An ankle sprain occurs when you roll, twist, or turn your ankle awkwardly, and this can stretch or tear the ligaments that help stabilize the joint. Sprains are classified into three grades depending on the severity of ligament damage. Here is more information about each grade of ankle sprains and their implications:
Grade 1: Mild
A Grade 1 sprain typically involves slight stretching, and it may also involve microscopic tearing of ligament fibers. Your ankle may feel tender and show minor swelling with this grade of an ankle sprain. You may feel some pain when you put weight on the affected foot, but this typically improves with time.
Although it is the least severe sprain, you still feel discomfort. Recovery from a mild sprain may take several weeks. Following a proper care plan helps you return to normal activities. Elevating your ankle and applying ice is used to reduce swelling and speed up recovery during this time.
Grade 2: Moderate
A Grade 2 ankle sprain involves partial tearing of the ligament fibers, and this injury results in noticeable joint instability. Individuals experience moderate pain, swelling, and bruising around the ankle. Due to this level of sprain, walking is typically complex and painful.
The ankle joint may feel loose because the ligaments are partially torn. A medical evaluation is beneficial for accurately diagnosing the extent of the damage. A proper diagnosis guides the treatment, and it also aids the rehabilitation process for a Grade 2 injury.
Recovery from a moderate sprain takes longer than a mild one. The typical timeline is several weeks, but this can vary. Without proper care and rehabilitation, you typically face a higher risk of re-injury.
Grade 3: Severe
A Grade 3 sprain is a complete tear or rupture of an ankle ligament. You will experience severe pain, swelling, and extensive bruising, and these symptoms may last for several days. The ankle joint will be very unstable, making it impossible to bear weight.
- You may hear or feel a “pop” at the time of the injury.
- Movement of the ankle joint is highly restricted.
- Significant instability is a key indicator of a Grade 3 sprain.
This type of sprain represents a serious injury. A complete ligament tear often requires a more intensive treatment plan. An X-ray can be performed to rule out a bone fracture. Because a Grade 3 sprain involves a complete ligament rupture, recovery is the longest, and the process could take several months to complete. A structured rehabilitation program is necessary to regain strength and stability. It helps restore range of motion, strength, and balance.
Treat an Ankle Sprain
For moderate to severe sprains, you may need additional support. This could include a brace or crutches to keep weight off the ankle, and anti-inflammatory medication also provides some relief from discomfort. Physical therapy is a standard component of recovery for Grade 2 and 3 sprains. If you have injured your ankle, seek a professional medical opinion to determine the grade of your sprain and the appropriate treatment plan.


