How do you treat medial ankle pain?

Answered by Stephen Mosley

Medial ankle pain can be caused by various factors, such as overuse, sprains, or underlying conditions like tendinitis or arthritis. The treatment approach for medial ankle pain depends on the severity and underlying cause of the pain.

Initially, at-home treatments can be effective in relieving mild to moderate medial ankle pain. Rest is crucial to allow the injured area to heal. Avoiding activities that aggravate the pain and providing ample time for rest can help reduce inflammation and promote healing.

Applying ice to the affected area for about 15-20 minutes every few hours can help alleviate pain and reduce swelling. It is important to wrap the ice pack in a thin cloth or towel to prevent direct contact with the skin and to avoid leaving the ice on for too long to prevent frostbite.

Over-the-counter pain medication, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can help manage pain and reduce inflammation. However, it is always advisable to consult with a healthcare professional before taking any medication, especially if you have any underlying health conditions or are taking other medications.

Physical therapy is often recommended for medial ankle pain, as it can help strengthen the muscles surrounding the ankle and improve flexibility. A physical therapist can design a personalized exercise program to target specific muscle groups and improve stability in the ankle joint. These exercises may include range of motion exercises, strengthening exercises, balance training, and proprioceptive exercises to improve joint awareness.

In some cases, braces or splints may be prescribed to provide support to the ankle and limit movement during the healing process. These devices can help reduce pain and prevent further injury.

If conservative treatments do not provide sufficient relief, or if the pain is severe and affecting daily activities, further interventions may be necessary. Injections of corticosteroids or other medications can be administered directly into the affected area to reduce inflammation and alleviate pain. However, it is important to note that the effects of these injections may be temporary, and repeated use should be carefully considered.

Surgery is generally considered a last resort for medial ankle pain, reserved for cases where conservative treatments have failed to provide relief. The specific surgical procedure will depend on the underlying cause of the pain, such as repairing damaged ligaments or removing loose fragments in the joint. Surgery may require a period of rehabilitation and physical therapy to regain strength and function in the ankle.

It is important to remember that every individual and case is unique, and the best course of treatment for medial ankle pain may vary. Consulting with a healthcare professional, such as a primary care physician or a specialist in orthopedics or sports medicine, is crucial to receive an accurate diagnosis and appropriate treatment plan tailored to your specific needs.

I personally have experienced medial ankle pain due to a sprain while playing basketball. Rest, ice, and over-the-counter pain medication helped alleviate the pain initially. However, I also sought the guidance of a physical therapist who designed a comprehensive exercise program to rehabilitate my ankle, including strengthening exercises for the muscles surrounding the joint and balance training. The combination of at-home treatments and physical therapy played a significant role in my recovery and helped prevent further injury.