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  • Summary
  • Symptoms
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Summary

Ankle pain can result from acute injuries or chronic conditions. This article is written with emphasis on the location of pain in an attempt to determine and refer you to the specific condition that may be causing problems for you.

Symptoms

  • Symptoms of ankle pain vary based upon the specific condition or injury.

Descriptionankle pain

The ankle is a marvel in engineering. The ankle, no bigger than a walnut, is able to support us and carry us over variations in surfaces and keep us erect for extended periods of time. The bones of the ankle include the talus, tibia and fibula. These three bones work together to give us the range of motion unique to homo sapiens.  The range of motion of the ankle is unique in that the axis of rotation changes with motion creating a conical axis and not a fixed axis.  The majority of range of motion is within the sagital plane, with the toe moving towards or away from the shin. 

 

Medial ankle pain

Ankle and subtalar joint arthritis

Ankle fracture

Posterior tibial tendon dysfunction - pain and loss of arch height.

Tarsal tunnel syndrome - nerve entrapment leading to medial ankle pain.

 

Lateral ankle pain

Ankle sprains - traumatic injury to the ankle. Most commonly found to occur on the lateral ankle.

Ankle fracture

Peroneal tendon rupture - common reason for chronic pain in the lateral ankle.

Peroneal tendon subluxation - snapping and pain on the lateral ankle.

Peroneal tendonitis - chronic pain of the lateral ankle, especially at the start of activities.

Sinus tarsitis - pain deep within the subtalar joint

 

Posterior ankle pain

Ankle fracture

Flexor digitorum tendonitis or tear

Posterior tibal tendon dysfunction

Retrocalcaneal bursitis

Shepard's fracture

 

Global ankle pain

Ankle fracture

Anterior inpingement syndrome

Arthritis of the ankle or subtalar joint

Gout - although more common in the forefoot, gout should be considered as a differential diagnosis in treating ankle pain.

Equinus - tightness of the calf can have a significant role in ankle pain.

Sinus tarsi syndrome (sinus tarsitis) - diffuse deep ankle pain with activity.

Talar dome fractures - a common and sometimes complicated type of fracture.

 

Causes and contributing factors

Ankle pain can be due to a number  of different contributing factors including trauma, overuse, biomechanical dysfunction of the ankle or metabolic disease.  Please refer to individual conditions for more information.  

Treatment

Treatment of ankle pain is condition specific.  Please refer to individual conditions for treatment.

When to contact your doctor

Ankle pain that does not respond to conservative care within a week should be evaluated by your doctor.  Be sure to follow-up with your podiatrist or orthopedist for additional treatment recommendations.

References

References are pending.

Author(s) and date

Dr. Jeffrey OsterThis article was written by Myfootshop.com medical director Jeffrey A. Oster, DPM

Competing Interests - None

Peer Reviewed - This article is peer reviewed by an open source editorial board.  Your comments and suggestions to improve this paper are appreciated.

Cite this article as - Oster, Jeffrey.  Ankle Pain.  http://www.myfootshop.com/article/ankle-pain

Most recent article update - December 28, 2015.

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