If you injure your ankle and it begins to swell, you might be wondering if it’s sprained or broken. It can be difficult to know the difference because the initial symptoms can be similar. While it’s important to take proper care of the injury as you seek medical attention, a visit to the orthopedic doctor for x-rays is the only way to know the extent of the damage.
Ankle Sprains
Ligaments of the fibrous tissues that connect bone to bone. An ankle sprain refers to damage to the ligaments surrounding the ankle that hold the bones in place and stabilize the joint. An ankle sprain occurs when the ligaments are stretched or torn. Symptoms of an ankle sprain include pain and swelling. You may also develop bruising. The ligaments will be tender to touch and you may have difficulty walking.
Your orthopedic doctor can determine the severity of your sprain and the best course of treatment. Typically, sprains heal with time and rest. The doctor will likely recommend compression, elevation, and icing after the injury. Bracing may be helpful and your doctor may prescribe nonsteroidal anti-inflammatories to help relieve pain and swelling.
For severe sprains, you may need to use crutches to avoid bearing weight on the injured ankle. Physical therapy might be necessary to regain full range of motion, strength and function. If the ligament is severely torn and instability develops, surgery may be in order.
Ankle Fractures
The distal tibia, fibula and talus are the bones of the ankle joint. Fractures of the bones can include cracks or small chips, nondisplaced fractures (bone fragments remain in good position), displaced fractures (bone fragments move out of normal alignment) or even comminuted fractures (multiple bone fragments). With a fracture, you may hear a cracking noise at the time of injury. Like sprains, fractures usually cause swelling and bruising, but a broken ankle can also look misshapen or “off.” The swelling may be more severe as well.
X-rays are required to confirm a broken ankle. If the fracture is not displaced your orthopedic doctor will immobilize you in a cast or boot. If the fracture is displaced your orthopedic doctor will need to reduce your bones (put them back in proper alignment). You may need surgery to realign the bones and hold them in place with screws or plates. It typically takes 6-8 weeks for a fractured ankle to heal.
If you’ve injured your ankle, don’t wait to get medical attention. Head to Advanced Orthopaedic Associates in Wayne, NJ, for expert, compassionate care that will have you back on your feet as soon as possible. Serving Bergen, Passaic, and Morris Counties, this orthopedic doctor has over 25 years of experience with foot and ankle injuries, arthritis, shoulder pain, and sports injuries. Call (973) 839-5700 to learn more about our services or to schedule an appointment.
