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How do you treat a Grade 3 ankle sprain?

Author

Emma Payne

Published Jan 23, 2026

A Grade 3 sprain can be associated with permanent instability. Surgery is rarely needed. A short leg cast or a cast-brace may be used for two weeks to three weeks. Rehabilitation is used to help to decrease pain and swelling and to prevent chronic ankle problems.

How long do grade 3 ankle sprains take to heal?

Grade 3 injuries are more severe in nature and often involve full tearing of the ligament and possible bone fracture. The length of time to recover from grade 3 ankle sprains could be 3 months or more.

Can you walk on a grade 3 ankle sprain?

Grade 3 sprain

You experience severe swelling and bruising. The joint probably isn't functional because it's too unstable, and movement creates intense pain. If you have a grade 3 sprain in the ankle, for example, walking usually isn't possible.

Can a grade 3 ankle sprain heal on its own?

Nearly all isolated low ankle sprains can be treated without surgery. Even a complete ligament tear (Grade 3) will heal without surgical repair if it is immobilized and rehabilitated appropriately.

Should I go to the doctor for a grade 3 ankle sprain?

Even something as severe as grade 3 ankle sprain does not necessarily require surgery. Your doctor would recommend any invasive treatment only if your sprain hasn't positively responded to non-surgical treatments and rehabilitation.

23 related questions found

Is a Grade 3 sprain worse than a break?

A fracture is an injury to a bone when the tissue of the bone is broken. Many fractures will as strong as it was originally therefore, higher grade sprains can be worse than a fracture.

How do I know if I tore a ligament in my ankle?

If you have torn your ankle ligament, symptoms include:

  1. Swelling around your ankle joint.
  2. A feeling of instability.
  3. Bruising – sometimes up your lower leg and into your foot.
  4. Tenderness to touch.
  5. Pain when putting weight on your ankle.
  6. Popping sound at the time of injury.

How do you wrap a grade 3 ankle sprain?

Start where your toes meet the body of your foot. Hold the loose end of the bandage at the side of your foot. Wrap the bandage around the ball of your foot once, keeping it somewhat taut with a light pull. After this, slowly start circling your way around the arch of the foot.

Should you wear an ankle support for a sprained ankle?

Wear supportive shoes, whether you've had an ankle sprain before or not. This helps prevent your foot from twisting or your ankle joint from moving out of place. You may also find it helpful to wear an ankle brace when playing sports, running or jogging.

Should I go to ER for sprained ankle?

Go to urgent care if your pain level and swelling is significant and you have difficulty walking, to the point that you need assistance, due to the pain. Go to the emergency room if your foot is bruised, deformed, or you are unable to walk at all. You may have a fracture, broken bone or serious ligament damage.

Should a sprained ankle still hurt after 3 weeks?

Another question is if the patient continues having pain two or three weeks after the injury, it doesn't matter whether it was a mild injury, they need an x-ray. They should go to the clinic and, first of all, the orthopedic surgeon should take a look at it.

How is a Grade 3 ankle sprain diagnosed?

In Grade 3 ankle sprains and strains, there is a complete tearing or rupturing of the affected ligaments or muscles/tendons, with no individual fibers remaining intact. Swelling and tenderness at the injury site is significant, and often includes severe discoloration of the skin (black-and-blue, purplish-black).

How long should I stay off a sprained ankle?

Depending on the severity of the injury, she advises patients to avoid any impact on the injured ankle, including running and other athletic pursuits, for four-to-six weeks before gradually working up to previous levels.

How can I speed up my sprained ankle?

Five Ways to Speed Your Recovery From a Sprained Ankle

  1. Cold therapy. Icing your injured ankle regularly reduces swelling and pain sensations. ...
  2. Rest. ...
  3. Compression. ...
  4. Elevation. ...
  5. Physical therapy.

How long before you can walk on a sprained ankle?

How Long Should You Wait to Walk on a Sprained Ankle? Generally speaking, the sooner you can walk on your ankle the better. If it is not too painful to walk on your ankle immediately after an injury it's a good sign that you don't have severe ligament or bone damage. Take it easy for the first 24 to 72 hours.

What is the fastest way to heal a sprained ankle?

Treatment

  1. Rest. Avoid activities that cause pain, swelling or discomfort.
  2. Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ...
  3. Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ...
  4. Elevation.

Should I wrap a sprained ankle at night?

Compression -- Wrapping a stretchable elastic bandage around your foot and ankle can help minimize swelling after injury. If you're going to wrap your ankle, it is best to put the bandage on first thing in the morning, and then take it off at bedtime.

How should you sleep with a sprained ankle?

Elevating a sprained ankle reduces the accumulation of fluid in the joint. This can ease swelling, which may also help reduce pain. Try sleeping with the foot and ankle propped up on pillows at a level higher than the heart. When sitting or resting, use pillows or a footrest to keep the foot and ankle elevated.

Should I sleep with my ankle brace on?

Should ankle braces be worn while sleeping? No, unless your medical professional recommends you do so.

Can walking on a sprained ankle make it worse?

Yes. That's the very short answer. According to the National Association of Athletic Trainers, ankle injuries, including sprains, are very often undertreated. Ignoring treatment, including excessive movement of the ankle through unnecessary walking, leads to a greater risk of worsening the injury.

How long should I wear an ankle brace after a sprain?

Physicians often recommend that you wear a brace during activities for up to 12 months after an ankle sprain.

How long should you keep a compression bandage on?

It is important to use a compression bandage correctly. This includes choosing the right size and wrapping the body part snugly to apply pressure without cutting off circulation. A compression bandage generally should be used for only 24 to 48 hours after an injury.

Do you need a cast for a torn ligament?

You may need a cast or crutches, and you may even need surgery to repair the torn ligament. After surgery or immobilization, you may require physical therapy and rehabilitation to get back to your pre-injury condition. While some ligament tears are relatively minor, you shouldn't take them lightly.

How do I know what grade my ankle sprain is?

Grade 1: Stretching or slight tearing of the ligament with mild tenderness, swelling and stiffness. The ankle feels stable and it is usually possible to walk with minimal pain. Grade 2: A more severe sprain, but incomplete tear with moderate pain, swelling and bruising.

Can torn ligaments heal on their own?

While a torn ligament can heal on its own over time, it is best to seek out medical attention to ensure that the affected area heals correctly without a lot of excessive scarring.