Acute ankle pain occurs suddenly and includes sprains, strains, and fractures. Chronic ankle injuries develop gradually over time, often through overuse. Acute ankle injuries occur suddenly, usually by twisting or turning over on your ankle. They include sprains, strains, fractures, and cartilage injuriesa tear or rupture to any of the ligaments in the ankle. The most common is an ‘inversion sprain’ resulting in injury to the ligaments on the outside of the ankle.a fracture of any of the ankle bones. You will have instant pain and swelling, and be unable to weight bear. Medial ankle pain refers to the inside of the ankle. This is more likely to be (but not always) gradual onset from overuse. Pain at the front of the ankle is more likely to develop gradually, rather than from a sudden twisting or trauma.
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