Understand Ankle Pain Symptom and Treatments
Physical discomfort in the ankle area, often including the joint or tendon that connects the lower leg to the heel. Ankle pain can have causes that are not because of an underlying disease. Examples include ill-fitting footwear such as ski boots, high heels, sprains, strains, overuse, lack of use, or trauma.
Ankle pain refers to any type of pain or discomfort that affects any part of the ankle. Ankle pain can occur for many reasons.
General Causes for Ankle Pain
The most common causes of ankle pain include:
- Injuries
- Arthritis
- Normal wear and tear
Physical therapy (PT) can aid recovery from:
- Ankle fractures
- Ankle surgery
PT helps by reinforcing the muscles that support the feet and ankles.
Major Causes
Ankle pain can result from various injuries and conditions. Some more common injuries that cause ankle pain include:
Twisted Ankle
It is a tear in the ligaments that holds the bones of the ankle together. When the foot rolls backward, it also occurs. Your ankle may swell and bruise.
Rheumatoid Arthritis
Your immune system normally fights off germs. Sometimes it attacks the joints by mistake. Doctors call it rheumatoid arthritis. It usually impacts the same joint on both sides of your body. If you get it, it would damage your ankles. Pain, swelling, and stiffness often begin in the toes and the front of the foot and slowly return to the ankle.
Lupus
This autoimmune disease causes your body to attack healthy tissues. It could directly affect the ankles or cause kidney problems that cause fluid to build up in the joints. There is no cure for lupus, but your doctor can prescribe medicine to keep it under control.
Flat Feet
The space between your heel and the ball of your foot is your arch. It is supposed to create a hollow area when you stand. If yours lies flat, it could result from injury or wear and tear. You could also inherit it. It is usually painless, but the ankles can be sore or swollen if they go beyond the knee line.
Achilles Tendonitis
A strong or sudden tension can cause small tears in the Achilles tendon, which connects the calf muscles with the heel. The back of your ankle may swell or feel tender and warm just above the heel. You may notice it more in the morning or after exercise. Anti-inflammatory medications can ease pain, but rest is key to healing.
Achilles Tendinosis
This Achilles tendinosis is a problem is because of the degradation of tissues due to overuse. It usually starts slowly and gets worse. You may have pain or a lump where the tendon on the back of your leg meets your heel. Sometimes, it affects the middle of the tendon; you may also notice a lump there.
Chronic Lateral Ankle Pain
There are many causes of ongoing pain on the outside of the ankle. It is most likely because of a ligament not healing properly after a sprain and remains weak. This makes it less safe for the whole joint, which leads to more fracture and discomfort. The treatment depends on the cause.
Bursitis
Your ankle has two fluid-filled sacs, or bursae, that cushion space between tendons and bones. They can become inflamed because of arthritis, overuse, high-heeled shoes, recent shoe changes, or resuming workouts after time off. Your ankle may feel stiff, tender, hot, and swollen.
Osteochondral Lesions of the Talus (OLT)
A sudden injury, such as a sprain, can damage the cartilage of the talus (heel bone) or cause fractures, blisters, or sores in the bone underneath. You may notice a lock on your ankle, or it may become locked or still sore months after a treated injury, which could be an OLT.
Reactive Arthritis
This type usually follows an infection in your gastrointestinal or urinary tract. Your ankles and knees are among the first places you can feel it. Your doctor will treat the infection with antibiotics. There is no cure for arthritis, but anti-inflammatory medications can help with pain and swelling.
Symptoms of Ankle Pain
Symptoms can vary depending on the cause and may include:
- Pain: Can range from mild to severe and may be localized or spread around the ankle.
- Swelling: Often due to injury, inflammation, or fluid buildup.
- Stiffness: Difficulty moving the ankle freely, which can be due to injury or arthritis.
- Bruising: Discoloration around the ankle from internal bleeding following an injury.
- Tenderness: Sensitivity to touch or pressure around the ankle.
- Instability: A feeling that the ankle may give way or buckle, especially after an injury.
- Heat: Increased warmth around the ankle, indicating inflammation or infection.
- Redness: Skin color changes around the ankle, often associated with inflammation or infection.
- Difficulty Bearing Weight: Pain or discomfort when trying to walk or put weight on the affected ankle.
- Limited Range of Motion: Reduced ability to move the ankle normally in all directions.
When to Visit a Doctor?
Any pain in the foot can become more than a short-term concern. If you can't treat pain on your own or have a condition that could affect your joints or soft tissues, you may need more research.
You should talk to your doctor or a foot care specialist if:
- your pain does not improve in the first few days
- your pain is getting worse
- still causing problems after two weeks of self-care
- have sores that won't heal
- your skin has changed color, especially if it has turned dark blue or black
- your foot has changed shape or is swollen
- have a high fever or feel hot and chills
- is red, hot, or swollen, as you may have an infection
- the problem recurs or lasts over three months
- have an inflammatory disease, such as rheumatoid arthritis or scleroderma
- you have diabetes
- you are taking steroids, biologics, or other medications that affect your immune system
Home Remedies
For immediate home treatment of ankle pain, the RICE method is recommended. This includes:
Rest
Avoid putting weight on your ankle. For the first few days, try to travel as little as practicable. When you struggle to walk or move, use crutches.
Ice
Begin by placing an ice pack on your ankle for at least 20 minutes at a time, with 90 minutes between frosting sessions. Do this for 3 days after the accident, three to five times a day. It helps to alleviate swelling and uncomfortable numbness.
Compression
Wrap your injured ankle in an elastic bandage, such as an ACE bandage. Don't wrap it so tightly that your ankle goes numb or your fingers turn blue.
Elevation
Keep your ankle elevated above heart level on a pile of pillows or other supportive structures.
If your ankle pain results from arthritis, you cannot fully heal the injury. However, there are ways to manage it. It can help:
- use topical pain relievers
- take nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain, swelling, and inflammation
- stay physically active and follow a fitness program focused on moderate exercise
- practice healthy eating habits
- stretch to maintain a good range of motion in your joints
- keep your body weight within a healthy range, which will reduce stress on the joints