Inner Ankle Pain After Running: Causes and Solutions - Rehabilitation

More Info

---

Inner ankle pain after running can be a frustrating and persistent issue, especially for avid runners. The symptoms you've described, including swelling, tenderness, and a feeling of tightness or deep pain, suggest that you may be dealing with a condition related to tendon inflammation, commonly known as tendonitis. This is particularly relevant if you have previously been diagnosed with tendonitis after your long run.


Causes of Inner Ankle Pain
1. Tendonitis: This is inflammation of the tendons around the ankle, which can occur due to overuse, improper footwear, or biomechanical issues. The posterior tibial tendon, which supports the arch of the foot, is often implicated in inner ankle pain.

2. Ligament Strain: The ligaments surrounding the ankle can be strained during running, especially if there is a sudden increase in intensity or distance. This can lead to pain and swelling.

3. Tendinopathy: Chronic tendonitis can lead to tendinopathy, where the tendon undergoes degenerative changes. This condition may not respond well to rest alone and often requires a more structured rehabilitation approach.

4. Stress Fractures: Although less common, stress fractures in the bones of the ankle or foot can cause localized pain and swelling. These are often due to repetitive stress and may require imaging studies for diagnosis.

5. Biomechanical Issues: Flat feet, high arches, or improper running form can contribute to uneven stress on the ankle, leading to pain.

Solutions and Management
1. Rest and Ice: Initially, it’s 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 ankle and improve flexibility, which can help alleviate pain and prevent future injuries.

3. Footwear Assessment: Ensure that you are wearing appropriate running shoes that provide adequate support and cushioning. Sometimes, custom orthotics may be necessary to correct biomechanical issues.

4. Gradual Return to Activity: When you feel ready to return to running, do so gradually. Start with shorter distances and lower intensity, and gradually increase as tolerated. This helps to avoid re-injury.

5. Cross-Training: Incorporate low-impact activities such as swimming or cycling to maintain fitness without putting excessive strain on the ankle.

6. Strengthening Exercises: Focus on strengthening the muscles around the ankle and foot. Exercises that target the calf muscles, as well as the intrinsic muscles of the foot, can provide better support to the ankle.

7. Consultation with a Specialist: If pain persists despite conservative measures, consider consulting an orthopedic specialist or a sports medicine physician. They may recommend imaging studies like an MRI to assess for any underlying issues that might not be visible on X-rays.

8. Medication: Over-the-counter anti-inflammatory medications can help manage pain and swelling, but they should be used judiciously and not as a substitute for proper rehabilitation.


Conclusion
Inner ankle pain can stem from various causes, and understanding the underlying issue is crucial for effective treatment. A combination of rest, physical therapy, proper footwear, and gradual return to activity can often lead to recovery. If symptoms persist, further evaluation by a healthcare professional is warranted to rule out more serious conditions and to develop a tailored treatment plan. Remember, listening to your body and allowing adequate recovery time is essential in preventing chronic issues and ensuring a successful return to running.