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Why is my ankle swollen?

I am a sponsored skateboarder and I recently landed hard on my ankle and now it is very swollen and bruised. When I landed on my ankle it rolled and it did not hurt until a few minutes after the fall. I have been putting ice on it and keeping it elevated but how can I tell if it is broken or sprained?
Your mechanism of injury certainly sounds dangerous and could have resulted in either a broken or a severely sprained ankle. Either injury can result in swelling and bruising. In some injuries, pain does not start immediately afterwards, but may come on gradually over the course of the next few minutes (which is what happened in your case) or even hours. Ankle injuries as the result of athletic activities or falls are a very common complaint seen in the emergency department and outpatient care setting. To help determine if you should have x-rays taken to rule out a broken bone, your doctor can use a certain set of criteria from his/her physical exam to help assess your risk. If you are tender to touch in certain parts of the ankle or are having difficulty bearing weight on your ankle, then your doctor will refer you to imaging. Given the degree of swelling and bruising you are experiencing, you should contact your primary care provider or go to the emergency room for further evaluation.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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