172 Physicians Online


Pain and Swelling in the Ankle After a Fall

Dear Ask The Doctor:
I triped and fell walking on heels on sat night aprrox 9-30pm i went to local accident and emergancy department on sunday afternoon they examined it and said it was badley sprained with NO XRAY. however since i have rested and taken anti imflamatorys the swelling and bruisin is still rele bad i crnt put full wait through my ankle at all and am in real pain infact worse now thank before now its a constant pain rathewr than just when i move it what should i do return for an xray or carry on


From all the ankle injuries, the sprains are the most common. Ankle sprains are classified in 3 grades as follows: : mild degree of swelling and stretch has occurred to the ligaments. Weight bearing is possible. : moderate swelling and an incomplete tearing of ligaments, also mild instability may be present and also pain with weight bearing. : severe swelling and pain, complete rupture of at least 1 ligament, there is remarkable instability.
First thing to do: apply ice and lift the affected limb for the first 24 hours, to control the pain and swelling. Physical therapy is recommended for sprains grade II and III. For less severe injuries, grade I, the strategy would be: immediate, protected ambulation, and physical therapy should emphasize exercises to get back the normal range of motion and strengthening of the ankle muscles and ligaments.
Treatment during this acute phase is aimed to minimize swelling and pain, allowing the patient to begin walking. The acute phase of treatment should last for 1-3 days after the injury. A combination of protection, relative rest, ice, compression, elevation, and support is used. Also the anti inflammatory drugs (as Ibuprofen) help in reducing swelling and pain. The healing time varies from patient to patient.

Sign In to join in the conversation.

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA

Related Answers:

Sir, I probably have a torn ACL and it has been 3 weeks. I feel no pain during the movements of my knee and have als...

How do you get Parkinson's that is medication induced and will it ever go away?

Had carpel tunnel surgery, my right in Sept. 2014 and my left Jan 2015, my had are starting to swell up, really bad....

Hello, two days ago, I started having numbness and weak muscles in my arms. I am at a healthy weight, have no hist...

Earlier today I took a pretty hard blow to my left side on some concrete and have been fine until as of 20 minutes ag...

Hi doctor, i'm 27 and 1 week back my right leg knee was turned left and then right and taken medicine. today docto...

I've been sick for a few times from february, just when I'm healthy it hits me again. Not much, always just plugged n...

My side is hurting and swilling and back of my lack doing the same

I got really mad and stomped on my foot really hard now it hurts to walk for the past week on my heel and side bones ...

Well i have and injury in my knee i dont know if i have acl torn or sprain but i could move my leg a little bit and ...