Get medical advice as soon as possible if you think you've broken your ankle. It may need treatment to heal properly.

Do not worry if you're not sure if your ankle is broken. Get it checked by a doctor.

Urgent advice: Get help from NHS 111 if:

You've injured your ankle and:

it's very painful, or the pain is getting worse
there's a large amount of swelling or bruising, or the swelling or bruising is getting worse
it hurts to put weight on it
it feels very stiff or is difficult to move
you also have a very high temperature or feel hot and shivery – this could be an infection

You can call 111 or get help from 111 online.

Immediate action required: Go to A&E if:

You've had an injury and:

your ankle is at an odd angle
a bone is sticking out of your ankle
you have a bad cut or wound on your ankle
you're in severe pain
your toes look blue or white, or feel numb

Find your nearest A&E

What we mean by severe pain

Severe pain:: always there and so bad it's hard to think or talk
you cannot sleep
it's very hard to move, get out of bed, go to the bathroom, wash or dress
Moderate pain:: always there
makes it hard to concentrate or sleep
you can manage to get up, wash or dress
Mild pain:: comes and goes
is annoying but does not stop you doing daily activities

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

While you're waiting to see a doctor

If you think you've broken your ankle, there are some things you can do while you're waiting to see a doctor.

You should:

raise your ankle if possible
gently hold an ice pack (or a bag of frozen peas) wrapped in a towel on your ankle for 15 to 20 minutes every 2 to 3 hours
stop any bleeding – put pressure on the wound using a clean cloth or dressing
wrap your ankle loosely in a bandage to help support it (if your ankle is not at an odd angle)
remove any jewellery on your ankle or toes
use painkillers such as paracetamol or ibuprofen gel (or ibuprofen tablets if needed)
not eat or drink anything in case you need surgery
not move or put weight on your ankle if possible

Treatments for a broken ankle

You'll usually have an X-ray to check if your ankle is broken and see how bad the break is.

If you have a very minor break, you may not need any treatment.

For a more serious break, you may need:

a special boot to help support your ankle
a plaster cast to hold your ankle in place while it heals
the bones to be moved back into place by a doctor (they'll give you an injection to numb your ankle)
surgery to fix the broken bones

You'll usually have follow-up appointments to check your ankle is healing properly.

Recovering from a broken ankle

A broken ankle usually takes 6 to 8 weeks to heal, but it can take longer.

The doctor will tell you:

how long you'll have to wear the boot or have the plaster cast on
how much weight to put on your ankle – you may be given crutches or a walking frame to help keep weight off it

Once it's healed, use your ankle as normal. Moving it will stop it getting stiff.

You may need to see a physiotherapist. They can help you with exercises to get your foot and ankle gently moving again.

Ask your doctor when you can return to contact sports or other activities that put a lot of strain on your ankle.

Things you can do to help your recovery

It's important to follow any advice you're given by the hospital or fracture clinic.

There are some things you can do to ease pain and help your broken ankle recover.

Do

rest and raise your ankle whenever possible
take paracetamol or the painkiller your doctor has given you to ease pain
gently move your toes and bend your knee while wearing the boot or cast to ease stiff muscles

Don’t

do not get your plaster cast wet
do not carry heavy things
do not move your ankle too much
do not use anything to scratch under your cast

Urgent advice: Get help from NHS 111 or go to an urgent treatment centre if:

You're recovering from a broken ankle and:

the pain in your ankle gets worse
your temperature is very high or you feel hot and shivery
your leg, foot or toes start to feel numb or like they're burning
your leg, foot or toes look swollen, or turn blue or white
the plaster cast or boot is rubbing, or feels too tight or too loose
there's a bad smell or discharge from under your cast