A sprained ankle (twisted ankle. rolled ankle, turned ankle, etc.) is an injury where sprain occurs on one or more ligaments of the ankle. It is the most common injury to occur in ball sports, such as basketball, volleyball, football, and racquet sports. Knowing the symptoms that can be experienced with a sprain is important in determining that the injury is not really a break in the bone. When a sprain occurs, hematoma occurs within the tissue that surrounds the joint, causing a bruise. White blood cells responsible for inflammation migrate to the area, and blood flow increases as well. Along with this inflammation, swelling and pain is experienced. The nerves in the area become more sensitive when the injury is suffered, so pain is felt as throbbing and will worsen if there is pressure placed on the area. Warmth and redness are also seen as blood flow is increased. Also there is a decreased ability to move the joint. Image:Freshspraininbrace.JPG|Right foot, housed in an air brace, has become swollen as a result of a more severe 2nd degree sprain to the ankle. File:Schwellung am Fußknloechel und Blutergussl.jpg|Right foot, 3rd degree sprain. One day after injury. Movements – especially turning, and rolling of the foot – are the primary cause of an ankle sprain. The risk of a sprain is greatest during activities that involve explosive side-to-side motion, such as tennis, skateboarding or basketball. Sprained ankles can also occur during normal daily activities such as stepping off a curb or slipping on ice. Returning to activity before the ligaments have fully healed may cause them to heal in a stretched position, resulting in less stability at the ankle joint. This can lead to a condition known as chronic ankle instability (CAI), and an increased risk of ankle sprains. The following factors can contribute to an increased risk of ankle sprains: Weak muscles/tendons that cross the ankle joint, especially the muscles of the lower leg that cross the outside, or lateral aspect of the ankle joint (i.e.