Ankle Pain


Ankle Pain

Ankle pain states to any type of pain or distress in your ankles. It can be caused by an injury or by medical conditions.


  • Ankle Sprain- caused by stretch or tear on the ligaments and happens when you accidentally fall that leads your ankle to twist, landing on your foot after hopping or twisting, uneven surface walking, or someone steps or lands on your foot when doing sports.
    • Symptoms:
      • Pain – the joint may hurt and can be worsened when you press on it or move the joint at all planes.
      • Swelling- due to inflammation in the joint
      • Redness and warmth – increase blood flow on that area
      • Instability- if the ligament is torn completely, there will be a weak joint
      • Unstable walking- due to pain upon stepping, and the joint itself is unstable
    • Risk factors:
      • Sports- ankle sprain is one of the most common sports injuries that require a lot of movement in the ankle
      • Uneven surfaces
      • History of an ankle injury
      • Weakness and tightness on ankles
      • Inappropriate shoes
    • Rheumatoid Arthritis – can be caused by joint inflammation and stiffness in the ankle joints. This causes to break down the cartilage over time, increasing the rubbing between the bones that can lead to inflammation and swelling in the joint.
      • Other symptoms:
        • Low-grade fever
        • Weight loss
        • The weakness of the muscle
        • Fatigue
      • Lupus – an autoimmune disease caused by one’s body targeting healthy tissue. Ankles are also affected due to liquid accumulation in the joint. It causes stiffness, pain, warmth, and tenderness in the joints. A main concept of lupus is that the general stiffness upon waking up can gradually recover as the day goes on.
      • Osteoarthritis- the pain in the ankles is usually caused by wear and tear and overuse. The cartilages in the joint that serves as a cushion become lesser that makes the bones start to rub in each other, leading to swelling, pain, and stiffness.
        • Symptoms:
          • Swelling, difficulty moving the ankle, antalgic gait, pain, and tenderness on the ankle
        • Doctors will ask about the history and symptoms and physical exam. The patient will undergo gait analysis to show how the leg bones and foot line up while walking. They can also refer you to do the x-ray, bone scan, CT scan, or MRI to evaluate the ankle.
      • Gout – it can develop in any joint, including the ankle also. It is inflammatory arthritis that mainly targeting the big toe. It is caused by a large accumulation of uric acid in your blood. It is characterized by swelling, redness, tenderness, and severe pain in the joints.
        • Symptoms:
          • Severe joint pain – you can feel the most severe pain within the first 4-12 hours after it begins
          • Discomfort – it may last from a few days to weeks. It will last longer and can affect a lot more joints after the later attacks
          • Decrease range of motion- due to stiffness, joints may not be easily moved
        • Risk Factors:
          • Age and sex – men are more affected than women due to women have lower uric acid levels. Men (30-50 years old); Women (after menopausal)
          • Obesity- due to overweight, uric acid is produced more and makes it the kidneys hard to eliminate uric acid
          • Medical conditions– high blood pressure and chronic conditions such as metabolic syndrome, diabetes, heart and kidney diseases
          • Family history of gout
          • Recent surgery or trauma
        • Ankle Fracture- it happens when one or more bones in the ankle joint
          • Symptoms: Swelling, severe pain, tenderness, weight-bearing difficulty, bruising, bleeding if the bone pierces the skin, and dislocated ankle or foot
          • Causes: Traumatic impact to the ankle in a car accident, from tripping or falling, twisting, rotating, or rolling ankle
        • Achilles Tendinitis – The sudden strain that causes small tears on the Achilles tendon, which connects the heel to the calf muscles. For some cases, a complete rupture of the tendon will need surgical repair
          • Causes: The Achilles tendon weakens as you age, making it more prone to injury especially for people who were doing sports and intensive running
        • Chronic Lateral Ankle Pain – it occurs when the ligament is totally healed after ankle sprain which remains weak and the joint less stable.
        • Ankle Bursitis- a bursa is a small fluid-filled sac that cushions and lubricates bones when you do ankle movements. It is the area where it will get inflamed and swollen. It can be caused by overstraining or overuse of the ankle especially when walking, jumping, or running, inappropriate shoes, history of injury, gout, Haglund’s deformity (enlargement of the heel bone), or direct hit to the area.
          • Other bursae that can be affected:
      • Subcutaneous calcaneal bursa – radiating pain from the bursa located between the skin and the Achilles tendon, that forms at the back of the heel. Young women wearing heels caused the bursa to be inflamed. It is also known as Posterior Achilles Tendon Bursitis.
      • Subcutaneous bursa of medial malleolus – it involves the protrusion of the inside of the ankle where the shin bone (tibia) ends.
  • Osteochondral Lesions of the Talus (OLT) – there will be damage in the cartilage in the talus or fractures, blisters, or sores underneath the bone caused by sports injury like a sprain. It can hurt for months after the injury. A cast may be needed to keep the ankle stable or crutches to avoid giving weights on the leg.
  • Sclerodermaa systemic autoimmune disease that results in inflammation and hardening of many organs and affects the tissues around the joint. It can also weaken the muscles and might feel pain and stiffness in the ankle.
  • Osteochondritis Dissecans – it is due to a lack of blood flow in the bone underneath the cartilage of a joint.
    • Symptoms:
      • Pain- triggered by walking upstairs or uphill climbing
      • Swelling and tenderness
      • Limited range of motion
      • Joint locking – due to losing fragments between the bones while moving

According to Khajeel Times Ankle problem Taken for granted’ is the phrase when it comes to the feet. Now, what’s wrong with that? A matter of priority, for one. We go places because of the feet, in more than the literal sense. Without them stranded becomes the word and the world.

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