What causes ankle pain? 17 possible conditions

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What Is Ankle Pain?

Ankle pain refers to any type of pain or discomfort in your ankles. This pain could be caused by an injury, like a sprain, or by a medical condition, such as arthritis.

According to the University of Illinois, an ankle sprain is one of the most common causes of ankle pain—making up 85 percent of all ankle injuries. (UL) A sprain occurs when your ligaments—the tissues that connect bones—tear or stretch.

Most ankle sprains are lateral sprains, which occur when your foot rolls in and causes your outside ankle to twist towards the ground. This action stretches or rips the ligaments. A sprained ankle often swells and bruises for about 10 days to two weeks. However, it may take a few months for the injury to fully heal.

Once healed, the sprained ankle is sometimes permanently weaker and less stable than the other ankle. According to the University of Illinois, a sprained ankle is 40 to 70 percent more likely to be sprained again compared to a healthy ankle. (UL)

Causes of Ankle Pain

A sprain is a common cause of ankle pain. Pain can also be a result of:

  • arthritis
  • gout
  • nerve damage or injury, such as sciatica
  • blocked blood vessels
  • infection in the joint

A sprain is generally caused when the ankle rolls or twists inward, tearing the ligaments of the ankle that hold the bones together. Rolling the ankle can also cause damage to the cartilage or tendons of your ankle.

Gout occurs when uric acid builds up in the body. This higher than normal concentration of uric acid can deposit crystals in the joints, causing sharp pain. Pseudogout is a similar condition where calcium deposits build up in the joints. Symptoms of both gout and pseudogout include swelling and redness.

Arthritis can also cause ankle pain. Arthritis is the inflammation of the joints. Multiple types of arthritis can cause pain in the ankles, but osteoarthritis is the most common. Osteoarthritis is caused by wear and tear on the joints, and is often a symptom of aging.

Septic arthritis is arthritis that is caused by a bacterial or fungal infection. This can cause pain in the ankles, if the ankles are one of the areas infected.

Caring For Ankle Pain at Home

The University of Illinois recommends the immediate use of the PRICE method after an ankle sprain. (UL) This includes:

Protection—Protect your ankle from re-injury by applying a splint, brace or tape.

Rest—Avoid putting weight on your ankle. Try to move as little as possible for the first few days. Use crutches or a cane if you have to walk or move.

Ice—Begin by putting a bag of ice on your ankle for 20 minutes at a time. Do this three to five times a day for three days after the injury. This helps reduce swelling and numb pain. Give yourself about 90 minutes between icing sessions.

Compression—Wrap your injured ankle with an elastic bandage, like an ACE bandage. Do not wrap it so tightly that your ankle becomes numb or that your toes turn blue.

Elevation—Whenever possible, keep your ankle raised above heart level on a stack of pillows or other type of support.

You can take over-the-counter drugs, such as acetaminophen or ibuprofen, to relieve pain and swelling.

Once your pain subsides, gently exercise your ankle by rotating it in circles. Rotate both directions, and stop if it begins to hurt. You can also use your hands to gently flex the ankle up and down. These exercises will return your range of motion and help exercise your ankle, lowering your risk of re-injury.

If your ankle pain is a result of arthritis, you will not be able to heal or eliminate the pain. However, there are ways you can manage it. It may help to:

  • use topical pain relievers
  • take NSAIDs (non-steroidal anti-inflammatory drugs) to reduce pain, swelling, and inflammation
  • stay physically active and follow a fitness program focusing 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 lessen stress on the joints

When to See a Doctor About Ankle Pain

You should visit your nearest emergency room or call 911 if:

  • you cannot put any weight on your ankle and the joint looks visibly different—this might mean your ankle is broken
  • you have intense pain even when you are not moving or putting weight on your ankle
  • your ankle makes a popping sound when you try to move it

In some cases, you will need to visit your doctor due to your ankle pain. You should check in with your doctor if your pain does not go away after a few weeks, or if the swelling in your ankle does not go down in two to three days.

You will also need to see your doctor if you develop an infection in your ankle. Signs of an infection include an ankle that becomes warm, tender, and red, or a fever that is over 100 F.

Your doctor may order an X-ray of your ankle. In some cases, he or she will remove fluid from the joint using a needle. You may be given non-steroidal anti-inflammatory medications, braces, or other special protective gear. In severe cases, ankle pain may require surgery.

Long-Term Outlook for Ankle Pain

A sprained ankle will often heal on its own if you follow the PRICE method. However, a sprained ankle is weakened and more likely to be sprained again. A severe sprain may require surgery. An infection may require medication.

Both forms of arthritis are considered chronic conditions. Nothing can completely eliminate the ankle pain associated with arthritis or keep it from returning. However, you can talk to your doctor about treatment options and home remedies to help you deal with your condition.

Preventing Ankle Pain

Pain caused by medical conditions, such as arthritis, cannot be prevented. Still, you can do the following to avoid sprains and other lifestyle-related injuries to your ankles:

  • wear shoes that fit well and provide ample ankle support
  • avoid wearing high-heeled shoes
  • stretch your ankles and legs before exercising
  • wear ankle support gear while doing activities that put strain on your ankles
  • lose weight if you are overweight to reduce the stress on your ankles

According to the University of Illinois, people with poor balance have more than twice as many ankle injuries as those with good balance. Consider practicing some simple balancing exercises to improve your balance and prevent future ankle injuries. These can be as easy as standing on one leg without support. (UL)

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See a list of possible causes in order from the most common to the least.

1

Ankle Sprain

An ankle sprain happens when the ligaments that connect the leg bones to the foot are injured, often due to accidentally twisting it. Common symptoms include swelling, bruising, and pain.

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2

What Is Osteoarthritis?

Osteoarthritis, or degenerative joint disease, causes inflammation of the joints in the body. Explore our doctor-reviewed health articles and learn more about osteoarthritis.

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3

Sprains & Strains

Sprains and strains are injuries to the body, often resulting from physical activity. These injuries are common and can range from minor to severe, depending on the incident. Most don't require medical attention.

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4

Arthritis

Arthritis is inflammation of the joints (where bones meet) in one or more areas of the body. This condition is most commonly seen in adults, but it can also develop in children and teens.

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5

Tendinitis

Tendons are thick cords that join your muscles to your bones. Tendinitis occurs when tendons become irritated or inflamed. This condition causes acute pain and tenderness, making it difficult to move the affected joint.

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6

Tendon Sheath Inflammation (Tenosynovitis)

A tendon is a type of fibrous tissue connects your muscles to your bones. These tissues help control actions such as running, jumping, and lifting. Without tendons you would not be able to control the movement of you...

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7

Gout Overview

More than 8 million Americans suffer from gout, and incidence of the disease has increased by about half in the last 20 years. Explore our gout learning center and learn more.

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8

Standing Your Ground with Flat Feet (Pes Planus)

Pes planus, or fallen arches, are feet that don't have a normal arch, which can be painful. This is normal in infants and usually disappears by age three, as ligaments and tendons in the foot and leg tighten.

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9

Fracture

This condition is considered a medical emergency. Urgent care may be required.

A fracture is a broken bone that typically occurs when a bone is impacted by more force or pressure than it can support. In an open fracture, the ends of the broken bone tear the skin.

Read more »

10

Dislocations

This condition is considered a medical emergency. Urgent care may be required.

A dislocation occurs when the bones that are usually be connected at a joint separate. You can dislocate a variety of different joints in your body, including your knee, hip, ankle, or shoulder. Since a dislocatio...

Read more »

11

Bursitis

Bursae are fluid-filled sacs found in your joints. They surround the areas where tendons, skin, and muscle tissues meet bones. The lubrication they add helps reduce friction during movement. Bursitis is an inflammatio...

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12

Rheumatoid Arthritis Overview

Learn about rheumatoid arthritis information, causes, symptoms and treatments. Explore our doctor-reviewed articles and read more now!

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13

Ankylosing Spondylitis

Ankylosing spondylitis is a form of arthritis that primarily affects your spine. It causes severe inflammation of the vertebrae that might eventually lead to chronic pain and disability. In more advanced cases, th...

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14

Reactive Arthritis (Reiter's Syndrome)

Reiter's syndrome, also known as reactive arthritis or post-infectious arthritis, produces inflammation, swelling, and pain in the joints due to infection elsewhere in the body. Other parts of the body may also b...

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15

Juvenile Rheumatoid Arthritis

Juvenile rheumatoid arthritis (JRA) is a common form of chronic arthritis in children. It is a long-term autoimmune condition characterized by stiffness and swelling in the joints. Most cases of JRA are mild, but sever...

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16

Rheumatic Fever

Rheumatic fever is one of the complications associated with strep throat. The condition usually appears in children between the ages of 5 and 15, even though older children and adults have been known to contract th...

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17

Kawasaki Disease

Kawasaki disease is a rare but serious illness that causes heart problems in children. It is a form of a condition called vasculitis (inflammation of the blood vessels). The blood vessels include arteries, veins, an...

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This feature is for informational purposes only and should not be used to diagnose.
Please consult a healthcare professional if you have health concerns.
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