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The Most Common Causes of Ankle Injuries and How to Treat Them

Oliver By Oliver July 22, 2025 4 Min Read
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Ankle Injuries

As a complex joint that supports your body weight and allows movement, the ankle is prone to fractures, sprains, and tears. Most injuries are treatable with proper care and attention. Here is some information to help you recognize an ankle injury and understand available treatment options.

Contents
1. Ankle Fractures2. Ankle Sprains3. Ankle TearsSupport Ankle Injury Recovery

1. Ankle Fractures

An ankle fracture occurs when one or more bones in the joint break, making it a more serious ankle injury than a sprain and often requiring immediate medical attention. Common causes include high-impact activities, twisting the ankle forcefully, direct trauma, or stepping on uneven surfaces. Symptoms include severe pain, swelling, bruising, inability to bear weight, and, in extreme cases, bone protruding through the skin, which requires urgent care.

Treatment varies depending on the severity but should always involve a medical professional. Initial care includes immobilizing the ankle, applying ice, elevating the leg, and seeking emergency services if necessary. Medical options range from casting or splinting for minor fractures to surgery for more complex injuries, with recovery supported by physical therapy.

2. Ankle Sprains

Ankle sprains account for about 85% of all ankle injuries. They occur when the ligaments supporting the ankle stretch or tear beyond their normal range. These injuries are classified into three grades:

  • Grade 1 involves mild stretching with minimal tearing.
  • Grade 2 includes partial tearing with moderate instability
  • Grade 3 refers to complete ligament tears with significant instability. 

Most sprains happen when the foot rolls inward or outward. Common causes include uneven surfaces, awkward landings, sudden direction changes during sports, or inappropriate footwear. Identifying the severity of the sprain is key for treatment and recovery. Mild sprains often resolve quickly, but more severe sprains may require additional care to restore strength and stability to the ankle.  

Treatment for most ankle sprains typically begins with the RICE method, which involves rest, ice, compression, and elevation to manage pain and swelling. Over-the-counter pain relievers, such as ibuprofen, can help, along with gradually resuming activity as the pain subsides. Severe sprains may benefit from physical therapy to regain mobility and strength. While Grade 1 sprains typically heal in 1-2 weeks, more severe injuries can take several weeks or months to recover fully.

3. Ankle Tears

Ankle tears occur when the soft tissues around the ankle, including ligaments, tendons, or muscles, are damaged. Unlike sprains, tears can be more severe and often require different treatment approaches. Symptoms of a tear often include sharp pain, swelling, and bruising. Common causes of tears include sudden:

  • Forceful movements
  • Overuse
  • Previous injuries
  • Age-related tissue degeneration.

Treatment depends on the severity and location of the tear. Conservative options include immobilizing the area with a brace or cast, rest, physical therapy, and anti-inflammatory medications. Severe cases, such as complete tears of major ligaments or tendons, may need surgical repair. Recovery can take several months, but proper treatment can help restore full ankle function.

Support Ankle Injury Recovery

Understanding common ankle injuries helps you take better care of your feet and ankles. While fractures, sprains, and tears can be painful, most people recover fully with the proper treatment and patience. If you experience an injury, don’t ignore the pain. Early treatment prevents complications and supports better outcomes. By recognizing and addressing injuries properly, you can protect your mobility and quality of life over time.

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