Sprain vs. Fracture: What’s the Difference?

You twisted your ankle and now you’re limping—swollen, sore, and unsure what just happened. Did you sprain it? Or is it actually broken?

At 360 Orthopedics, we hear this question all the time. Sprains and fractures can feel surprisingly similar, especially in the first few hours. But getting the right diagnosis matters—because treatment (and recovery) looks very different depending on what’s really going on.

What’s the Difference?

Sprain: An overstretched or torn ligament—the tough band of tissue connecting bones at a joint.

Fracture: A break in the bone itself.

Both can cause pain, swelling, and limited mobility—but fractures usually require more immediate and intensive treatment.

Common Causes

Sprains: Usually happen when a joint is twisted beyond its normal range—like rolling an ankle or overextending a knee during sports.

Fractures: Often result from higher-impact trauma such as a fall, collision, or direct blow.

Symptoms: Sprain vs. Fracture

When to See a Doctor

If you notice any of the following, it’s time to seek professional care right away:

• You heard a pop or snap at the time of injury
• The joint is misshapen, numb, or tingling
• You can’t move or put weight on it
• The swelling gets worse instead of better
• Pain is severe or doesn’t improve within 24–48 hours

How We Diagnose and Treat It at 360 Orthopedics

We take a comprehensive approach to evaluating your injury. Your provider may recommend:

• A physical exam and medical history
• On-site X-rays to check for fractures
• Additional imaging if needed (e.g., MRI for ligament damage)
• Bracing, splinting, or casting depending on the injury
• A referral to physical therapy or occupational therapy for safe recovery
• Follow-up care to monitor your healing

We make it easy to be seen quickly—with three locations across Sarasota, Lakewood Ranch, and Venice.

Expert Care for Sprains, Strains, and Breaks

Our team treats a wide range of orthopedic injuries in adults and kids alike, including:

• Foot and ankle injuries – treated by Dr. Michael Clare and Dr. Jemaar Graham
• Sports injuries and sprains – treated by Dr. Steven Page and Dr. Julie Barré
• Fractures and joint injuries – treated by Dr. Jeff Silverstein and Dr. William Mahoney

We also offer on-site physical therapy and occupational therapy to help you safely regain strength, flexibility, and mobility after an injury.

Bottom Line

If you’re unsure whether it’s a sprain or fracture, don’t guess. A fast, accurate diagnosis leads to better healing—and peace of mind.

FAQs

How can I tell if my ankle is sprained or broken?

If your ankle is swollen and painful but you can still walk on it (even with discomfort), it may be a sprain. If you can’t bear weight, see obvious deformity, or the pain is sharp, it may be broken. An X-ray is the best way to know for sure.

Do I need to go to the ER for a sprain or fracture?

You usually don’t need to visit the ER unless the bone is sticking out, the limb is cold or blue, or you’re in extreme pain. For most injuries, urgent orthopedic care (like ours) is faster and more specialized.

What happens if I ignore a sprain or fracture?

Without proper treatment, even a minor injury can worsen. Sprains can lead to chronic instability, while untreated fractures may heal poorly and cause long-term pain or arthritis.

How long do sprains and fractures take to heal?

Mild sprains can heal in a few weeks. Severe sprains and most fractures may take 6–8 weeks or more, especially if weight-bearing bones are involved. Physical therapy often helps speed up recovery.