Hi. I fell starting t cross the street last Thursday. Twisted my left foot and broke the shoe (they were flats) and landed hard on my right knee. Knee has some fluid on it but seems to be getting better. Foot is swollen and seems to be getting worse. It is not discolored. Hurts most on top left of foot. Is this just a bad sprain or could I have broken something?
Dear patient Since you have pain and swelling on left foot after twisting injury and not getting better possibility of fracture needs to be ruled out.  I would advise X-ray of left foot anteroposterior and oblique views. Visit radiology center nearby you and get it.  If report shows fracture you need to consult expert orthopedic surgeon nearby you and get yourself examined.  If there is no fracture diagnosis is sprain and treatment is application of crêpe bandage for 3 weeks and rest and elevation.  Take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. All the best.