Why is my sprained ankle still swollen after 3 weeks?
Sarah Smith
Published Jan 24, 2026
"An ankle sprain that lingers beyond 3 months is often an injury to a bone, tendon or ligament that is unlikely to heal without intervention," he says. "And the longer an ankle injury persists without proper treatment, the greater the likelihood that permanent disability will result."
How long should a sprained ankle stay swollen?
The pain and swelling of an ankle sprain most often gets better within 48 hours. After that, you can begin to put weight back on your injured foot.
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.
Should a sprained ankle still be swollen after a month?
One important thing to keep in mind is that ankle swelling can last 2-3 months after the injury, even if the pain has completely gone away. Compression socks can alleviate the swelling, but time is the best medicine. More severe ankle sprains may require additional treatment.
Should my ankle still be swollen after 2 weeks?
This level of sprain shouldn't result in any instability or muscle weakness but can cause minor swelling. Grade 1 sprained ankle recovery time is anywhere from 2 weeks to a month, normally closer to the two-week mark with proper treatment.
39 related questions foundWhy is my ankle still swollen after 4 weeks?
It's normal for a sprained ankle to swell, sometimes for four to six weeks, or longer. But swelling that persists for more than three months may be a sign of trouble.
How long does a Grade 3 sprain take to heal?
Third degree or grade 3 ankle sprain
A third degree sprain is a complete tear, which Sampsell says will take much longer to heal. This sprain will require some patience since you can expect anywhere from 3 to 6 months for recovery.
How do I know if I tore a ligament in my ankle?
If you have torn your ankle ligament, symptoms include:
- Swelling around your ankle joint.
- A feeling of instability.
- Bruising – sometimes up your lower leg and into your foot.
- Tenderness to touch.
- Pain when putting weight on your ankle.
- Popping sound at the time of injury.
When should I be concerned about a sprained ankle?
People with a more severe ankle sprain — characterized by extreme bruising or swelling and an inability to bear weight on the foot without significant pain, or when there doesn't seem to be any improvement over the first several days after the injury — should seek medical attention, Drs. SooHoo and Williams say.
Why is my sprained ankle not healing?
Damage to the interior bones, ligaments, and cartilage can cause the ankle to not heal properly. Scar tissue or trapped fluid can also cause persistent pain. A visit to your foot specialist to undergo physical imaging and diagnostics is needed to find the proper treatment plan as every injury is different.
How long does a Grade 3 sprained ankle stay swollen?
Swelling normally doesn't appear immediately. It could take several hours to develop. If you develop swelling, it could last up to 48 hours for a mild to moderate sprain. Swelling on severe sprains may last longer until your torn ligament heals.
How long should swelling last after an injury?
Phase 2: Inflammation (swelling)
Inflammation starts within the first hour or two after injury, peaks within 1-3 days but lasts at least a couple of weeks. This phase is when you will experience swelling and some heat around your injury. This is entirely normal and a natural part of your body's tissue healing process.
How do I know if I fractured my ankle?
If you have a broken ankle, you may experience some of the following signs and symptoms:
- Immediate, throbbing pain.
- Swelling.
- Bruising.
- Tenderness.
- Deformity.
- Difficulty or pain with walking or bearing weight.
Do sprained ankles get worse before they get better?
the skin over the ankle is broken. the injury was caused by a severe force such as a fall from a height or a blow from a heavy object. the pain and swelling seem to get worse rather than better over the first 3-4 days (the bruising often gets worse for a week or more before it starts to fade)
How do you reduce swelling in a sprained ankle?
Treatment
- Rest. Avoid activities that cause pain, swelling or discomfort.
- 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. ...
- Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ...
- Elevation.
What is a Grade 3 ankle sprain?
Grade 3: This is a full tear of the ankle ligament. You may have heard a popping sound when it happened. This level of sprain causes severe pain, swelling and bruising. Because the ligament is no longer able to do its job, your ankle will feel unstable and will be unable to support any of your weight.
Can a sprained ankle get 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.
Did I tear a tendon in my ankle?
The symptoms of an ankle tendon rupture include: A “popping” sound at the time of injury. Immediate ankle pain and swelling. A feeling that the ankle has “given out” after falling.
What does a torn tendon in ankle feel like?
When tendons become injured or torn, it can cause pain, swelling, weakness in the foot and ankle, and discomfort when standing, walking or playing sports.
Can you walk with torn ankle ligaments?
“A torn ligament is considered a severe sprain that will cause pain, inflammation, bruising and result in ankle instability, often making it difficult and painful to walk. Recovery from a torn ligament may take several weeks, and should be done under the supervision of a health care provider.”
Can sprained ankles ever fully heal?
While you might be able to walk on your sprained ankle, it will never completely heal if keep putting pressure on your ligaments. In addition to the usual symptoms, there may also be a bone bruise of a bone chip. Bone damage could take six to twelve weeks to heal, while ligament damage could take three to six months.
Can you fully recover from a Grade 3 ankle sprain?
Grade 2 ankle sprains involve greater injury to the ligament and can take up 4-6 weeks to allow full return to sport. 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.
Should a sprained ankle still hurt after 6 weeks?
However, if pain persists for 6 to 8 weeks or more, and does not seem to be improving, these additional studies may be required to make a proper diagnosis. One problem that may lead to long-term dysfunction and pain after an ankle sprain is instability.
Do sprains take longer to heal than breaks?
A bone fracture typically takes six to eight weeks to heal, while a ligament sprain can take between three and six months to heal. The time difference in healing a bone versus a ligament is all about blood flow. The bone has better access to blood, whereas unfortunately, ligaments do not.
Is a sprain worse than a break?
Sprains. Sprains can be extremely painful, and are easy to confuse as a break. Many times, they are more painful than a fracture, which has been confirmed by science.