Why your ankle pain might be more than just a sprain

Ankle pain is often dismissed as a simple sprain, especially after a sudden twist or injury. However, not all ankle pain is due to a sprain, and ignoring symptoms can lead to prolonged discomfort or further injury. If your pain persists or worsens, it’s essential to consider other possible causes that might require more specialised treatment.

Ankle fractures

One common condition mistaken for a sprain is a fracture. While both injuries can cause similar symptoms, such as swelling, bruising, and difficulty walking, a fracture involves a break in the bone, which requires immediate medical attention. If you experience intense pain, inability to bear weight, or a visible deformity in your ankle, it’s crucial to seek an evaluation to rule out a fracture. X-rays or advanced imaging may be needed to confirm the diagnosis.

Tendonitis

Another condition that mimics a sprain is tendonitis, the inflammation of tendons that connect muscles to bones. In the ankle, the peroneal tendons, which stabilise the joint, can become irritated or inflamed from overuse, leading to chronic ankle pain and instability.

Tendonitis typically develops gradually and may cause aching or burning sensations on the outside of the ankle. Rest, physical therapy, and anti-inflammatory medications can often relieve tendonitis, but severe cases might require more intensive treatments.

Ankle instability

Ankle pain could also stem from ligament damage, particularly chronic instability following multiple sprains. Over time, ligaments that don’t heal properly can lead to recurring sprains, weakness, and persistent discomfort. In such cases, physical therapy to strengthen the ankle or even surgical intervention may be necessary to restore stability.

Arthritis and gout

Lastly, conditions like arthritis or gout can cause ankle pain without a clear history of injury. Osteoarthritis develops slowly as the cartilage in the joint wears down, while gout causes sudden, severe pain due to uric acid crystal buildup. Both conditions require long-term management strategies.

If your ankle pain lingers, worsens, or recurs, don’t dismiss it as just a sprain. Consulting with a medical professional can help identify the root cause and ensure proper treatment, preventing further damage and getting you back on your feet.