Ankle and foot pain, including sprains, can stem from a variety of factors related to the complex structure and function of the lower extremities. One common cause is traumatic injury, such as twisting or rolling the ankle during physical activity or sustaining an impact on the foot. This may lead to ligament sprains or tears, resulting in discomfort, swelling, and an unsteady feeling in the impacted joint. Overuse or repetitive stress on the ankle or foot, often from activities like running or prolonged standing, can cause inflammation of the tendons or joints, resulting in chronic pain and discomfort. Biomechanical issues such as flat feet or high arches can also contribute to abnormal stress on the ankle and foot, increasing the risk of injury. Additionally, underlying medical conditions like arthritis or tendonitis can cause pain and stiffness in the ankle and foot joints, impairing mobility and function.
Ankle and foot pain presents with a variety of symptoms, depending on the underlying cause and severity of the injury. Individuals may experience localized pain, swelling, and tenderness around the ankle or foot joint, particularly with weight-bearing activities or movement. Bruising or discoloration of the skin may develop following trauma or injury. In more severe cases, individuals may have difficulty bearing weight on the affected foot or ankle, accompanied by significant swelling and limited range of motion. Numbness or tingling sensations in the foot or toes may suggest nerve involvement, such as in cases of nerve compression or injury. It’s crucial to promptly address ankle and foot pain, as untreated sprains or injuries can lead to long-term complications and impaired function.
For those individuals grappling with discomfort in one or both ankles, TriMotus is here to help! Our array of solutions include:
- Joint Manipulation
- Dry Needling
- Cupping
- Muscle Release & Stretching Techniques
- Disc Treatments
- Foot Orthotics
- MSK Ultrasound
- Passive Modalities & Electric Stimulation
- Erchonia® Class III Cold Laser
What causes pain in the ankles?
Ankle pain can come from many sources, including sprains, tendon irritation, arthritis, nerve irritation, or simple overuse. Sometimes pain is triggered by footwear changes, increased activity, or underlying foot mechanics like flat feet or high arches. Less commonly, stress fractures or inflammatory conditions can also cause ankle pain. If your pain is persistent, worsening, or limiting your ability to walk normally, it’s worth getting evaluated.
Why is my ankle painful but not swollen?
It’s very possible to have ankle pain without noticeable swelling. Tendon irritation, joint irritation, nerve sensitivity, or referred pain from the calf, knee, or low back can all cause pain without puffiness. Early overuse injuries (including stress reactions) can also be painful before swelling appears. If the pain lasts more than a week or two or keeps coming back, an exam can help identify the true cause.
How do you relieve ankle pain?
Most ankle pain improves with a short period of relative rest, avoiding the activity that flares it up while staying gently mobile. Supportive shoes or an ankle brace can reduce strain, and ice can help if the area feels hot or irritated after activity. Gentle mobility, strengthening, and balance exercises often speed recovery and help prevent recurrence. If pain is sharp, persistent, or keeps returning, it may need a more specific diagnosis and treatment plan.
How to tell if ankle pain is serious?
Ankle pain may be more serious if you can’t bear weight, the ankle looks deformed, or you heard a “pop” followed by immediate severe pain. Redness, warmth, fever, significant bruising, numbness, or worsening tingling are also reasons to seek prompt care. Pain that persists beyond 1–2 weeks, keeps returning, or worsens at night should also be evaluated. When in doubt, it’s better to check it early so a small issue doesn’t become a bigger one.
Can gout cause ankle pain?
Yes, gout can cause significant ankle pain, and it may come on suddenly, often with intense tenderness and sometimes warmth or redness. Flares are commonly triggered by dehydration, alcohol, certain foods, or changes in medication. Because gout can mimic other problems, a proper evaluation is helpful to confirm the cause and guide treatment. If you suspect gout, early care can shorten the flare and reduce recurrence.
What would cause foot pain without injury?
Foot pain doesn’t always require a specific injury — it often develops from overuse, repetitive strain, or changes in activity, footwear, or standing time. Common causes include plantar fasciitis, tendon irritation, nerve irritation, arthritis, or stress reactions in the bones. Foot mechanics like flat feet or high arches can also increase strain in certain areas. If pain is persistent or you’re limping, it’s worth getting checked.
What are 7 common foot problems?
Some of the most common foot issues include plantar fasciitis, bunions, Achilles tendon irritation, flat-foot–related tendon strain, Morton’s neuroma, stress fractures, and arthritis (especially in the big toe or midfoot). Many of these start gradually and worsen with prolonged walking or standing. The good news is that most respond well to early, targeted treatment. An accurate diagnosis helps you avoid guessing and speeds recovery.
What causes feet to be painful?
Feet often become painful when the tissues are overloaded — from too much walking or standing, sudden increases in activity, or unsupportive footwear. Pain can also come from inflammation in the fascia, tendons, or joints, as well as nerve irritation that causes burning or tingling. Foot shape and mechanics can play a big role, especially if the arch collapses or the ankle lacks mobility. Identifying the source matters, because the best treatment depends on what structure is irritated.
What diseases start with foot pain?
Foot pain can sometimes be an early sign of an underlying medical issue, especially when it’s unexplained or comes with other symptoms. Conditions like gout, inflammatory arthritis, nerve-related problems (including diabetes-related neuropathy), or circulation issues can begin with pain in the feet. These concerns are more likely when pain is paired with numbness, burning, swelling, skin changes, or significant morning stiffness. Helping differentiate a local foot problem from a systemic issue is one reason an evaluation can be so valuable.
How do I know if foot pain is serious?
Foot pain is more concerning if you can’t bear weight, the foot is red and hot, there’s rapid swelling or significant bruising, or you have fever or feel unwell. Numbness, weakness, an open wound, or new pain if you have diabetes should be evaluated promptly. Pain that lasts more than 1–2 weeks, wakes you at night, or keeps returning also deserves attention. Early diagnosis can prevent compensation patterns and speed up recovery.
Dr. Cameron Khavari , DC, MUAC
Owner / Chiropractic and Functional Medicine Physician
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