Inside ankle pain
Deltoid ligament sprain or tear
This is a tear or overstretch of the ligaments on the inside of your ankle. Usually after a fall where your foot twists outwards – this causes the inside ligaments to be strained causing pain and swelling around the inside of your ankle.
Tibialis posterior tendonitis
A Tibialis posterior tendonitis is where the tendons are inflamed due to constant irritation from repetitive overload on the tendon. If the tendon is unable to heal, it’ll become degenerative, which is irrecoverable damage to your tendon. The tibialis posterior tendon runs just behind and below the bony nob on inside of your ankle.
Pain on the inside of your ankle usually feels worse at the start of exercise, then disappear as it warms up, only to return after you have cooled down. The ankle pain may also radiate under the foot arch, and more likely to affect older females who do a lot of walking or running.
Flexor hallucis longus tendonitis
Flexor hallucis longus tendinopathy or flexor tendonitis is inflammation or degeneration of the flexor tendons in your ankle causing pain on the inside of your ankle. This happen when the tendon is subjected to excessive or repetitive stress. Specifically, pain along the length of the tendon as it passes around the back of the bony nob on inside of your ankle and into to the arch of your foot. Ankle pain treatment focuses on gradual loading and building capacity.
Pinched Medial calcaneal nerve
This is when the medial calcaneal nerve or some of its branches become irritated & trapped between tendons, fat pad & muscles on the inside of your ankle. The pain is a sharp stinging feeling that radiates across the inside of your ankle, outwards to the center of your heel. Walking is particularly painful causing you to limb. When the nerve pathway is restricted be surrounding structures, it sends abnormal signals of pain up your nerve.
Tarsal Tunnel Syndrome
Its caused by pressure on the posterior tibial nerve as it passes around the inside of your ankle. Usually it causes a burning, sharp pain that radiates to the arch of your foot. You’ll feel pins & needles, numbness, itching over the sole of your foot. The compression point must be identified and treated to ensure your ankle pain doesn’t return.
Talar stress fracture
The Talus is a bone that sits on top of your calcaneus, and below your Tibia. A stress fracture of the talus is a hairline crack in the bone caused by overuse. The pain on the inside of your ankle usually gets worse over time, and exercise flares-up your pain, especially running & jumps.
Medial malleolar stress fracture
The medial malleolus is the nob on the inside of your ankle. It’s rare, but possible. Pressing over the inside of you ankle will cause sharp stabbing ankle pain. Usually there’s very little swelling – as seen with other types of stress fractures. These types of fractures don’t show up on X-rays, a MRI or CT scan will be necessary.
Tibialis posterior tendon dislocation
It occurs when the tibialis muscle pulls the tendon out of its retinaculum. The retinaculum is a shield of tissue which holds your tendon in place on the inside of the ankle. You’ll find clicking & snapping of the tendon forwards and backwards over the bony nob on the inside of your ankle. Turning your foot inwards causes more damage to the Tibialis Posterior tendon.
Posterior ankle impingement
An ankle impingement is when a bony growth blocks your ankle’s range of movement. Tissues are pinched between the two bones which causes swelling, leading to a cycle of tissue inflammation. The ankle pain gradually gets worse, as the range gets less. So, trying to point your foot or walk on your toes will be painful. X-rays will show extra pieces of bone like bony spurs on the talus or end of your tibia. The ankle pain feels like a sharp sting or pinch over the back of your ankle that radiates to the inside and outside of your ankle.