Ankles get sprained. They also get strained. A sprain is an injured ligament, which connects bone to bone. A strain is an injured muscle or tendon, which connects muscle to bone. Commonly ankle injuries have both sprain and strain components. It is possible to dramatically change ankle pain with accurate muscle work and chiropractic adjusting of the tibia, talus, calcaneus and fibula. The ankle has a very strong relationship to the bladder meridian in Chinese medicine. Emotional stress can play a big part in perpetuating ankle pain.