As the cold icy weather approaches, a common injury that is seen is an ankle sprain. An ankle sprain usually involves inflammation and tearing of the ankle ligaments. But many times there is also a strain or tearing of the tendons on the outside of the ankle called the peroneal tendons. When an “inversion” sprain occurs, these two tendons are stretched causing inflammation within the sheath that holds them. When this occurs swelling, bruising, and pain can occur. If this occurs, it’s very important to visit a foot and ankle specialist to have X-rays taken to investigate possible “chip” fractures along the outside of the ankle. Initial treatment consists of immobilization, rest, icing, compression, and elevation of the affected extremity. A tendon usually takes about 6-8 weeks to fully heal. Therefore activity must be decreased significantly. In about 6 weeks, if the pain has resolved, a rigorous exercise program will be discussed to prevent stiffness. If the pain still persists, the next step is to order advanced imaging to discuss possible surgical options. If you have had an ankle sprain that is painful and has not resolved please call us at Brucato Foot and Ankle Surgery for a consultation today!