10 Reasons Why You Might Be Experiencing Chronic Ankle Pain

chronic ankle pain

Chronic pain of any kind can greatly reduce an individual’s quality of life and chronic ankle pain is no different. If you experience chronic ankle pain, you probably have difficulty walking, standing, or making the necessary movements you need to get through the day.

But what might be worse than chronic pain in the ankles is not understanding why you are experiencing such debilitating pain each and every day. Here are ten of the most common reasons an individual might experience chronic pain in the ankles:

1. Bone Fracture

There are dozens of tiny bones in your ankles and feet that you may not even recognize have been broken. If you land on your ankle incorrectly or twist your ankle into chronic pain in your ankles.

2. Nerve Injury

Nerve injury can occur when the nerves in your feet and to let you know something is wrong. These messages could be one of your chronic ankle pain causes.

3. Nerve Pressure

Unlike nerve injury, nerve pressure occurs due to be fixed in the form of pain.

4. Sprains

Unlike a break of the bone, a sprain is characterized by damaged done together. The damage usually involves a stretching or tear of the ligaments but in most cases, the pain only lasts a minimal amount of time. Unfortunately, if the sprain is particularly bad or it has not been treated correctly, a sprain may heal incorrectly or it may not heal at all. This can be a source of chronic pain in the ankles.

5. Strains

Similar to your ankle, the tendons may become weak and become damaged. Strains are just one of the chronic ankle pain causes.

6. Osteoarthritis

Osteoarthritis occurs when the cushioning between your joints begins to chronic pain in the ankles.

7. Rheumatoid Arthritis

Unlike Osteoarthritis, rheumato eliminate because it is attacked by the immune system, even though it is healthy. When the cartilage is gone, like osteoarthritis, it can cause pain in the joints, including chronic pain in the ankles.

8. Damaged Tendons

The pain of a damaged tendon is similar to feel tense or stiff, which can make moving difficult.

9. Synovial Inflammation

Synovial fluid is created by the body to swell and become inflamed. This can be a painful experience and can even cause chronic pain in the ankles.

10. Scar Tissue

If you have had an ankle injury in the past, the scar tissue created by the body after that injury could be causing you chronic ankle pain. Scar tissue is thicker than regular tissue, making movement difficult and cause your ankle to move the scar tissue. This can be painful.

Regardless of your reason for having chronic pain in your ankle, be sure to get it checked out and treated.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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