Hello, What I understand is there is pain while doing movements. In most cases it is ligament injury but to always stay on a safer side an x-ray is always recommend to see any hairline fracture has occured. As untreated fracture leads to future trouble unnecessarily. Coming back to you query, it is appearing as it is a sprained ligament but still x-ray is needed for a safer side. Next apply the ice and keep the ankle joint immobilised in crepe bandage and don t put much weight till 2-3 weeks of time. Once the pain levels comes down while applying weight, start the ankle toe movements along with static Quadriceps and static hamstring. Later after 5-6 weeks onto the balance board training for having a muscle Imbalance correction and also the stabilizing of the ankle joint to avoid future ligament injuries. In my clinical practice of over 12 years most patients with ankle sprains are treated with sports injury management for best outcome scores and we are able to achieve it. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist