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What can Cause Ankle Pain without Injury?

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Hexahealth Care Team, last updated on 12 October 2023| min read
What can Cause Ankle Pain without Injury?

Quick Summary

Ankle pain can be caused by several reasons, even without any external injury.

Some of the possible causes of ankle pain without any injury are:

  • Tightness in the calf muscles
  • Inflammation of the tendons
  • Arthritis
  • Neuropathy

If you are experiencing ankle pain, it is important to see a doctor to determine the cause and get treatment.

You are sitting on a couch, watching a movie, and suddenly you experience pain in your ankle, or you are walking across the street, and suddenly your ankle starts hurting, and you start to wonder why. What is the reason for ankle pain without any injury? Well, several reasons can cause ankle pain even without any external injury. 

Ankle pain refers to the discomfort or pain that affects any part of our ankle. So, there is a possibility that you might have some underlying condition that is causing the pain in your ankles, but you are not aware of it. Keep reading to find out what are the possible causes of your ankle pain.

Why does ankle pain occur?

Ankle pain can occur due to several reasons. While a doctor is the best person to identify what is the reason of ankle pain or why ankle pain occurs, you can understand about the various conditions that may cause pain ankle pain as follows:

Arthritis 

  1. The ankle's redness, stiffness and pain may result from ankle joint arthritis. Arthritis occurs when the cartilage in a joint breaks down. Cartilage is tissue in the joints that cushions the bones.
  2. This cartilage breakdown affects the bone, and the bones start to rub against each other during movements. Many types of arthritis can affect the ankle joint. The common ones are osteoarthritis and rheumatoid arthritis.
  3. However, arthritis is more common in people aged 65 years and above. 

Infection 

  1. Many types of infections, like cellulitis, can cause pain and swelling in the ankle joint.
  2. Cellulitis is a bacterial infection of the skin and the tissues under the skin. Osteomyelitis, a bone infection, can result from a staphylococcus bacterial infection, leading to pain in the ankles. 

Flat foot

  1. Minimal or no arch in the sole of the foot is called a flat foot.
  2. This may lead to swelling and pain in the ankles and feet. In some cases, the arches of the feet in kids are not adequately developed, resulting in flat foot.

Gout

  1. Gout is a type of arthritis that occurs due to the build-up of a substance called uric acid in the body.
  2. Usually, uric acid is expelled from the body through urine. But excess uric acid may lead to formation of crystals that settle in the joints, leading to swelling and ankle pain.

Plantar fasciitis 

  1. The inflammation of the plantar fascia leads to a common condition called plantar fasciitis.
  2. The plantar fascia is a rubber band-like ligament that stretches from the toes to the heel. Inflammation of this ligament majorly affects the foot, but sometimes, if this inflammation irritates a nerve, the pain may radiate up to the ankles.
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What are the symptoms of ankle pain?

Ankle pain is a symptom of an underlying condition or injury. But you may also notice other symptoms, such as stiffness, swelling, pain, and redness, along with ankle pain, that can make walking painful.

When to go to a doctor?

Consult a doctor, if:

  1. Swelling and pain occur suddenly and continue to worsen despite rest
  2. The pain is severe or does not subside even after two to three days after using home remedies like an ice pack
  3. You are unable to put weight on the ankle
  4. The area becomes warm or red to the touch or you have a fever.

How will the doctor determine the cause of ankle pain?

The doctor examines the ankle and foot and checks for redness, swelling, and bruising. They will do some tests to assess the movements and may order an imaging test such as MRI, X-ray, or CT scan. If the doctor thinks that an infection is causing the pain, they might ask for blood tests, to confirm the diagnosis.

How to prevent ankle pain?

The best way to avoid ankle pain is to do regular exercise and keep the bones, tendons, and ligaments strong. But first, one must do the following:

  1. Maintaining a healthy weight: Being obese puts extra weight and pressure on the joints, eventually affecting the ankles.
  2. Warm up properly: Stretching and warming up are essential before any physical activity. The soft tissues and muscles have lesser chances of getting hurt when they’re warm.
  3. Strengthen other muscles: Keeping other muscles healthy and strong provides more support to the ankle and lowers the risk of injury.
  4. Do not ignore pain: If any activity or movement gets too uncomfortable and causes pain, then take a break. Continuation of any physical activity along with pain may worsen it. 

Still, if your ankle pain does not subside, it’s time to seek professional help and contact a doctor.

Conclusion

Now, you know the reasons for what can cause ankle pain without injury. You might have some underlying condition causing ankle pain. If your ankle pain worsens after 2-3 days, it is time that you consult a doctor, like an orthopaedic specialist. 

Contact our personal care team to know the correct diagnosis and treatment for your ankle pain. They will help you find the best podiatrist or orthopaedist near you and guide you with all the information you need. If you are curious about your ankle pain and want to learn more, visit our website Hexahealth

Frequently Asked Questions

There is a chance of an underlying condition, such as arthritis, gout, infection, etc., that may be causing the pain in your ankles for no apparent reason.

You must consult a doctor if your pain does not subside after 2-3 days, even after home treatment (rest, ice, compression, elevation), or if you are unable to put weight on your ankles, or if your ankles become red or warm to the touch, or you have fever (a sign of infection). 

Diseases such as flat foot, rheumatoid arthritis, osteoarthritis, gout, infection, plantar fasciitis, etc. can lead to ankle pain.

The quickest way to relieve ankle pain is by resting, applying ice for 15-20 minutes every few hours; wrapping an elastic bandage around the ankle to lower inflammation; resting with the ankle raised above your heart to lower the swelling. 

Gout is a type of arthritis in which uric acid builds up leading to formation of uric acid crystals in joints. Gout in the ankles may cause redness, intense pain, stiffness, tenderness to light touch, swelling, and warmth (feels like the ankle joint is on fire).

A condition called diabetic neuropathy, that is experienced by persons with diabetes for many years, may affect the nerves, which may result in foot and ankle pain.
Arthritis in the ankle may feel like pain or tenderness, swelling, stiffness around the ankle joint, and reduced ability to walk or move.
Your ankles might hurt due to an underlying condition, and you might not be aware of it. Conditions like arthritis, gout, flat foot, infection, plantar fasciitis, etc. can make your ankle hurt at night or even during the day.
Ankle impingement syndrome is a common condition that causes pain and a restricted range of motion while performing a specific movement or during a load-bearing position. Mainly, athletes (both amateur and professional) experience ankle impingement syndrome.

You may notice the following signs of diabetes-related foot condition:

  1. Tingling sensation
  2. Pain
  3. Redness
  4. Swelling
  5. Changes in toenails or skin, including sores, cuts, blisters, or calluses
  6. Skin discolouration
  7. Foul smell
  8. Reduced ability to sense cold or hot
  9. Numbness

Diabetic foot/Charcot arthropathy is a condition of the ankle and foot caused by nerve damage (neuropathy) that leads to inability to feel pain and may result in deformities. 

You may feel pain, swelling, inflammation, tenderness, etc., in your ankle if you have ankle arthritis. 

Sciatica can result from bone spurs, herniated disk, or spinal stenosis that compresses the sciatic nerve, leading to swelling or inflammation in the affected leg and may cause ankle pain.

You can try home treatments like applying an ice pack over the ankles, wrapping the ankles with a bandage, resting, and elevating the affected leg while resting. 

While sleeping, you can elevate the affected leg; this may reduce swelling and pain in your ankle. 

Last Updated on: 12 October 2023

Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

Author

About Authors

HexaHealth Care Team

HexaHealth Care Team brings you medical content covering many important conditions, procedures falling under different medical specialities. The content published is thoroughly reviewed by our panel of qualified doctors for its accuracy and relevance.

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