The worst I've had was when I ripped all of the tendons around my ankle and hyperextended it. It swelled up so much it started to come out of my shoe. The hospital was useless though! The doctor just gave me some tylenol, a velcro cast, and crutches. Then I sent home to put ice on it. I dropped those crutches before I even left the hospital, fuck them. But seriously man, TYLENOL, you might as well give me children's motrin.