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Possible broken ankle

Also called: Broken ankle, ankle fracture

A break in the ankle bones, often from a twist. Ottawa ankle rules help decide if an X-ray is needed.

TypeBone fracture
WhereAnkle
Healing6 to 12 weeks

Overview

Can't walk 4 steps or pain on the ankle bones suggests a break.

Symptoms

Common signs:

  • Ankle pain, can't walk
  • Pain and swelling
  • Can't walk on an injured ankle, or the ankle bone is tender

Less common

  • Bruising
  • Can't move or bear weight

When to get medical care

Call 911A bone poking through the skin, a limb that looks bent, or a cold, pale, or numb hand or foot.
Get care todayAny possible broken bone.
See a doctor soonPain not improving after a few days.

Causes

Falls, sports, crashes, and hits.

Who is more likely to get it

  • Older adults with thin bones
  • Sports

Possible complications

Diagnosis

A clinician examines and X-rays it.

Questions you may be asked

  • How it happened

The exam

Checking feeling, pulse, and movement.

Tests

Tests, if needed:

  • X-ray:
  • CT: Sometimes.

Treatment

Protect it until treated.

Self-care

  • Keep it still with a splint, sling, or by not walking on it
  • Ice and raise it
  • Remove rings, watches, or tight shoes

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

A splint, cast, boot, or surgery depending on the break.

Prevention

To prevent breaks:

  • Fall-proof your home
  • Protective sports gear
  • Calcium and vitamin D

Which doctor treats this

  • Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.
  • They may send you to an orthopedist (bone and joint doctor).
  • A physical therapist can help with exercises to rebuild strength and motion.

Back to school, work, or sports

  • School or desk work is often OK within days. Jobs with lifting may need light duty for a while.
  • Go back to sports only when your doctor says it's OK and you have full motion and strength without pain.

Outlook

Most heal well with proper care.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Do I need surgery?
  • When can I use it again?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Possible broken ankle

Sources

Last updated 2026-11-12.