Ankle Pain
Causes, Diagnosis & Best Treatment
Causes:
- Ankle Pain Causes are many, the most common being sprains and strains.
- There are other causes of ankle pain which include arthritis, osteoporosis, gout, tendonitis, and tendon sheath inflammation.
- This page is dedicated to helping you determine with come certainty the cause of your ankle pain, based on the location of the pain, the likelihood of the condition, and the severity of the pain.
- This following video outlines the causes of foot pain and what can be done!

Location of Ankle Pain
Outside of the Ankle:
- Outside of the Ankle Pain or Lateral ankle pain is normally a chronic pain, as opposed to acute pain (pain that develops suddenly and is due to injury). This chronic ankle pain can have many different causes such as an acute ankle injury that was neglected and did not heal properly. It can also be caused by other conditions such as tendinitis (peroneal tendinopathy). This chronic pain can be exacerbated by strenuous physical activities such as running, jogging and other sports.For more information visit this page: What causes ankle pain.
Front of the Ankle:
- Front of the ankle pain, or anterior ankle pain also comes gradually rather than suddenly. This pain comes as the result of impingement or tendonitis. Impingement is the condition in which the normal range of the ankle is restricted due to a bony growth. Tendonitis is due to overuse of the anterior muscle on the outside of the shin bone.
- For more information visit: What causes my foot pain.

Pain above the heel in the back of the foot:
- Pain behind and above the ankle is usually Achilles tendonitis pain.
- This video should help you relieve your pain as soon as possible!
Inside of the Ankle
This is most commonly posterior tibial tendinitis.
This is associated with being flat footed.
Ankle Pain Home Treatment:
- Orthotics are our personal top choice, but if that is still not enough, make sure to get a good brace!
Best Ankle Pain Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the ankle and posterior tibial tendon regions:
- This is especially important if you have plantar fasciitis, heel spur pain or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for best pain relief!
- The following link will show you what our favorites are.
The best choices of full-length orthotics:
- These are cost effective over-the-counter orthotics.
- We strongly recommend full-length orthotics, should it a couple that more room, but the results are worth!
- If you have a tennis shoe or a boot, make sure you get the full-length orthotics.
- The more support you can get the better your results will be.








The best choices for dress shoe orthotics:
- Sure full-length orthotic is a little bit better, but make sure it fits in your shoe.
- If you wear dress shoes. This is the way to go.
- These are recommended options.






The best lightweight orthotics:
- These are recommended choices for woman’s dress shoes, and or flats.
- They don’t give you the most support, but if you do need to wear nice shoes, They are your best bet:


The best stability ankle braces:
- These braces focus on protection and stability.
- If you have a pretty significant injury with a decent amount of pain, these are the way to go.






The best ankle compression braces:
- If you’re pain is not excruciating, and your injury is not that severe, these can work with.
- These focus most on compression rather than support.
- They will fit better than ankle stability breaks into supportive shoes.
- Team these up with orthotic for best results:




The best leg massage sticks:
- If your muscle is tight, especially for the peroneal tendons, these massage stakes are the way to go.
- This can also work great for a tight calf muscles.






Less Likely
- Heel Pain or Bottom of the Foot Pain
- Back of the heel or Bottom of the Heel
- Calf Pain
- Shin Pain
- Top of the Foot Pain
Associated Conditions:
- Flat Foot
Walk This Way: Trusted Foot & Ankle Information
Learn what’s hurting and how to fix it.
Why Choose Balance Foot & Ankle Specialist in Howell and Bloomfield Hills?
Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.

Ankle Pain: Frequently Asked Questions for Fast Relief and Recovery
Ankle pain can result from a variety of causes, including sprains, strains, fractures, arthritis, tendonitis, bursitis, and overuse. It can also be due to underlying medical conditions like gout or nerve compression. The most frequent cause is an ankle sprain, which happens when ligaments are stretched or torn.
You should see a doctor if your ankle pain is severe, doesn’t improve with rest, is accompanied by swelling that doesn’t go down, if you can’t bear weight, or if there’s a visible deformity. Chronic pain or recurring ankle injuries should also be evaluated by a medical professional.
Both sprains and fractures cause pain and swelling, but fractures usually result in more severe pain, bruising, and an inability to put any weight on the ankle. A sprain may still allow for some movement. The only way to confirm a fracture is with an X-ray or medical imaging.
Common home remedies include the R.I.C.E. method: **Rest, Ice, Compression, and Elevation**. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. Avoid putting weight on the ankle until it begins to heal.
It depends on the severity. Mild pain from overuse or a minor sprain may improve with light movement and stretching. However, if walking worsens the pain or if you notice swelling or instability, it’s best to rest and avoid putting weight on the ankle.
Recovery time varies. Minor sprains can heal in a few days to a week, while moderate injuries may take 2–4 weeks. Severe injuries or fractures may take several months to fully recover, especially if surgery or physical therapy is needed.
Strengthening exercises like toe raises, ankle circles, resistance band stretches, and balance training can help build stability and prevent reinjury. It’s best to perform these exercises under guidance, especially during the recovery phase.
Physical therapy is often recommended if you have recurring ankle injuries, chronic pain, or after a fracture or surgery. A physical therapist can design a program to restore strength, flexibility, and balance, helping you return to normal activities safely.