Sore Ankles After Running Treatment
Causes & Best Treatment
If your ankles ache after a run, you're not alone. This discomfort can stem from overuse, poor footwear, weak stabilizing muscles, or even subtle biomechanical issues. Our complete home guide walks you through identifying the cause and starting effective relief strategies—from rest and ice to strengthening exercises and footwear tips.
But if the pain persists or worsens, don’t wait. The specialists at Balance Foot & Ankle Bloomfield Hills and Balance Foot & Ankle in Howell offer expert diagnosis and personalized treatment plans. With same-day appointments and advanced care options, they’ll help you get back on your feet—stronger than ever.
Sore Ankle Bone Or Sore Ankle Joint:
The ankle joint is one of the most overloaded joints of the body.
- It is unique because with each step it must handle essentially your entire body weight.
- It has a much small surface than the knee of the hip.
- This is is usually the most commonly irritated joint during running.

Symptoms of Sore Ankle Joint:
- Swollen Ankles.
- Redness or erythema.
- Throbbing pain.
- Worse after exercise & better with rest.
- More pain running than walking.
- Worse with increased weight bearing.
Most Common Cause Of Ankle Soreness
1. Overworking Your Body:
In runners the most common source of ankle injury is doing too much too soon!- It can take 4-6 weeks for tissues to adapt to the stresses of running.
- This is especially true in people training for marathons that are not used to the stress.
- If you never run, then start running 1-2+ miles every day, your body will not be able to handle it!
- Start running for 15 minutes for the first week, then 30 minutes, then 45 minutes.
- Don’t go straight into running for 1 hour every day, this is a recipe for disaster!
2. Poor Flexibility:
The lack of proper stretching & flexibility will destroy your biomechanics! This can cause you to run with a more bent knee, a more turned out foot(pronation) & with bent hips.- This will overwork some muscles & underwork other muscles!
- **This will also cause lower back pain.**
- Tight hips: Stretch them out!
- Tight hamstrings: Stretch them out!
- Tight calves: Stretch them out!
- Tight plantar fascia: Stretch them out!
3. Overstriding:
The entire theory behind barefoot running is based on shorter steps.- Recent evidence is now showing that shoes increase your confidence & decrease pain upon heel strike.
- This allows people to take longer steps during there run.
- Take shorter steps!
- The most durable marathon runners in the world take shorter, choppier steps.
- Do not run like a sprinter over long distances, take more & shorter steps.
- It will save your back, your knees & your ankles!
Sore Ankles Home Treatment
If you are having pain after running or with an ankle sprain, make sure to read this guide
- 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.
Best Sore Ankle 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.
Best Sore Ankle 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.






Walk This Way: Trusted Foot & Ankle Information
Learn what’s hurting and how to fix it.
Consult Balance Foot & Ankle Specialist in Howell and Bloomfield.
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.

FAQ: Why Are My Ankles Sore After Running—and What Can I Do About It?
Sore ankles can result from overuse, poor biomechanics, weak stabilizing muscles, or improper footwear. Running stresses the ankle joints, especially if you’re on hard surfaces or have underlying alignment issues.
Mild soreness can be normal, especially after increasing mileage or intensity. Persistent or sharp pain, however, may signal an injury or imbalance that needs attention.
Tendonitis (especially peroneal or Achilles)
Ankle sprains or microtears
Flat feet or overpronation
Poor running form
Worn-out or unsupportive shoes
It’s best to rest and assess the pain. Continuing to run on sore ankles can worsen inflammation or lead to more serious injuries like stress fractures or chronic tendonitis.
Rest and elevate your feet
Apply ice for 15–20 minutes at a time
Use compression sleeves or wraps
Take anti-inflammatory medication if needed
Stretch and strengthen surrounding muscles
If pain lasts more than a few days, worsens with activity, or includes swelling, instability, or numbness, it’s time to consult a specialist.
Absolutely. Shoes that lack proper arch support, cushioning, or stability can lead to ankle strain. Runners should replace shoes every 300–500 miles and choose models suited to their gait.
Yes—flat feet can cause overpronation, which places extra stress on the ankles. Custom orthotics or stability shoes can help correct this and reduce pain.
Calf raises
Ankle circles and alphabet tracing
Resistance band exercises
Balance and proprioception drills Strengthening these areas improves stability and reduces injury risk.
If you’re in Michigan, Balance Foot & Ankle Specialist in Howell and Bloomfield Hills offers expert care for runners. Dr. Tom Biernacki and his team specialize in diagnosing and treating ankle pain with personalized plans to get you back on track—literally.