Ankle sprain

Low urgency
Very common-

This is an injury to the ligaments of the ankle joint caused by forcing the foot into an unnatural position. It is a very common reason for consultation at accident & emergency departments. Various classifications exist according to the seriousness of symptoms and the distension of ligaments.

It generally occurs due to bruising of the ligaments that ensure the ankle’s stability, or from poor posture when stepping on the foot, causing the ligament to stretch beyond its limit of elasticity.

Symptoms include severe pain, swelling and bruising on the joint.

Diagnosis is clinical, through questioning concerning the episode and examination of the joint. An X-ray is often required.

It is treated with cold, compression (with elastic bandage), immobilisation and elevation of the limb. Rehabilitation will subsequently be undertaken.

Bibliographic references
  1. Karen L Maughan. Ankle sprain. UpToDate, Enero 2016.
  2. Sman AD. Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. Br J Sports Med 2013; 47:620.
  3. Boruta PM. Acute lateral ankle ligament injuries: a literature review. Foot Ankle 1990; 11:107.
  4. Williams GN.Syndesmotic ankle sprains in athletes. Am J Sports Med 2007; 35:1197.
  5. McKay GD. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med 2001; 35:103.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Ankle pain


    Ankle swelling


    Ankle bruise


    Pain in the outer area of the foot, near the little toe, in the fifth metatarsal region


    Pain in the inner upper region of the foot, around the navicular bone

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Relative rest, rest until symptoms subside.
Avoid doing abrupt movements.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.