Ankle Pain Causes: 5 Common Reasons for Left and Right Ankle Pain

Ankle pain, whether it affects the left or right ankle, is a common complaint among individuals. For those who work long hours on their feet or constantly move around, this pain can significantly disrupt daily life. In some cases, the pain persists even when at rest, leading to nighttime discomfort and sleep disturbances. So, what are the causes of sudden ankle pain, and how can you address it effectively? Let’s explore the 5 most common causes of ankle pain and the steps you can take for relief.

1. Sprain (Ligament Injury)

A sprain occurs when external pressure causes the ligaments or muscles around the joint to stretch or tear. The ankle is particularly vulnerable to sprains, as it bears weight and is used continuously during walking. Studies from the American Orthopaedic Foot & Ankle Society show that sprains are among the top 5 injuries, and the ankle is the most frequently affected joint.

Symptoms of a Sprain:
  • Pain and swelling around the joint
  • Warmth and redness
  • Tenderness or pain when pressure is applied
Treatment:

The best treatment for sprains includes rest and immobilization. Avoid moving the joint as much as possible, and use compression bandages or splints to stabilize the area. If swelling and pain are severe, applying a cold compress will help alleviate symptoms. With proper care, sprains typically heal within 1-2 months. However, improper management can lead to chronic sprains.

2. Arthritis: Causes of Ankle Pain

Arthritis, an inflammation of the joint, is a common cause of ankle pain. Osteoarthritis, rheumatoid arthritis, and gout are all known to cause inflammation in the ankle joint. Research from The Annals of Rheumatic Diseases indicates that around 22% of adults experience arthritis, with the incidence increasing with age.

Obesity is a key risk factor for arthritis, as it puts additional strain on the ankle joint. According to a study published in The Annals of Internal Medicine, individuals with a higher BMI are more likely to develop osteoarthritis due to the excess weight on their joints.

Treatment:
  • Regular physical activity to maintain muscle strength
  • Weight management to reduce stress on the joints
  • Medications such as NSAIDs (non-steroidal anti-inflammatory drugs) for pain relief

3. Fractures: Understanding Ankle Pain

Fractures, which occur when bones break or crack, are another common cause of ankle pain. Ankle fractures account for about 10% of all fractures in adults, as noted by the American Academy of Orthopaedic Surgeons. Fractures are more likely to occur in areas where bones meet, such as joints.

Symptoms of a Fracture:
  • Sharp pain
  • Swelling
  • Difficulty moving the ankle
  • Bruising or discoloration
Treatment:

Fractures require careful management and treatment may involve a cast or splint to immobilize the joint. For a successful recovery, it’s important to engage in physical therapy after the fracture heals. In severe cases, surgery may be required to realign the bones. For elderly individuals, osteoporosis increases the risk of fractures even with minor trauma, making prevention a priority.

4. Nerve Damage: A Possible Cause of Ankle Pain

Another common cause of ankle pain is nerve damage, with tarsal tunnel syndrome being a notable example. This condition occurs when a nerve in the ankle is compressed or irritated, causing pain not only in the ankle but also in the foot and calf. The Journal of Neurosurgery suggests that nerve damage-related ankle pain can be sharp, and shooting pain is common, especially in conditions like herniated discs or sciatica.

Treatment for Nerve-Related Pain:
  • Physical therapy for nerve compression
  • Medications like anti-inflammatory drugs for nerve pain
  • In some cases, surgery may be needed to relieve the pressure on the nerve

5. Ankle Instability: A Common Cause of Ankle Pain

Ankle instability occurs when the joint lacks proper support, often resulting in the sensation of the ankle “giving out.” According to the American College of Sports Medicine, this condition is more common in women, possibly due to frequent high heel use. People who have had past injuries, like sprains or fractures, may also experience this issue as a residual problem.

Symptoms of Ankle Instability:
  • Frequent twisting or rolling of the ankle
  • A feeling of weakness or imbalance when walking
  • Pain when standing or walking for extended periods
Treatment:
  • Strengthening exercises for the muscles around the ankle
  • Supportive footwear, with high heels being avoided
  • Maintaining an optimal body weight to reduce stress on the joints

When Should You Seek Medical Attention?

It’s important to assess your symptoms carefully, as ankle pain can have various causes. If you experience significant swelling, bruising, or difficulty moving the joint, seek medical attention immediately. For minor pain, applying a cold compress and elevating the joint can be helpful, but if symptoms persist or worsen, it’s best to consult a healthcare provider.

Preventing Ankle Pain: Key Tips

If you are overweight or lead a sedentary lifestyle, it’s crucial to build strength in the muscles surrounding the ankle to prevent injuries. Exercises such as jogging, swimming, squats, and calf raises are effective ways to strengthen these muscles and reduce the risk of ankle problems.