<s>[INST] on 11-08-2011 i fell and hurt my ankle. i heard it crack. i couldnt walk on it, was transported to er via ambulance. they told me my foot was seriously sprained. i requested copies of xrays and today i finally received them. i have a spiral essentially nondisplaced comminuted fracture lateral malleolus left ankle. My question is..... I have been in severe pain for two weeks and also have been walking on it. Could I have damaged it further by not having it properly immobilized? [/INST] Hi, According to me, there are many reason for tremors like exercise, fatigue, several medicines, may be some nervous system disorder, Parkinson's disease and many more. Sometimes in depression there are tremors known as intention tremor which does not have any cause. So need detail history to rule out cause of tremor. Thank you. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Gaurang B Shah, Orthopedic Surgeon </s>