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hello Iamp;#39;m dr. Rick del Monte of Belvedere podiatry and this is Belvedere podiatry on my personal MD a sprain occurs when you tear a ligament it could be a partial tear or complete tear initial treatment revolves around the principle of rice rest ice compression and elevation ankle sprains cannot be differentiated from ankle fractures without an x-ray we will take x-rays of the ankle to rule out a fracture our standard treatment for an ankle sprain is a compressive immobilization dressing for seven to ten days depending on the amount of swelling and your symptoms weight bearing to your tolerance is acceptable with or without crutches after that time we stabilize the ankle for an additional two to three weeks with an ankle brace and begin strengthening exercises at week four for an additional six weeks to rehabilitate the ankle if you are still complaining of pain or instability at that time we would refer you to a physical therapist for more aggressive rehabilitation therapy if