Swollen ankle after a fall

A sprain stretches or tears ankle ligaments and can cause swelling, bruising, and tenderness around the joint. An Ankle Fracture may cause marked pain, swelling, deformity, or inability to take steps, but a person may still move an injured ankle, so movement alone does not rule it out. Ankle Osteoarthritis and Gout can also cause swelling, yet a clear fall makes an injury the first concern. An examination may be needed to decide whether imaging is appropriate.

Stop activities that increase pain and support the ankle in a comfortable position. Apply a cold pack wrapped in cloth for short periods, elevate the foot, and use a light support only if it does not cause numbness or colour change. Do not force the ankle straight or try to walk through severe pain. If you can do so safely, note where the tenderness is and whether the toes feel normal.

Get urgent assessment for an ankle that looks crooked, a wound over the painful area, severe or rapidly increasing swelling, numb or cold toes, or inability to bear weight. Seek prompt review if pain remains substantial, bruising spreads, or walking is still difficult after initial rest. Emergency help is appropriate for fainting or another serious injury from the fall.

Ask whether the injury needs an X-ray, how much weight you may place on the foot, and whether a brace or crutches would help. Explain how you landed, where pain is worst, and whether you heard a crack or felt the ankle give way.