Symptoms A-Z

Pain in Both Ankles Symptoms, Causes & Common Questions

Understand pain in both ankles symptoms, including 6 causes & common questions.

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  1. 6 Possible Pain In Both Ankles Causes
  2. Questions Your Doctor May Ask
  3. Statistics

6 Possible Pain In Both Ankles Causes

The list below shows results from the use of our quiz by Buoy users who experienced pain in both ankles. This list does not constitute medical advice and may not accurately represent what you have.

Ankle arthritis

Arthritis simply means inflammation of the joints. Because the feet and ankles have many small joints and carry the weight of the body, they are often the first place that arthritis appears.

Arthritis is caused by a breakdown in the protective cartilage at the end of each joint, so that the bones begin to wear against each other and the joint becomes stiff and painful. This breakdown may be due to simple wear and tear; an injury; or from rheumatoid arthritis, an autoimmune condition which causes the body to break down its own cartilage.

Symptoms include swelling, warmth, and redness in the joint, and pain with movement or with pressure on the joint.

Diagnosis is made through patient history, physical examination, and imaging such as x-rays, CT scan, or MRI.

There is no cure for arthritis, but treatment is important because the symptoms can be managed to prevent further damage, ease pain, and improve quality of life. Treatment involves physical therapy, pain-relieving medications, and sometimes surgery to help repair damaged joints.

Rarity: Uncommon

Top Symptoms: swollen ankle, swollen foot, joint stiffness, pain in one ankle, ankle stiffness

Urgency: Self-treatment

Rheumatoid arthritis

Arthritis is a general term for multiple conditions that cause painful inflammation and stiffness throughout the body. Rheumatoid arthritis (RA) is a chronic condition that is autoimmune in nature, meaning that the body's immune system which normally protects the body by attacking foreign pathogens mistakenly begins attacking the own body's tissues. In adults, RA is the most common form of inflammatory arthritis caused by autoimmunity.

RA is caused by the immune system attacking the lining of the joints (synovium). This immune activity results in inflammation in the synovium that causes it to thicken and expand. The thickening destroys the cartilage and bone of the joint and causes the tendons and ligaments of the joint to weaken and stretch.

Over time, the cartilage loss continues, the space between bones becomes smaller, and eventually the joint becomes loose, painful and unstable. As the condition becomes more advanced, RA can also affect multiple organ systems, including the eyes, skin, lungs and the cardiovascular system.

Diagnosis is through physical examination, blood tests, and X-rays.

Treatments include lifestyle modifications, several classes of medications, and sometimes surgery.

Rarity: Rare

Top Symptoms: fatigue, depressed mood, joint pain, muscle aches, daytime sleepiness

Urgency: Primary care doctor

Familial hypercholesterolemia

Familial hypercholesterolemia is a genetic disorder that causes LDL ("bad") cholesterol levels to be very high. The condition begins at birth and can cause heart attacks at an early age.

Rarity: Common

Top Symptoms: swollen achilles, achilles tendon pain

Symptoms that never occur with familial hypercholesterolemia: achilles tendon pain

Urgency: Primary care doctor

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Psoriatic arthritis

Psoriatic arthritis is a condition which causes inflammation of the joints. In most circumstances, psoriatic arthritis presents between the ages of 30 and 50 years and occurs after the manifestation of the symptoms of psoriasis, which is a disease of the skin. Psoriatic arthritis typically causes redness, swelling, pain, and stiffness of certain joints. Most commonly, the fingers and toes are affected and may appear "sausage-like." Psoriatic arthritis is predominantly a genetic disease but it can be activated by certain environmental triggers. Avoidance of these triggers could delay or prevent disease onset. Treatment includes symptom management with nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids. In more severe cases, other drugs to halt the disease progression such as methotrexate are used.

Rarity: Rare

Top Symptoms: shoulder pain, lower back pain, joint pain, upper back pain, hip pain

Urgency: Primary care doctor

Charcot arthropathy of the ankle

Charcot Arthropathy of the foot is a syndrome where patients with numbness of their feet, which can be caused by a variety of underlying conditions such as diabetes, develop weakening of the bones in the foot and ankle. Thus they may have fractures and dislocations of the bones and joints that occur with little trauma.

Rarity: Rare

Top Symptoms: joint pain, constant ankle swelling, pain in one ankle, swollen ankle, painful ankle swelling

Symptoms that always occur with charcot arthropathy of the ankle: warm red ankle swelling, constant ankle swelling

Urgency: Primary care doctor


Gout is a form of arthritis that causes sudden pain, stiffness, and swelling in a joint. The big toe is often affected.

Rarity: Common

Top Symptoms: swollen toes

Urgency: Primary care doctor

Questions Your Doctor May Ask About Pain In Both Ankles

To diagnose this condition, your doctor would likely ask the following questions:

  • Have you ever been diagnosed with diabetes?
  • What is your body mass?
  • Is your ankle able to move in all directions like it used to?
  • Look closely at your eyes in the mirror. Do you see a white, grayish ring around the colored part of your eyes?

The above questions are also covered by our A.I. Health Assistant.

If you've answered yes to one or more of these questions

Take a quiz to find out why you're having pain in both ankles

Pain In Both Ankles Symptom Checker Statistics

People who have experienced pain in both ankles have also experienced:

  • 4% Swollen Ankles
  • 3% Fatigue
  • 2% Back Pain

People who have experienced pain in both ankles were most often matched with:

  • 42% Rheumatoid Arthritis
  • 42% Familial Hypercholesterolemia
  • 14% Ankle Arthritis

People who have experienced pain in both ankles had symptoms persist for:

  • 33% Over a month
  • 26% Less than a week
  • 21% Less than a day

Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Pain In Both Ankles Symptom Checker

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