Ankle Pain: Causes and Solutions for Left Ankle Issues - Orthopedics

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Ankle issues


Location: Left ankle, 1 cm posterior to the protruding bone on the outer side, there is a depression.
From the center of this depression, extending upward 3-5 cm, there is a band-like sensation.
While walking briskly during exercise, I suddenly felt a muscle get caught.
I didn't pay much attention to it, but shortly after, it happened again.
Since then, it has been catching intermittently, and as the catching sensation intensified, pain gradually emerged.
After a week of not exercising, I still experience intermittent catching sensations while walking.
Medical history: I used to frequently cross my legs, with my left leg over my right, which may have caused misalignment in the left ankle.
I underwent a week of traditional Chinese medicine adjustments, but I did not see improvement.
Exercise: Once a week playing badminton.

De, 30~39 year old female. Ask Date: 2016/11/25

Dr. Shi Guozheng reply Orthopedics


The pain or tightness in this area is likely related to the peroneus longus tendon, which is often caused by overuse.
Resting may help improve the symptoms.
If there is no improvement, it is advisable to consult a physician for further evaluation.

Reply Date: 2016/11/25

More Info


Understanding ankle pain, particularly in the left ankle, can be quite complex due to the intricate anatomy and various potential causes involved. Based on your description, it seems like you are experiencing discomfort and a sensation of "catching" in the area around the lateral malleolus (the bony prominence on the outside of the ankle) and possibly extending up the leg. This could be indicative of several underlying issues.


Potential Causes of Left Ankle Pain
1. Ligament Strain or Sprain: One of the most common causes of ankle pain, especially after an activity like walking or playing sports, is a sprain. This occurs when the ligaments that support the ankle are stretched or torn. If you felt a sudden "catching" sensation during exercise, it could suggest that a ligament was overstretched or injured.

2. Tendon Issues: The sensation of something "catching" could also be related to the tendons around the ankle. The peroneal tendons, which run along the outside of the ankle, can sometimes become irritated or inflamed, leading to pain and a feeling of instability. Tendonitis or tendinopathy could be a possibility, especially if there is a history of repetitive stress or improper foot positioning.

3. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the bones, tendons, and muscles) around the ankle can also lead to pain and discomfort. This condition can be exacerbated by repetitive motion or pressure on the ankle.

4. Joint Issues: Conditions such as osteoarthritis or rheumatoid arthritis can lead to joint pain and swelling. If you have a history of joint problems or if there is a family history of arthritis, this could be a contributing factor.

5. Biomechanical Issues: Your mention of previously crossing your legs and having your left foot positioned awkwardly could indicate a biomechanical issue. Poor alignment or foot mechanics can lead to uneven stress on the ankle joint, potentially causing pain over time.


Recommended Solutions
1. Rest and Ice: Initially, it is crucial to rest the affected ankle and apply ice to reduce swelling and pain. Avoid activities that exacerbate the pain, such as running or jumping.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the ankle, improve flexibility, and correct any biomechanical issues.

3. Footwear Assessment: Ensure that you are wearing supportive footwear that fits well. Sometimes, improper shoes can contribute to ankle pain. Consider consulting with a specialist who can assess your gait and recommend appropriate footwear or orthotics.

4. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, before returning to high-impact sports like badminton.

5. Consult a Specialist: If the pain persists or worsens, it is advisable to consult an orthopedic specialist or a sports medicine physician. They may recommend imaging studies, such as X-rays or an MRI, to assess for any underlying structural issues.


Conclusion
In summary, your left ankle pain could stem from a variety of causes, including ligament sprains, tendon issues, or biomechanical factors. It is essential to take a comprehensive approach to treatment, focusing on rest, rehabilitation, and proper footwear. If symptoms persist, seeking professional medical advice is crucial to ensure appropriate management and to prevent further injury. Remember that early intervention can often lead to better outcomes and a quicker return to your regular activities.

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