Siddha an ancient Indian system of medicine. It includes 32 Internal and External medications for treating diseases. The system includes many specialties. But in south India Siddha practitioner’s prescribed many medications to the injured persons in sports. Hence Siddha includes another unseen specialty Sports medicine. Siddha System includes all types of treatment methodologies to treat sports injuries. Internal medications especially External therapies place a major role to treat Sports injuries. Our methodologies were cured pain, edema, inflammation, wounds, sprains, muscle and ligament tear, fracture with a speedy recovery. In this study, we discussed the hidden methodologies for sports injuries specially to an Ankle sprain. Furthermore, the development of treatment methodologies will take the system worldwide.