Is my swollen ankle that got twisted while running sprained or fractured?

Q. Are pain and swelling of the ankle that got twisted while running due to sprain or fracture?

Answered by
Dr. Suman Saurabh
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 30, 2022 and last reviewed on: Jul 26, 2023

Hello doctor,

While running, I twisted my ankle and heard a crack sound. It is swollen. Is it sprained or fractured?

Kindly help.



Welcome to

I understand your concern and would be happy to help. I have seen the pictures you have shared (attachment removed to protect the patient's identity). It is difficult to assess if it is a sprain or a fracture by looking at the picture. However, if you can bear weight on it, it is less likely to be a fracture. I suggest you get an X-ray of the ankle done. Meanwhile, you can start using the recommended medicines and apply an icepack. Consult a specialist doctor, talk to him or her, and start the medication with their consent. I hope this helps.

Thank you.

Investigations to be done:

I suggest an X-ray of the left ankle, anteroposterior and lateral view.

Treatment plan:

I suggest the below treatment plan for five days:

1.Tablet Zerodol SP (Paracetamol, Aceclofenac, and Serratiopeptidase) twice a day.

2. Tablet Omez 20 mg (Domperidone) before breakfast.

3. Ice pack application.

4. Diclogesic gel (Diclofenac, Methyl Salicylate, and Menthol) to be applied locally.

Preventive measures:

Preventive measures like non-weight-bearing mobilization have to be followed.

Regarding follow up:

I suggest a review with an X-ray.

Hello doctor,

Thank you for your reply.

I am unable to stand on my left leg and can put only a little weight on it.



Welcome back to

I suggest you get an X-ray to confirm the diagnosis and guide the treatment.

I hope this helps.

Thank you.

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