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Ankle Sprains That Won't Heal: When to Get Imaging

Published September 18th, 2026 by Great Lakes Medical Imaging

You rolled your ankle weeks ago. You iced it, rested it, wrapped it, and stayed off it as much as life would allow. At first it seemed to be getting better, but here you are, still limping, still wincing when you step off a curb, and still wondering why an injury that everyone calls minor is hanging on for so long.

Most ankle sprains do improve with time and conservative care, but a sprain that simply will not heal deserves a closer look. That is where the team at Great Lakes Medical Imaging (GLMI) can help. Serving Buffalo and Western New York communities including Williamsville, Cheektowaga, Orchard Park, and Cambria in Niagara County, GLMI provides fast, accurate diagnostic imaging that helps your provider see exactly what is going on inside that stubborn ankle.


What an Ankle Sprain Actually Is

A sprain is a stretch or tear of a ligament, the tough band of tissue that connects bone to bone and helps keep a joint stable. Your ankle is held together by several of these ligaments, and when your foot twists or rolls in a way it was not designed to move, those ligaments can stretch too far or tear.

Around here, ankles take a beating year round. Icy sidewalks in January, uneven trails at Chestnut Ridge in the fall, pickup basketball, soccer fields, and the simple misstep off a porch step all send people hobbling. Many of these sprains are mild, and many improve with rest, ice, compression, and elevation over a reasonable stretch of time.

The trouble is that not every painful ankle is a simple sprain, and not every sprain heals on its own. Sometimes the same twist that strains a ligament also chips a bone, damages cartilage, or tears tissue more severely than the bruising on the surface would suggest.


When a Sprain That Will Not Heal Becomes a Reason for Imaging

Pain and swelling right after an injury are expected. What matters is the trend over time. If your ankle is slowly improving week over week, that is usually reassuring. If it stalls, plateaus, or gets worse, it may be telling you something. Consider talking with your provider about imaging when you notice signs like these:

  • Pain and swelling that are not improving over a reasonable period of recovery
  • Trouble bearing weight or walking without significant discomfort
  • A feeling that the ankle is unstable, loose, or about to give out
  • Bruising, tenderness, or stiffness that lingers far longer than expected
  • Symptoms that improved at first but then returned or worsened

None of these symptoms means the worst, but each is a reasonable reason to look deeper rather than keep guessing. Imaging can help your provider find out whether a ligament is torn, whether there is a fracture hiding behind the swelling, or whether another problem is keeping you from healing. If you have been favoring a stubborn ankle for too long, it is easy to request an appointment and get answers instead of waiting and wondering.


How Imaging Helps Find the Cause

The reason imaging is so useful for a lingering ankle injury is that the outside of the joint can look the same whether the problem is a simple stretch or a serious tear. Imaging lets your provider see past the bruising to the bones, ligaments, and tendons themselves. GLMI offers several types of imaging, and each is good at showing something different.

X-ray

An X-ray gives a fast look at the bones and is the go to study for diagnosing fractures and dislocations. When a sprained ankle is not healing, ruling out a broken bone is often the first practical step, and an X-ray does that quickly.

MRI and Open MRI

When the question is about soft tissue, magnetic resonance imaging shines. A Wide Bore High Field 1.5T MRI produces detailed views of the ligaments and tendons in and around the ankle, which makes it especially valuable for confirming or ruling out a torn ligament or a damaged Achilles tendon. If you feel anxious in tight spaces or simply prefer a more open design, the OPEN 1.2T High Field MRI offers the same detailed soft tissue imaging in a roomier setting. For many patients searching for an ankle MRI in Western New York, this is the study that finally explains a sprain that would not heal.

Ultrasound

Ultrasound provides real time imaging of soft tissue such as tendons, so your provider can watch the tissue as the joint moves. It is a helpful tool when the goal is to evaluate a tendon and how it behaves in motion.

CT

For complex injuries where fine bone detail matters, a CT scan provides high resolution imaging that can reveal subtle fractures and bony problems that other studies might not capture as clearly. It is a strong choice when your provider needs a precise map of the bones.


Fast, Expert Imaging You Can Trust

When you are in pain, waiting weeks for a scan is the last thing you need. GLMI offers same day appointments, so you can often be seen quickly and start moving toward a real diagnosis instead of guessing. Every study is read by fellowship trained radiologists, and GLMI works hand in hand with referring physicians, orthopedic specialists, and physical therapists to make sure your results actually guide your care.

Western New York sports fans may also recognize GLMI as the official imaging provider for the Buffalo Bills. The same quality of imaging that supports professional athletes is available to you, your weekend warrior teammates, and your kids when an ankle injury just will not quit.


Convenient Care Across Western New York

GLMI offers outpatient locations throughout the region, so quality imaging is never far from home:

You can also learn more about how imaging supports active patients on the GLMI Sports Injuries page.


Do Not Let a Stubborn Ankle Linger

An ankle sprain that keeps you sidelined for weeks is worth understanding, not just enduring. If your symptoms are not improving, imaging can help your provider pinpoint the cause and get you back on your feet with confidence. Scheduling is easy: call 716-836-4646, text 716-333-7773, or contact the GLMI team to find the location and appointment time that work best for you.

Medical Disclaimer: This article is intended for educational purposes only and does not constitute medical advice. Always consult your physician or qualified healthcare provider regarding any questions you may have about a medical condition or appropriate diagnostic testing. Individual health circumstances vary, and decisions about imaging or treatment should be made in consultation with your healthcare provider.


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