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Western Sydney Foot Clinic · Liverpool

Rolled your ankle? When to get checked and how to return to sport

After rolling an ankle, it can be hard to tell whether you’ve sprained it or injured a bone. What happened, where it hurts and how well you can walk help guide the next step.

Anatomical illustration of the outer ankle ligaments highlighted after a lateral ankle sprain

When should I get an ankle injury checked?

Seek urgent assessment if you can’t take four steps after the injury, have marked tenderness over an ankle or foot bone, or have severe pain or swelling. A clinician can decide whether an X-ray is needed. Go to an emergency department if the ankle looks out of shape, there is a deep wound, or the foot becomes cold, numb or discoloured.

What can I do in the first few days?

Stop play and protect the ankle. Elevation can help with swelling, and a wrapped cold pack can ease pain if it feels comfortable. Avoid forcing weight through the ankle if you’re struggling to walk. After a significant injury has been ruled out, gradual movement and weight-bearing as tolerated are often part of recovery. A brace may help some people during this stage.

How do I know when I’m ready to play again?

Start with everyday tasks such as walking and using stairs. Then build towards the demands of your sport, including jogging, single-leg balance, hopping, landing and changing direction. For football or netball, add progressively harder drills and a full training session before returning to competition. Pay attention to pain, swelling or a feeling of giving way during activity and the next day.

If your ankle keeps giving way or you’re struggling to progress, an assessment can help work out what is limiting you and what to practise next.

Related clinic service Sports podiatry.

Sources

This article provides general information. A clinician can assess your symptoms and advise on care suited to you.

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