Dr. Abrams: My 13 yr. old niece fell down 4 steps last week. The family doctor examined her, did not order X-rays but suggested ice at intervals and to wrap the foot in an ace wrap. It has been 6 days and she cannot put weight on that foot. Her foot is not swollen or bruised but turns purple at times. It's as if someone is cutting off the blood supply from the ankle down. It also tingles. At the Drs. office today, he has now ordered crutches for her. She did wear an ankle air cast when she went to school b/c it felt better for walking. He told her not to use the air cast and that it probably caused more damage. The purple occurred after swimming or after standing at times even without the air cast on. The Dr. still doesn't feel an X-ray is warranted. Help! Any suggestions would be appreciated.