I spranded my ankle before Thanksgiving last year I ve had x-rays and an MRI. I had a boot for about 4-5 months and continued to work a very high volume waitress job, working 8 hrs with lots of twisting! I ve been to physical theraphy twice a week for about 3 months. I work two days one week and three the next but also work a real estate job and busy life schedule. I fell hard onto a plywood floor missing a step my foot isn t getting better and all the tiny bones in my foot have become a problem. I think I need a cast of some sort but would be concerned about atrophy. Just want to get better probably need a cast??