. Following the R.I.C.E. method: rest, ice, compression, and elevation for the first 48 to 72 hours is recommended. Avoid heat, alcohol, massage, or heavy activity during this period, as these can worsen inflammation.
Over-the-counter pain relievers such as ibuprofen, acetaminophen, or naproxen may help manage discomfort. As the pain becomes more manageable, gentle ankle movements can help prevent stiffness and maintain joint mobility. However, returning to full activity too soon can delay healing or cause re-injury.
When to See a Podiatrist
You should seek professional care if your pain is not improving after a few days, if you cannot comfortably bear weight, or if the ankle remains unstable or severely swollen. A podiatrist can determine whether the injury involves a significant ligament tear or an associated fracture.
In-office treatment may include bracing, splinting, or casting to immobilize the joint, as well as physical therapy to restore strength and balance. We may use X-rays to rule out a fracture and may recommend an ultrasound or MRI to assess the ligament damage. Surgery is rarely needed, but may be considered for severe tears or chronic ankle instability. Professional treatment helps ensure proper ligament healing and reduces the risk of long-term issues.
Ankle Sprain Prevention
Preventing ankle sprains starts with wearing supportive footwear and, when needed, using custom orthotics to enhance stability. Strength and balance exercises also help reinforce the ankle. For athletes, learning proper techniques for jumping, pivoting, and quick direction changes can significantly reduce injury risk.
Conclusion
Ankle sprains may be common, but proper care is crucial for avoiding long-term complications. If you’re experiencing ankle pain, swelling, or instability, the team at Texas Foot & Ankle Center is ready to help you heal safely and return to the activities you love as quickly as possible.
To schedule an appointment, call (214) 660-0777 or use our online contact form today.

