Broken Vs. Sprained Ankle: How to Tell the Difference and What To Do (2024)

Have you recently injured your ankle and are trying to figure out if it is a sprain or a break? Both are serious issues that likely will require the input of a medical professional. Here is how you can get a sense of what it is before reaching out to an NYC foot doctor.

Your ankles are some of the most sensitive areas of your body. They help you move, play, and have fun, all while tasked with the job of keeping you stable and balanced. Unfortunately, ankle breaks and sprains are common injuries that need to be looked at when they occur. Disregarding these ailments can leave you at risk for the development of some serious secondary effects such as:

  • Torn ligaments
  • Chronic instability
  • Additional foot and ankle conditions
  • Broken foot bones
  • Increased likelihood of more breaks and sprains in the future

Keep reading to learn more about ankle fractures and sprains, how to determine which one you are dealing with, and what the treatment options are.

Our Award-Winning Podiatrists Can Diagnose and Rehabilitate Your Ankle Break or Sprain

At To Healthy Feet Podiatry, our skilled foot doctors at our 2 foot clinics in NYC can help you heal your ailing feet and ankles. If you are dealing with a sprain, fracture, or any other foot condition such as bunions, ingrown toenails, or turf toe, our team can develop a tailored therapy plan to get you walking tall as quickly as possible.

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Is My Ankle Broken or Sprained?

If your ankle is in pain, swollen, and difficult to put weight on, you may have an ankle sprain or break. But which one? While it may seem trivial to determine which one, as both will likely keep you off your feet for a few weeks or months, it is still essential to find out which one you have so that the proper treatment can be administered. They may share some very similar symptoms, but there are some differences that you can use to determine what your injury is.

What is a Fracture?

An ankle fracture occurs when at least one of the three bones in your ankle - the tibia, fibula, or talus - are damaged or broken. Depending on the severity of your ankle break, your symptoms may vary. If your fracture is merely a small chip off of one of the bones, you may not even notice any difference! Alternatively, if you have broken multiple bones in your ankle, you may be in absolute agony and require immediate medical attention.

What is a Sprain?

While a broken ankle is characterized by damage to the bones, a sprained ankle is characterized by damage to the ankle ligaments. Your ankle ligaments are tough bands of muscle and tissue that hold your joints stable but allow them to move. If one of these ligaments are injured, it may be considered a mildly twisted ankle. However, if multiple ligaments are damaged or even torn, your sprain could be severe and require surgery.

WHY YOU SHOULD VISIT YOUR FOOT DOCTOR FOR A SPRAINED ANKLE

Did I Sprain or Break My Ankle?

Determining between a sprain and a fracture without the input of an NYC foot doctor can be difficult. However, here are some tips you can use to discover it for yourself:

  • Did you hear a noise when the injury occurred? If so, it is more likely a break than a sprain.
  • Is your ankle deformed? If your ankle is directed at an odd angle, it is likely a broken ankle. Sprains tend to keep the ankle straight.
  • If you feel numbness in addition to the pain, it is more likely a fractured ankle.
  • If the pain is substantially worsening over time, it is more likely a break.

Oftentimes, the only way to know for sure what injury you have is to let a qualified podiatrist examine and x-ray the ankle to determine the cause of the pain. Regardless of what you believe it might be at home, if the pain caused by this injury is substantial, or you are unable to live your life as you normally would, give our NYC foot and ankle clinic a call today to schedule an appointment.

Treatments

Once you have visited your Manhattan foot clinic and an accurate diagnosis has been completed, we can then move into properly treating your injury to get you back on your feet in no time! Depending on the diagnosis, your specific therapy will vary.

Treatments for Fractures

For ankle fractures, you should ensure that you receive treatment right away. This is because the ankle needs to be stabilized to avoid having the bones damage the surrounding muscle, tissue, and ligaments. Stabilization typically involves a cast, walking boot, and crutches. If it is determined that your ankle will not properly heal on its own, then surgical intervention may be required to realign the bones to promote adequate healing.

Treatments for Sprains

Alternatively, it is very rare for ankle sprains to require surgery; these typically only happen if ligaments and tissue are torn. Most ankle sprains can be treated relatively easily with the same three-step process: RICE, Restoration, and Reintroduction.

RICE is an acronym for the first phase, and it stands for rest, ice, compression, and elevation. These are the four main elements of the first part of healing your sprained ankle.

The restoration phase involves restoring your ankle's range of motion and movement through physical therapy, massage, and other methods that your foot doctor may recommend.

The final stage, reintroduction, is all about the gradual re-addition of sports, athletics, and regular movements. We advise doing this last step gradually and free of pain. Getting back into the activities you like to do too quickly can do more harm than good if the ankle is not ready for it.

WHAT TO CONSIDER WHEN LOOKING FOR A NYC PODIATRIST

Contact Us If You Have Sustained Any Type of Ankle Injury

If you think you have sprained, twisted, or broken your ankle, it is crucial to ensure that it is properly looked at by a professional foot doctor. We have two locations in Midtown and Downtown NYC that are available to help you get back on your feet as quickly as possible.

To learn more about how we have been effectively treating ankle fractures and sprains for decades at our NYC foot clinic, call us at 917-398-3668 or fill in our online contact form below.

FAQ’s

Can I walk on a fractured ankle?

Depending on the severity of your break, it might be possible to walk on a broken ankle. However, regardless of how severe it is, we do not recommend doing this. Walking on a broken ankle can cause further damage to your already injured ankle.

Can you move your toes if your ankle is broken?

This is a common myth that has circulated. Some people think that, if your ankle is broken, you will not be able to wiggle your toes. While this can sometimes be true, oftentimes, you may have a fractured ankle but can still wiggle your toes.

What happens if I leave my ankle sprain untreated?

If not allowed to rest and properly heal, a sprained ankle can turn into a severe chronic condition that can result in a drastically increased likelihood of repeated ankle sprains and chronic instability. This can result in long term difficulties walking and moving your foot.

Broken Vs. Sprained Ankle: How to Tell the Difference and What To Do (2024)

FAQs

Broken Vs. Sprained Ankle: How to Tell the Difference and What To Do? ›

If your ankle is directed at an odd angle, it is likely a broken ankle. Sprains tend to keep the ankle straight. If you feel numbness in addition to the pain, it is more likely a fractured ankle. If the pain is substantially worsening over time, it is more likely a break.

How do I know if I broke my ankle or just sprained it? ›

If your ankle is directed at an odd angle, it is likely a broken ankle. Sprains tend to keep the ankle straight. If you feel numbness in addition to the pain, it is more likely a fractured ankle. If the pain is substantially worsening over time, it is more likely a break.

How to tell the difference between a hairline fracture and a sprain in the ankle? ›

If the pain you feel is in the soft tissue around a joint, it's probably a sprain. If applying light pressure over a bone causes significant pain, the injury is likely a fracture. Physical sensations. A sprain typically only causes pain.

Can you still move your ankle if it's broken? ›

Common folklore says that if you can move it, it isn't broken, but that is not always the case. A broken ankle can be a combination of injuries to your bones and ligaments (the connectors between bones).

How do you rule out a broken ankle? ›

How is an ankle fracture diagnosed?
  1. Check for damage to blood vessels near the ankle (by taking your pulse at the top of the foot and examining skin temperature and color)
  2. Check for nerve damage (by assessing sensation) near the ankle.
  3. Gently move the ankle to see where the pain is and check range of motion.

Can you wiggle your toes with a broken ankle? ›

Most believe that if they can wiggle their toes or move the ankle around that an ankle fracture has not occurred. The reason this is not true is because the nerves and muscles that allow the movement of the ankle have not been affected by the fracture.

Is my ankle broken if I can walk on it? ›

The only way to know for sure…

Often, the only way to know for sure whether your ankle is sprained or broken is to get an X-ray. Many people assume that if you can put weight on the ankle then it is not broken, however, it is possible to walk on a broken ankle, particularly with a less severe fracture.

What happens if a hairline fracture is untreated? ›

However, ignoring a hairline fracture, also known as a stress fracture, can be a grave mistake. Without treatment, the bone could break completely. If that happens, the healing time make take much longer and require more complicated treatment. Don't take chances with a hairline fracture.

Can you walk with a hairline fracture in your ankle? ›

Should you walk on a hairline ankle fracture? No. Unfortunately, many people go about their normal routines while having hairline ankle fractures because they can't feel the injury. A small fracture might not hurt at first, or maybe the pain isn't enough to prompt you to see a doctor right away.

How to tell the difference between a sprained ankle and a torn ligament? ›

When a ligament has been sprained, it's still attached to the bone but has been damaged in some way. A ligament tear is more severe. When you're diagnosed with a torn ligament, it indicates that the ligament has either pulled away from the bone or torn completely in half.

What happens if a broken ankle goes untreated? ›

In addition to bone, ankle fractures can also involve cartilage surrounding bones. Patients with unrecognized ankle fractures have a high risk of developing infection, arthritis and foot deformities that may make it impossible to walk normally again.

Can you bend your ankle if it's broken? ›

Most people with a fractured ankle can't put weight on it. A fractured ankle or significant sprain causes immediate swelling and the ankle cannot be moved.

Can you break your ankle and not realize it? ›

A broken bone might sound like something that you'd be able to notice right away. However, an ankle fracture can sometimes feel the same as an ankle sprain, making it difficult to tell you have a fracture. Common symptoms of an ankle fracture include: Bruising.

How can I tell if my ankle is broken or just sprained? ›

With a sprain, you feel pain. But if you have numbness or tingling, your ankle is most likely broken. Where is the pain? If your ankle hurts or is tender to the touch directly over your ankle bone, you probably have a fracture.

How to tell the difference between a sprain and a fracture foot? ›

Broken foot symptoms
  • Hearing a snap or cracking sound: Some individuals may hear a snap or cracking sound at the time of the injury, indicating the bone break. ...
  • Intense pain, especially when pressure is applied: The pain associated with a broken foot is often more intense than that of a sprained foot.
Feb 10, 2024

What do doctors do for a fractured ankle? ›

Ankle Fracture Fixation Surgery

If the fracture in your foot or ankle is displaced, or has caused misalignment of the bones, your orthopaedic surgeon will need to put the bones back into the correct position using specialized hardware such as plates, screws or pins.

Can you walk on a sprained ankle? ›

Can you walk on a sprained ankle? A grade 1 sprain may still allow a patient to walk without pain or instability, but typically a grade 2 or grade 3 sprain will lead to pain and instability during any weight-bearing activity.

Can you walk on a hairline fracture ankle? ›

Should you walk on a hairline ankle fracture? No. Unfortunately, many people go about their normal routines while having hairline ankle fractures because they can't feel the injury. A small fracture might not hurt at first, or maybe the pain isn't enough to prompt you to see a doctor right away.

How do you check for a torn ankle? ›

If you have torn your ankle ligament, symptoms include:
  1. Swelling around your ankle joint.
  2. A feeling of instability.
  3. Bruising – sometimes up your lower leg and into your foot.
  4. Tenderness to touch.
  5. Pain when putting weight on your ankle.
  6. Popping sound at the time of injury.
Mar 17, 2021

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