Understanding Ankle Bursitis
Ankle Bursitis: 3 Leading Causes, Diagnostic Methods & Best Treatments:
Ankle bursitis is an inflammatory condition affecting the bursae—small fluid-filled sacs that cushion the bones, tendons, and muscles near your ankle joint. When these bursae become inflamed, they can cause significant discomfort and hinder mobility. Understanding the primary causes, diagnostic methods, and effective treatments is essential for managing this condition and returning to daily activities.
Ankle Bursitis: Causes, Diagnosis & Treatment
Ankle bursitis often results from repetitive stress, injury, or underlying medical conditions. Common causes include:
Repetitive Motion or Overuse: Activities like running or jumping can irritate the bursae.
Trauma: A direct blow to the ankle can lead to inflammation.
Underlying Conditions: Diseases such as gout or rheumatoid arthritis can contribute to bursitis.
Diagnosis typically involves a physical examination, and in some cases, imaging tests like X-rays or MRIs. Treatment focuses on reducing inflammation and pain through rest, ice application, anti-inflammatory medications, and physical therapy. In severe cases, corticosteroid injections or surgery may be considered.
Top 3 Causes of Ankle Bursitis & Effective Treatment Options
Understanding Ankle Bursitis: Causes and Treatments
Top 3 Causes of Ankle Bursitis
- Repetitive Motion or Overuse
Engaging in activities that involve repetitive ankle movements, such as running, jumping, or dancing, can irritate the bursae. This overuse leads to inflammation, resulting in pain and swelling in the ankle area. - Trauma or Direct Impact
A sudden injury or direct blow to the ankle can cause the bursae to become inflamed. This trauma disrupts the normal cushioning function of the bursae, leading to discomfort and limited mobility. - Underlying Medical Conditions
Certain medical conditions, such as gout or rheumatoid arthritis, can increase the risk of developing ankle bursitis. These conditions cause systemic inflammation, which can affect the bursae and lead to their irritation.
Effective Treatment Options for Ankle Bursitis
- Rest and Activity Modification
Limiting activities that exacerbate ankle pain is crucial. Resting the affected ankle helps reduce inflammation and promotes healing. - Ice Application
Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce swelling and alleviate pain. - Anti-Inflammatory Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can be used to manage pain and reduce inflammation. - Physical Therapy
Engaging in physical therapy exercises can strengthen the muscles around the ankle, improve flexibility, and reduce the risk of future bursitis episodes. - Proper Footwear
Wearing supportive and well-fitting shoes can alleviate pressure on the ankle bursae, preventing further irritation. Medical Interventions
In cases where conservative treatments are ineffective, medical procedures such as corticosteroid injections or, in rare instances, surgical removal of the inflamed bursa may be considered.
Ankle bursitis can significantly impact daily activities, but with proper understanding and management, individuals can find relief and prevent recurrence. Recognizing the causes and implementing effective treatments are key steps toward recovery. If you experience persistent ankle pain or swelling, consult a healthcare professional for a tailored treatment plan.

Experiencing Ankle Pain? Consult a Specialist Today
If you’re suffering from persistent ankle pain or suspect you have bursitis, it’s crucial to seek medical advice. Early diagnosis and appropriate treatment can prevent complications and promote a quicker recovery. Contact a healthcare professional to develop a personalized treatment plan tailored to your needs.
Ankle Bursitis: Causes, Diagnosis & Best Treatment 2020!
Ankle Bursitis: 95% of the time a bursa is a fluid filled sac at the ankle joint. If this sac is injured, it may lead to soreness and aching.
Causes of Ankle Bursitis:
- Abnormal loading or chronic ankle irritation is the most common cause of ankle bursitis.
- Consider treatment following an ankle sprain to help your pain!
Most Common Sites Of Ankle Pain:
1. Outside Of The Ankle Pain:
- This is the #1 site of ankle pain.
- This is the site of ankle sprains.

2. Back Of The Ankle Pain.
- This is the most common site of chronic running pain.
- This area is common for achilles heel pain, ankle bursitis, heel bursitis and heel spurs.

3. Inside Of The Ankle Pain.
- The inside of the ankle is where major muscles, arteries and nerves run.
- This site is common for nerve pain, posterior tibialis pain and medial shin splints.

4. Front Of The Ankle Pain.
- This site is also common in runners and soccer (football) players.
- Extensor tendinitis is very common in runners.
- Anterior ankle spurs are most common in soccer (football) players.
Bursitis In Ankle:
- The most common site of bursitis in the ankle is at the back of the heel.
- There are no other normal sites of a bursa around the ankle.
- There are tendon sheaths at other tendons that pass by the ankle, but no bursa.
- But you may still be having bursitis like pain in other places of the ankle.
Ankle Bursitis Home Treatment:
- These are our favorite and recommended treatment products for ankle bursitis.
- These should definitely help!
- But go see your podiatrist or foot doctor if ever worried!
- There are usually two phases to bottom of the foot pain treatment.
- The two phases of treatment include controlling the acute inflammation, and correcting the biomechanics which led to the problem in the first place.
- If the tendons and ligaments are inflammed, they are almost frozen in place and cannot function properly.
- Once the inflammation is decreased, we need to correct the biomechanical causes to ensure that they can never become over worked and inflammed again!
- This doesn’t matter whether it’s plantar fasciitis, plantar fibroma, sore bottom of foot, or even Achilles tendon pain. Treatment is all roughly very similar.
Control Inflammation:
Massage & Ice Products:
- Ice is the an excellent option that can be safe for almost everyone.
- There is some debate whether icing is worth doing, but for chronic pain this can help limit the need for medications and keep your options open.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.






Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for bottom of the heel and Achilles tendon sore regions.








Massage Sticks:
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius or calf muscle and for the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.






Removing The Stress:
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- The best way to ensure that your plantar fascia, foot and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
Ankle Bursitis Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the heel and plantar fascia region.
- 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.
Ankle Bursitis Orthotics:
- These are our recommended orthotics.
- There are different types for different shoes.
- Women’s shoes usually need a less bulky orthotic, but allow for less correction.
- A full length orthotic requires a running shoe, boot or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full length orthotic.
- This is the best way to maximize your orthotics for great results.
Best Full Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats or most women’s dress shoes.








Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.






Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.


Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.








Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis.
- It can be used while watching TV or at night time.






DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery.
Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis.
Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.
Frequently Asked Questions About Ankle Bursitis
Ankle bursitis is the inflammation of the bursae in the ankle, leading to pain and swelling.
Common causes include repetitive activities, direct trauma, and underlying health conditions like arthritis.
Symptoms often include pain, swelling, warmth, and limited mobility in the ankle area.
Diagnosis may involve a physical exam and imaging tests such as X-rays or MRIs to rule out other conditions.
Treatment options include rest, ice application, anti-inflammatory medications, physical therapy, and in some cases, corticosteroid injections or surgery.
Yes, by avoiding repetitive stress on the ankle, wearing proper footwear, and managing underlying health conditions.
Recovery time varies but typically ranges from a few weeks to several months, depending on the severity and treatment approach.
If you experience persistent pain, swelling, or difficulty moving your ankle, it’s advisable to consult a healthcare professional.