Ankle Pain: Symptoms, Causes and Treatment

Don’t let ankle injuries affect your mobility and keep you from your everyday activities. Learn about ankle pain symptoms and common causes, and how to get relief from ankle pain.

Ankle Pain Symptoms and Common Causes


While arthritis is not a common cause of ankle pain, the condition can occasionally cause pain. This is most common in patients with rheumatoid arthritis or those with a previous ankle injury.


A sprain in the ankle causes injury to the ligaments around the ankle. Such injuries can cause pain and swelling. In addition, the patients may feel weakness in the joint.

Tendonitis and Posterior Tibial Tendonitis

A patient may have tendonitis when tendons become irritated and inflamed, causing pain and discomfort. If left untreated, posterior tibial tendonitis, which causes ankle pain on the inside part of the joint, can lead to significant walking problems.

Achilles Tendonitis

This is the most common type of tendonitis around the ankle joint and causes pain in the back of the heel.


There are many different types of ankle fractures and each should be treated differently. While some ankle fractures can be treated like sprains, others may require surgery.


Gout is a relatively uncommon cause of ankle pain but can cause acute soreness in the joint, making it difficult to walk on.

Cartilage Damage

The cartilage of the ankle joint is susceptible to injuries if ankle sprains, fractures or other ankle injuries are left untreated.

When Should You Go to a Doctor for Ankle Pain Treatment?

Seek medical attention if you are unsure about the cause of your symptoms. 

You should consult your doctor if you have the following ankle pain symptoms:
Inability to walk comfortably on the affected side
Injury causing deformity around the joint
Ankle pain occurring at night or while at rest
Ankle pain persisting beyond a few days
Inability to bend the ankle
Swelling of the joint up to the calf area
Signs of an infection, including fever, redness, warmth
Any other unusual symptoms

How to Get Relief From Ankle Pain

Treatment for ankle pain depends on the cause of the pain. Therefore, it is important to understand the cause of your symptoms before embarking on a treatment programme. If you are unsure of your diagnosis or the severity of your condition, you should seek medical advice before beginning any treatment plan. 

Here are some common ways to relieve ankle pain:


This is usually the first treatment for most common conditions to relieve ankle pain, as it allows the inflammation to subside. Crutches may be helpful if the symptoms are severe.

Footwear Modifications, Orthotics and Braces

This form of treatment may be helpful to control movement of the joint, depending on the specific injury to be addressed.

Ice and Heat Application

The use of ice packs and heat pads are common ways to relieve ankle pain, as they help to manage inflammation. Ice packs are mostly used for acute injuries to help minimise swelling, while heat pads are used for chronic conditions to help relax and loosen tissues and to stimulate blood flow to the area.


Stretching the muscles and tendons that surround the joint can help to relieve some ankle pain symptoms. A good routine should be established with professional help.


Physiotherapy is an important aspect of treatment for almost all orthopaedic conditions. Physiotherapists use different exercises to help increase strength, regain mobility and return patients to their pre-injury level of activity.

Ankle Pain Medication

Nonsteroidal anti-inflammatory medications, commonly referred to as NSAIDs, are frequently prescribed for ankle pain treatment, especially for patients with pain caused by problems such as arthritis, bursitis and tendonitis.

Steriod Injections

Triamcinolone is a powerful ankle pain medication that treats inflammation, a common symptom of ankle pain.


Surgery is rarely used for treatment of acute ankle pain. Patients who undergo surgery usually have recurrent and persistent ankle pain symptoms. This could be due to past injuries or ligaments that were torn and not treated or healed properly.

Loose ligaments are commonly treated with a surgery called a Brostrom repair. During the surgery, the ligaments on the outside of the ankle are tightened, preventing the ankle from being unstable.

An unstable ankle joint can be detected via physical examination, where doctors may compare the “good” ankle with the injured one to get an idea of the extent of injury. An X-ray of the ankle may also be taken to see if the bones are displaced.

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