Hi, thanks for writing to HCM. As your xray is negative for a fracture, your persistent pain could be possibly due to a ligament injury resulting in instability. An MRI scan of the ankle joint will establish the severity of damage to the ligaments and other soft tissues. In the meantime, please follow the below mentioned recommendations - • Protection – protect the injured area from further injury by using a support or in the case of an ankle injury, wearing shoes that enclose and support your feet such as lace-ups. • Rest – stop the activity that caused the injury and rest the injured joint so as to give it some time to heal. • Apply ice to the injured area in the acute phase and then after activities. Ice will help calm the inflammatory response and stimulate blood flow to the area. • Compression – compress the injured area to limit any swelling and movement that could damage it further. You can use a crepe bandage . It should be wrapped snugly around the affected area but not so tightly that it restricts blood flow. • Elevation – keep the injured area raised and supported on a pillow to help reduce swelling. If your symptoms are not resolving with the above measures, consult an orthopedic surgeon for further management. Hope this information is helpful. Good day