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Published on: 4/24/2025

How can you tell the difference between an ankle sprain and a fracture?

Ankle sprains and fractures can be hard to tell apart, but fractures often cause more severe pain, swelling, and inability to bear weight, while sprains might allow some movement.

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Explanation

When you hurt your ankle, it can either be a sprain or a fracture. Sprains happen when the ankle ligaments are stretched or torn. Fractures mean there's a break in one or more of the ankle bones. Knowing the difference is important because they need different treatments.

Here are some signs to look for:

  1. Pain and Swelling: Fractures usually cause more intense pain and swelling than sprains.
  2. Ability to Move: With a sprain, you might still be able to move your ankle a bit, even if it hurts. Fractures often make it very hard to move your ankle or put weight on it.
  3. Bruising and Deformity: Severe bruising or a change in the shape of the ankle might suggest a fracture.

According to studies, ankle fractures are sometimes mistaken for sprains, which can delay proper treatment. If you can't walk or your ankle looks very swollen or bruised, it's a good idea to see a doctor. They might need to take an X-ray to know for sure if it's a fracture or a sprain.

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