Ankle pain is often due to an ankle sprain but can also be caused by ankle instability, arthritis, gout, tendonitis, fracture, nerve compression (tarsal tunnel syndrome), infection and poor structural alignment of the leg or foot. Ankle pain can be associated with swelling, stiffness, redness, and warmth in the involved area. The pain is often described as an intense ache that occurs upon weight bearing and ankle motion. If the pain persists for a few weeks, you should visit your podiatrist.
Initial treatment may consist of rest, ice, elevation, and immobilization, but may also include the prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and also physical therapy sessions. Custom made orthotics can often help. The podiatrist will need to make a diagnosis and prescribe custom made orthotics by means of a biomechanical evaluation and thorough stance examination. On rare occasions, the patient may need cortisone injections, immobilization or surgery.