Sprained ankle one month later if only soft tissue damage can be lightly kneaded, but if a fracture occurs, it is not recommended to knead by hand. 1. Soft tissue injury: soft tissue injury, after a month if there are still red, swollen, pain and other symptoms, you can appropriate massage, kneading, can effectively relieve the symptoms, but pay attention to the intensity of the pressure and kneading. 2. Fracture: If the ankle sprain caused a fracture, one month later, the localization is still in a swollen state. In this case, it is not recommended to knead with your hands, which may lead to the aggravation of the fracture degree and easily cause a second fracture. For the time being, it is recommended to observe, if the symptoms can not be relieved for a long time, you should go to the hospital in a timely manner, under the guidance of the doctor to standardize the treatment.