This injury is a traumatic twist to any of the three outside ankle ligaments. Usually the typical injury involves the first of the three ligaments. It is imperative that treatment begins immediately after the injury to help guide the ligaments into proper repair, reduce the swelling and bruising. Physical therapy treatments will reduce swelling and pain and improve strength and balance. Proper orchestration of the rehabilitation program needs to be perfect. X-rays may be necessary to determine if there are any fractures present, as subtle injury to bone can occur. Re-injury is extremely common and is the primary reason for re-spraining. All this is typically due to non treatment or improper rehabilitation and immediate care.