Effective Strategies to Alleviate Ankle Pain from Prolonged Standing - Rehabilitation

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Ankle soreness?


Hello, doctor.
Due to my job, I need to stand for about seven hours.
However, my ankles feel sore after standing for a long time.
After sitting down to rest for a few minutes, the soreness increases.
When I get home and relax, my ankles are very sore, and I tend to walk with a slight limp.
In the morning, after waking up, my ankles are particularly painful and sore.
Even after taking three days off, I still experience the same soreness every day.
I am 170 cm tall and weigh 86 kg.
I have a history of a comminuted fracture in my left ankle with metal screws.
I would like to know what methods I can use to reduce this soreness.
Thank you for your response.

Ray, 30~39 year old female. Ask Date: 2008/06/19

Dr. Li Weiqiang reply Rehabilitation


Dear Ray: It seems that the changes in weight-bearing in your lower limbs due to the injury, combined with your weight exceeding the standard value, are contributing factors.
I recommend that you consult a professional physician (orthopedic or rehabilitation specialist) for an examination, who can then provide you with a rehabilitation plan.
Wishing you safety and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2008/06/19

More Info


Experiencing ankle pain after prolonged standing is a common issue, especially for individuals whose jobs require them to be on their feet for extended periods. The discomfort you describe, including soreness and a feeling of weakness in the ankle, can be attributed to several factors, including muscle fatigue, joint strain, and possibly underlying conditions related to your previous injury. Here are some effective strategies to alleviate ankle pain and improve your overall comfort:

1. Proper Footwear
Wearing supportive shoes is crucial. Opt for shoes that provide good arch support, cushioning, and a proper fit. Avoid high heels or shoes with inadequate support, as they can exacerbate ankle pain. Consider using orthotic inserts if necessary, as they can help distribute weight more evenly and reduce strain on the ankles.


2. Regular Breaks and Movement
If your job allows, take short breaks every hour to sit down and elevate your feet. This can help reduce swelling and relieve pressure on the ankles. During these breaks, perform gentle ankle exercises, such as ankle circles or flexing and pointing your toes, to improve circulation and flexibility.


3. Stretching and Strengthening Exercises
Incorporate stretching and strengthening exercises into your daily routine. Stretching the calf muscles and Achilles tendon can help alleviate tension in the ankle. Strengthening exercises for the muscles around the ankle, such as calf raises or resistance band exercises, can provide better support and stability.


4. Ice Therapy
After a long day of standing, applying ice to the affected area can help reduce inflammation and numb the pain. Use an ice pack wrapped in a cloth for about 15-20 minutes. This can be particularly effective if you notice swelling in the ankle.


5. Compression and Elevation
Using compression socks can help reduce swelling and provide support to the ankle. Additionally, elevating your feet when resting can help decrease fluid accumulation and alleviate pain.


6. Pain Relief Medications
Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare professional before starting any medication, especially if you have underlying health conditions or are taking other medications.


7. Physical Therapy
If the pain persists, consider consulting a physical therapist. They can provide personalized exercises and treatments to strengthen the ankle and improve mobility. They may also use modalities such as ultrasound or electrical stimulation to alleviate pain.


8. Weight Management
Maintaining a healthy weight can reduce the strain on your ankles. If you are overweight, even a modest weight loss can significantly decrease the pressure on your joints and improve your overall comfort.


9. Foot Care
Pay attention to foot hygiene and care. Regularly check for any signs of injury or irritation, especially if you have a history of foot or ankle issues. Keeping your feet clean and moisturized can prevent skin problems that might contribute to discomfort.


10. Consult a Specialist
If your symptoms do not improve with these strategies, it may be beneficial to consult a healthcare professional, such as an orthopedic specialist or a podiatrist. They can assess your condition more thoroughly and recommend specific treatments or interventions based on your individual needs.

In summary, managing ankle pain from prolonged standing involves a combination of proper footwear, regular movement, stretching, and potentially seeking professional help. By implementing these strategies, you can alleviate discomfort and improve your ability to stand for extended periods without pain.

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