Last month, I ended my week with yet another ankle surgery on a patient who sustained an “ankle sprain” three years ago. The patient was treated at an urgent care with motrin and a brace. The patient was told the x-rays were negative for a fracture. About three weeks after the injury, the patient did some home ankle rehabilitation exercises and felt better. About a year after the injury, the patient complained of residual ankle pain and felt ankle stiffness especially in the morning. MRI was ordered which showed nothing wrong.