Items filtered by date: March 2026

Dr. Silvestro podiatrist at best medical practice in the southeastFlorence, SC- Physicians Footcare, the Southeast’s premier podiatric practice is pleased to announce that Dr. Silvestro will be joining our team. He will begin treating patients in our Florence office in April.

Dr. Silvestro completed his residency at INVOA Fairfax Medical Campus in Falls Church, VA. He is a member of the American Board of Podiatric Medicine and the American Board of Foot and Ankle Surgery. He brings extensive knowledge in the areas of biomechanics, wound care and reconstructive surgery.

“I look forward to joining Physicians Footcare and sharing my passion for foot and ankle health to improve patient mobility and quality of life,” says Silvestro.

"Physicians Footcare is thrilled to announce the addition of Dr. Silvestro to our Florence team. As the 2022 valedictorian of New York College of Podiatric Medicine, he brings an unparalleled level of academic excellence and modern clinical insight to our practice,” said Dr. Ray, CEO Physicians Footcare. He views foot & ankle health as the literal foundation of a patient’s well-being, and his superior training ensures that our Florence patients are in the most capable hands.”

To schedule an appointment with Dr. Silvestro, contact our Florence Office at (843) 665-4567. To learn more about Physicians Footcare and the array of healthcare services we provide, visit www.physiciansfootcare.com.

About Physicians Footcare

Physicians Footcare is one of the largest podiatric practices in the southeast and the nation. It is the Southeast’s premier podiatry practice, independently and privately owned. Since opening our first location in 2006, we have grown to locations in South Carolina, Georgia, and New York. Our mission is simple-To Be the Best Medical Practice.

A broken or sprained ankle with bruising and swelling propped up on a pillowYou roll your ankle, feel sudden pain, and then the question hits fast: Is it a sprain or a break? When symptoms like swelling, bruising, or difficulty walking appear, it can be hard to tell the difference between a sprained ankle vs. a broken ankle.

Understanding how to tell if an ankle is broken or sprained is important because the right treatment depends on the type of injury. While some sprains improve with rest and support, a fracture may require more advanced care. Ignoring the difference can lead to longer recovery times or complications.

In this guide, we’ll break down the key signs of a broken or sprained ankle, compare symptoms of a sprained ankle vs. a broken ankle, and explain what to do if you’ve rolled your ankle and aren’t sure what’s wrong. Let’s take a closer look at how to tell what your ankle injury really means.

What Is an Ankle Sprain?

An ankle sprain happens when the ligaments that support your ankle are stretched or torn. Ligaments are strong bands of tissue that connect bones and help stabilize your joints, so when they get injured, it can cause pain and affect your ability to walk or move comfortably. 

Sprains can range from mild overstretching to more severe tears and ligament damage, so it’s important to recognize the signs early.

Common Causes of Sprained Ankles

Ankle sprains occur during sports, exercise, or even routine daily movement when the foot twists inward or rolls awkwardly. If you have a rolled ankle that is broken or sprained, it can be difficult to tell which injury it is at first. In many cases, though, a rolled ankle causes damage to the ligaments that support the joint, which means the injury is a sprain. 

Common causes of an ankle sprain include:

  • Rolling or twisting your ankle while walking on an uneven surface
  • Landing awkwardly after a jump or fall
  • Sudden changes in direction while running or playing sports

Symptoms of a Sprained Ankle

Symptoms can vary depending on the severity of the sprain, but common signs include:

  • Pain around the ankle, especially when bearing weight
  • Swelling and tenderness
  • Bruising or discoloration
  • Limited range of motion or difficulty moving the joint

These sprained ankle symptoms can sometimes overlap with broken ankle symptoms. That’s why a medical evaluation from a podiatrist is the best way to determine the nature of your injury and the best treatment option for you.

Ankle Sprain Diagnosis and Treatment

Even if you think you only have a mild sprain, it’s important to get a professional evaluation. A doctor may perform a physical exam and sometimes order an X-ray or MRI to rule out a fracture or more serious injury.

Treatment usually focuses on relieving pain, reducing swelling, protecting the joint, and helping the ankle heal correctly. Common approaches include:

  • RICE method: Rest, ice, compression, and elevation can help reduce pain and swelling in the early stages.
  • Bracing or support: An ankle brace or walking boot can stabilize the joint and limit further strain.
  • Physical therapy: Guided exercises help restore strength, flexibility, balance, and range of motion.
  • Pain relievers: Over-the-counter medications may help keep you comfortable during recovery.

With proper care, most ankle sprains heal well. However, returning to activity too soon or disregarding sprained ankle recovery guidelines can raise the risk of ongoing instability or re-injury.

What Is a Broken Ankle?

A broken ankle, also called an ankle fracture, occurs when one or more of the bones that form the ankle joint — the tibia, fibula, or talus — crack or break. Unlike a sprain, which affects the ligaments, a broken ankle involves the bones themselves and requires more intensive treatment to heal properly.

Common Causes of Broken Ankles

Broken ankles most often happen during high-impact activities or accidents, such as:

  • Falling from a height or tripping on stairs
  • Sports-related injuries involving sudden twists or collisions
  • Car accidents or other high-impact trauma

Symptoms of an Ankle Break

An ankle fracture tends to be more obvious and severe than a sprain. Common signs include:

  • Sharp or intense pain
  • Swelling and bruising around the ankle
  • Visible deformity or misalignment of the ankle or foot
  • Inability to bear weight, walk, or put pressure on the affected ankle

These symptoms are often more severe when comparing sprained ankle vs. broken ankle symptoms, although both conditions may initially look similar.

Broken Ankle Diagnosis and Treatment

A broken ankle always needs professional evaluation. A podiatrist will examine the injured ankle and usually order imaging, most often an X-ray, to confirm the fracture and understand how severe it is. In some cases, additional imaging such as an MRI may be needed.

Broken ankle treatment depends on which bone is broken, whether the fracture is stable, and whether the bones have shifted out of place. Common treatment options include:

  • Casting or splinting: A cast or splint helps keep the ankle bones in proper alignment while they heal.
  • Surgery: More severe fractures may require surgery to reposition the bones and stabilize them with plates, screws, or other hardware.
  • Physical therapy: Once the bone has healed enough, rehabilitation can help restore strength, mobility, and normal ankle function.

Prompt treatment is important. Unlike a sprained ankle, an untreated fracture can heal improperly and lead to ongoing pain, instability, or arthritis.

Sprained Ankle vs. Broken Ankle: Key Differences

Because sprains and fractures share many symptoms, like pain, swelling, and bruising, it can sometimes be difficult to tell if your ankle is broken or sprained. However, there are a few key differences that may help you better understand what type of injury you might be dealing with.

  • Pain intensity and location: An ankle sprain usually causes pain near the ligaments that support the joint. It may be more localized. A broken ankle often causes sharper, more severe pain directly over the affected bone.
  • Ability to bear weight: Many people with a mild ankle sprain can still put some weight on the injured foot, even if it’s uncomfortable. It is extremely difficult, or impossible, to stand or walk on a broken ankle.
  • Swelling and bruising patterns: Both injuries can cause swelling and bruising, but the timing and severity for a sprained ankle vs. a broken ankle can differ. Sprains may cause moderate swelling that builds slowly, while fractures often cause more swelling that starts soon after injury.
  • Visible deformity: In some cases, a broken ankle can cause the affected foot or ankle to look misaligned or visibly out of place. This can be a strong sign that the bones are fractured and require immediate medical attention.
  • Response to rest and elevation: Sprains sometimes begin to improve with basic at-home care such as rest, ice, compression, and elevation (RICE). A fracture, however, frequently fails to get better with these measures. It can still trigger intense pain and restrict movement.

While these differences can offer helpful clues, it’s not always easy to tell if an ankle is broken or sprained without a professional diagnosis. If you’re unsure about your injury, it’s best to seek medical care with a podiatrist you trust

How to Prevent Broken or Sprained Ankles

A few simple steps can help protect your ankles and reduce the risk of injury. Follow these practical tips:

  • Strengthen and stretch your ankles: Regular exercises that improve ankle strength and flexibility can help prevent sprains and other injuries. Simple stretches, balance exercises, and light resistance training are great ways to keep your joints stable.
  • Be cautious on uneven surfaces: Pay attention to where you step, especially on trails, stairs, or slippery surfaces. Taking your time and staying mindful of your footing can help prevent twists and falls.
  • Wear the right footwear: Supportive shoes that fit well, custom orthotics, and are appropriate for your activity can make a big difference, especially during sports, workouts, or long walks. As Physicians Footcare certified pedorthist Natalie McCoy says, “When it comes to your footwear, being properly measured and knowing what general size is appropriate for your foot and its unique needs is imperative to good foot health and daily comfort.”

By incorporating these habits into your routine, you can help keep your ankles strong and reduce the likelihood of injuries.

Broken or Sprained Ankle? Here’s What to Do

Understanding the difference between a sprained ankle vs. a broken ankle is important for proper healing and preventing long-term problems. While some injuries may seem minor, it’s not always easy to tell the difference on your own. If you’re unsure how serious your ankle pain, swelling, or walking trouble is, a podiatrist can offer a professional diagnosis and get you on the right track toward recovery.

At Physicians Footcare, our experienced team of podiatrists and certified pedorthists can assess your ankle, provide an accurate diagnosis, and recommend the right treatment to help you recover safely. As Dr. Patrick Nunan, podiatrist at Physicians Footcare, says, "Our goal is to diagnose your problem, treat the problem, and return you to the activities that you enjoy." 

Schedule a podiatry appointment today to make sure your ankle gets the care it needs.

IMG_1608 (1).JPGColumbia, SC - Physicians Footcare, the Southeast’s premier podiatric practice, is pleased to announce that Dr. Dolores Farrer will be joining our team. She will begin treating patients in our Cayce office on March 4th.

Dr. Farrer brings decades of podiatric experience to the Midlands, specializing in wound care. She is licensed in both South Carolina and Georgia. Additionally, she has been certified by the American Board of Wound Management for over 20 years and currently serves as the secretary of the Board of Directors for the Association for the Advancement of Wound Care.

"I am excited to join Physicians Footcare as the newest chapter in my 30-year career. My goal has always been to use my extensive clinical experience combined with the latest evidence-based treatments to provide quality footcare. By maintaining active professional memberships and leadership roles, I will ensure PFC patients benefit from the most advanced standards of care,” says Farrer.

“We are thrilled to welcome Dr. Dolores Farrer to our practice, said Dr. Ray, CEO of Physicians Footcare. After more than three decades in podiatric care, she has extensive knowledge in treating advanced conditions and expertise in improving outcomes for patients with hard-to-heal wounds. We look forward to her providing unparalleled service to the Columbia community.”

To schedule an appointment with Dr. Farrer, contact our Cayce Office at (803) 796-0616. To learn more about Physicians Footcare and the array of healthcare services we provide, visit www.physiciansfootcare.com.

About Physicians Footcare

Physicians Footcare is one of the largest podiatric practices in the Southeast and nationwide. It is the Southeast’s premier podiatry practice, independently and privately owned. Since opening our first location in 2006, we have grown to locations in South Carolina, Georgia, and New York. Our mission is simple: to be the best medical practice.

Connect with us:

Copyright © Physicians Footcare™

Podiatry offices: | Aiken, SC 29801 | Augusta, GA 30904 | Beaufort, SC 29902 | Cayce, SC 29033 | Columbia, SC 29204 | Florence, SC 29501 | Hartsville, SC 29550 | Hinesville, GA 31313 | Mount Pleasant, SC 29464 | NE Columbia, SC 29203 | Newberry, SC 29108 | N. Charleston, SC 29418 | Orangeburg, SC 29115 | Savannah, GA 31405 | Summerville, SC 29486 | Sumter, SC 29150 | West Ashley, SC 29414