Pain in the Upper Bone of the Left Ankle: Causes and Remedies - Rehabilitation

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Pain in the upper tendons of the left ankle bone on the right foot?


Exercising regularly is generally fine, but pressing on the upper part of the left side of the right ankle bone causes pain.
What could this symptom indicate, and what improvements can be made? Thank you for your response, and I wish you all the best.

Hua, 20~29 year old female. Ask Date: 2022/11/10

Dr. Wang Zhaomin reply Rehabilitation


Injuries to the soft tissues such as tendons and ligaments near the ankle, or bony lesions, can lead to pain.
This platform is not able to provide a diagnosis.
If the pain is mild, you may start with self-care measures such as applying heat and performing stretching exercises.
However, if the symptoms persist or worsen, please seek medical attention from an orthopedic or rehabilitation specialist for an accurate diagnosis and appropriate treatment.

Reply Date: 2022/11/10

More Info


Pain in the upper bone of the left ankle can be attributed to several potential causes, and understanding these can help guide appropriate remedies and treatments. Given that you mentioned experiencing pain when pressing on the upper part of the ankle bone, it is essential to consider various factors that could contribute to this discomfort.


Possible Causes of Ankle Pain
1. Tendonitis: Inflammation of the tendons around the ankle, particularly the peroneal tendons, can lead to pain, especially during activities that involve repetitive motion or strain. This condition often arises from overuse or improper footwear.

2. Ankle Sprain: A common injury, an ankle sprain occurs when the ligaments that support the ankle stretch or tear. Even if you haven't experienced a significant injury, minor sprains can occur during physical activity, leading to localized pain.

3. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the bones, tendons, and muscles near the joints, can cause pain in the ankle area. This condition can result from repetitive motion or prolonged pressure on the joint.

4. Stress Fracture: Overuse injuries, particularly in athletes or individuals who increase their activity levels suddenly, can lead to stress fractures in the bones of the ankle. This type of fracture may not always be visible on initial X-rays.

5. Arthritis: Conditions such as osteoarthritis or rheumatoid arthritis can cause pain in the ankle joint due to inflammation and degeneration of the cartilage.

6. Tendon Rupture: A more severe condition, a rupture of the Achilles tendon or other tendons around the ankle can lead to significant pain and difficulty in movement.


Remedies and Treatment Options
1. Rest and Ice: If the pain is due to overuse or a minor injury, resting the ankle and applying ice can help reduce inflammation and alleviate pain. Ice should be applied for 15-20 minutes every few hours.

2. Compression and Elevation: Using a compression bandage can help minimize swelling, while elevating the ankle can also assist in reducing inflammation.

3. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help manage pain and reduce swelling. Always follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions.

4. Physical Therapy: Engaging in physical therapy can be beneficial, especially if the pain persists. A physical therapist can provide exercises to strengthen the ankle and improve flexibility, which can help prevent future injuries.

5. Footwear Assessment: Ensuring that you wear appropriate footwear for your activities is crucial. Shoes that provide adequate support and cushioning can help alleviate stress on the ankle.

6. Gradual Return to Activity: If you are an athlete or regularly engage in physical activity, it is essential to gradually return to your routine after a period of rest. This approach helps prevent re-injury.

7. Consultation with a Specialist: If the pain persists despite home treatment, or if you experience swelling, bruising, or difficulty bearing weight on the ankle, it is advisable to consult with a healthcare professional. They may recommend imaging studies, such as X-rays or MRIs, to assess for fractures or other underlying conditions.


Conclusion
In summary, pain in the upper bone of the left ankle can arise from various causes, including tendonitis, sprains, bursitis, stress fractures, arthritis, or tendon ruptures. Initial management should focus on rest, ice, compression, and over-the-counter pain relief. If symptoms persist or worsen, seeking professional medical advice is crucial for proper diagnosis and treatment. Remember, early intervention can often lead to better outcomes and a quicker return to your regular activities.

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