Inner Ankle Pain: Causes, Treatments, and When to Seek Help - Orthopedics

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Understanding inner ankle pain, especially after an injury like an ankle sprain, is crucial for effective treatment and recovery. Based on your description, it seems you may be experiencing symptoms related to a sprain or strain of the ligaments around the ankle, particularly the deltoid ligament, which is located on the inner side of the ankle.


Causes of Inner Ankle Pain
1. Ankle Sprain: This is the most common cause of ankle pain, especially after an incident like "rolling" your ankle while playing basketball. A sprain occurs when the ligaments that support the ankle stretch or tear. The deltoid ligament, which stabilizes the inner ankle, can be affected.

2. Tendonitis: Inflammation of the tendons around the ankle, particularly the posterior tibial tendon, can cause pain on the inner side of the ankle. This condition often arises from overuse or repetitive stress.

3. Fractures: Although you mentioned that you have been able to resume activities, it’s essential to rule out any fractures, especially if the pain has returned suddenly. Fractures can occur in the bones of the ankle or foot and may not always be apparent without imaging.

4. Other Conditions: Conditions such as arthritis or impingement syndromes can also lead to pain in the ankle area.


When to Seek Help
You should consider seeking medical attention if:
- The pain persists or worsens despite rest and home treatment.

- You experience significant swelling, bruising, or difficulty bearing weight on the affected foot.

- There is a noticeable deformity or inability to move the ankle.

- You have persistent pain that does not improve with conservative measures over a few days.


Diagnostic Imaging
Given that your pain has returned and is intermittent, it may be wise to consider an X-ray, especially if:
- You have difficulty walking or bearing weight.

- There is significant swelling or bruising.

- You have a history of previous injuries in the same area.

An X-ray can help rule out fractures and provide a clearer picture of the injury.


Treatment Options
1. Rest and Ice: Continue to rest the ankle and apply ice to reduce swelling and pain. Avoid activities that exacerbate the pain.

2. Compression and Elevation: Use an elastic bandage or ankle brace to provide support and reduce swelling. Elevating the ankle can also help.

3. Physical Therapy: Once the acute pain subsides, consider physical therapy to strengthen the ankle and improve flexibility. This can help prevent future injuries.

4. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.

5. Ankle Brace: Wearing an ankle brace during activities, especially basketball, can provide additional support and prevent re-injury.


Conclusion
In summary, while it’s encouraging that you were able to return to basketball, the sudden return of pain suggests that you may need to reassess your ankle's condition. If the pain persists or worsens, seeking medical evaluation, including an X-ray, is advisable. In the meantime, consider using an ankle brace for support during activities and continue with rest and ice therapy. Always listen to your body; if something feels off, it’s better to err on the side of caution.