Ankle pain is a common complaint that can affect people of all ages and lifestyles. Whether it’s a sharp twinge during exercise or a persistent ache that worsens with movement, ankle pain can seriously impact daily activities. This blog explores what ankle pain is, who it affects, its common causes, when to seek medical help, and how physiotherapy can play a key role in recovery.
What is ankle pain?
Ankle pain refers to any kind of discomfort or soreness in or around the ankle joint. The pain may originate from the bones, ligaments, tendons, or surrounding muscles. It can range from mild and temporary to severe and chronic, depending on the cause and extent of the injury or condition. Symptoms might include swelling, stiffness, bruising, and difficulty bearing weight.Â
Who can be affected by ankle pain?
Ankle pain can affect virtually anyone, but some groups are more prone to it:
- Athletes and active individuals often experience ankle injuries due to overuse or trauma such as a sprain.
- Older adults may develop ankle pain from osteoarthritis, balance-related injuries or poor foot health.
- People with previous ankle injuries are at higher risk of re-injury or chronic instability.
- Those with poor footwear or walking habits that put strain on the ankle joint.
Common causes of ankle pain
Several factors can lead to ankle pain. Some of the most common include:
- Ankle sprains: The most frequent cause, occurring when ligaments are stretched or torn when twisting your ankle.
- Fractures: Breaks in any of the bones of the ankle can cause intense pain and swelling. This is usually associated with significant trauma but can happen when twisting your ankle.
- Tendinosis: An overuse injury of the tendons, often due to repetitive strain and loading.
- Arthritis: Osteoarthritis or Rheumatoid Arthritis can cause joint degeneration and pain with swelling.
- Gout: A form of inflammatory arthritis characterised by sudden, severe pain.
- Bursitis: Inflammation of fluid-filled sacs (bursae) that cushion the ankle joint.
When to seek medical attention
While minor ankle pain may resolve with rest and self-management, certain symptoms require healthcare professional assessment:
- Persistent swelling or pain that lasts more than a few days
- Inability to bear weight or walk, especially after trauma
- Noticeable deformity or bone protrusion
- Signs of infection, such as redness, warmth, or fever
- Recurrent ankle injuries or instability leading to falls
Prompt medical attention can prevent further damage and lead to more effective treatment outcomes.
The biggest risk factor for an ankle sprain is a previous history of ankle sprain, seeing a physiotherapist will reduce this risk.
How does physiotherapy treat ankle pain?
Physiotherapy is a highly effective treatment for many types of ankle pain. A physiotherapist will assess your condition and develop a personalised plan to address the root cause of your symptoms. Treatment may include:
- Manual therapy: Hands-on techniques to mobilise joints and improve movement.
- Exercise programmes: Targeted strengthening to support ankle stability and flexibility.
- Balance and proprioception training: Especially important for preventing future sprains.
- Education and advice: Guidance on proper footwear, posture, and injury prevention.
- Modalities: Techniques such as ultrasound, ice/heat therapy, or TENS for pain relief.
Physiotherapy not only aids in recovery but also helps reduce the risk of recurring ankle problems by addressing underlying weaknesses or imbalances.
Learn more about specific ankle conditions here:
Need treatment for ankle pain? Find your nearest clinic:
East Anglia:
Hampshire:
Hertfordshire:
Midlands:
London – Central Health Clinics
North West:
- Manchester – Openshaw
- Manchester – Sale
- Rochdale – Oldham Road
- Oldham – Chadderton
- Stockport – Hazel Grove
- Bolton – Horwich
South West:
Yorkshire: