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Sprained ankle. An injury of the ankle where the bone is not damaged but the soft tissues are (mainly a ligament on the side of the ankle) is called a sprained ankle. This most commonly occurs when you go over on your ankle. Your ankle becomes swollen and painful, and is difficult to walk on.
With most sprains, you feel pain right away at the site of the tear. Often the ankle starts to swell immediately and may bruise. The ankle area is usually tender to touch, and it hurts to move it. In more severe sprains, you may hear and/or feel something tear, along with a pop or snap. You will probably have extreme pain at first and will not be able to walk or even put weight on your foot. Usually, the more pain and swelling you have, the more severe your ankle sprain is and the longer it will take to heal. How is an ankle sprain diagnosed? Your doctor will ask you how the injury occurred and if you have hurt your ankle before. He or she will check your foot and ankle, your lower leg, and even your knee to see if you are hurt anywhere else. If the sprain is mild, your doctor may not order X-rays.