Pain in One Ankle Symptoms, Causes & Common Questions

Understand pain in one ankle symptoms, including 8 causes & common questions.

Pain In One Ankle Symptom Checker

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Contents

  1. 8 Possible Pain In One Ankle Causes
  2. Questions Your Doctor May Ask
  3. Statistics
  4. Related Articles

8 Possible Pain In One Ankle Causes

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

Broken ankle

An ankle fracture is a break in 1 or more ankle bones.

Rarity: Common

Top Symptoms: difficulty walking, constant ankle pain, swollen ankle, pain in one ankle, ankle pain from an injury

Symptoms that always occur with broken ankle: pain in one ankle, swollen ankle, ankle pain from an injury, constant ankle pain

Urgency: Hospital emergency room

Posterior tibialis tendinopathy

The posterior tibialis tendon attaches the calf muscle to the bones on the underside of the foot. It provides stability and arch support. If this tendon is damaged, the result may be a flat, unstable foot.

Posterior tibialis tendinopathy is most often a sports injury, where the tendon becomes inflamed or torn through overuse or high impact.

Symptoms include pain down the ankle and into the foot, sometimes with swelling. The pain becomes worse with any activity, even standing or walking. When standing, the patient's arch will be collapsed and flat and the front of the foot will point outward. The patient will be unable to stand on the injured foot and raise the heel.

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

Treatment involves rest, over-the-counter pain relievers, orthotics (shoe pads,) braces, and sometimes steroid injections into the damaged tendon. Surgery can be tried, but tends to be complex and cannot always restore the tendon completely.

Rarity: Ultra rare

Top Symptoms: swollen foot, pain in one foot, limping, pain in one ankle, spontaneous ankle pain

Symptoms that never occur with posterior tibialis tendinopathy: recent cutting accident

Urgency: Primary care doctor

Ankle sprain

Ankle ligaments, which connect bones to one another, stabilize the ankle joint. A sprain is an injury to the ligaments caused by a twisting motion of the joint.

Rarity: Common

Top Symptoms: pain in one ankle, ankle pain from an injury, swollen ankle, bruised ankle, ankle twisting

Symptoms that always occur with ankle sprain: pain in one ankle, ankle pain from an injury

Urgency: Phone call or in-person visit

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

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Ankle bruise

A bruise is the damage of the blood vessels that return blood to the heart (the capillaries and veins), which causes pooling of the blood. This explains the blue/purple color of most bruises. Bruises of the ankle are common, often due to minor injury.

Rarity: Rare

Top Symptoms: constant ankle pain, pain in one ankle, ankle pain from an injury, recent ankle injury, swollen ankle

Symptoms that always occur with ankle bruise: ankle pain from an injury, recent ankle injury, constant ankle pain

Urgency: Self-treatment

Osteochondritis dissecans

Osteochondritis dissecans, also called OCD, is a joint condition. It occurs when there is not enough blood flow within the end of a bone, under the protective cartilage. These bone layers begin to die and separate from the main bone, taking the cartilage with them.

The exact cause is not known. It may be due to overtraining a young person before the bone is entirely mature, which can interfere with blood supply.

Most susceptible are children and teenagers. The condition is found most often in only one joint, usually the ankle, knee, or elbow. However, any joint can be affected and there may be more than one.

Symptoms include swelling and pain in the joint during exercise, and sometimes "locking" of the joint. Osteochondritis dissecans may lead to osteoarthritis if not treated.

Diagnosis is made through patient history, physical examination, and imaging.

Treatment first involves rest because in children who are still growing, the bone and cartilage may heal spontaneously. If there are loose pieces of bone within a joint, surgery may be necessary.

Rarity: Rare

Top Symptoms: pain in one knee, knee stiffness, knee instability, knee pain that gets worse during a run, pop in the knee

Urgency: Primary care doctor

Gout

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

Cellulitis

Cellulitis is a bacterial infection of the deep layers of the skin. It can appear anywhere on the body but is most common on the feet, lower legs, and face.

The condition can develop if Staphylococcus bacteria enter broken skin through a cut, scrape, or existing skin infection such as impetigo or eczema.

Most susceptible are those with a weakened immune system, as from corticosteroids or chemotherapy, or with impaired circulation from diabetes or any vascular disease.

Symptoms arise somewhat gradually and include sore, reddened skin.

If not treated, the infection can become severe, form pus, and destroy the tissue around it. In rare cases, the infection can cause blood poisoning or meningitis.

Symptom of severe pain, fever, cold sweats, and fast heartbeat should be seen immediately by a medical provider.

Diagnosis is made through physical examination.

Treatment consists of antibiotics, keeping the wound clean, and sometimes surgery to remove any dead tissue. Cellulitis often recurs, so it is important to treat any underlying conditions and improve the immune system with rest and good nutrition.

Rarity: Uncommon

Top Symptoms: fever, chills, facial redness, swollen face, face pain

Symptoms that always occur with cellulitis: facial redness, area of skin redness

Urgency: Primary care doctor

Questions Your Doctor May Ask About Pain In One Ankle

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

  • How would you explain your ankle pain?
  • Have you ever been diagnosed with diabetes?
  • Any fever today or during the last week?
  • Did you just suffer from a cut or wound?

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

Please take a quiz to find out what might be causing your pain in one ankle. These questions are also covered.

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Pain In One Ankle Symptom Checker Statistics

People who have experienced pain in one ankle have also experienced:

  • 10% Swollen Ankle
  • 5% Swollen Ankle
  • 4% Bruised Ankle

People who have experienced pain in one ankle were most often matched with:

  • 54% Broken Ankle
  • 27% Posterior Tibialis Tendinopathy
  • 18% Ankle Sprain

People who have experienced pain in one ankle had symptoms persist for:

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

Source: Aggregated and anonymized results from Buoy Assistant (a.k.a. the quiz).

Pain In One Ankle Symptom Checker

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