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Is That Pain in Your Ankle More Than Just a Sprain?
Published: Jan 12, 2024
Ankle pain isn't always due to a simple sprain. Tendinopathy, a chronic overuse injury of the tendons, could be the real cause of your discomfort.
What is Ankle Tendinopathy?
Ankle tendinopathy is a condition where tendons around the ankle become damaged and inflamed from overuse. It often develops gradually over weeks or months, unlike sudden sprains. The pain typically worsens with activity and improves with rest. Tendinopathy can affect tendons on the outer, inner, or front part of the ankle.
Who's at Risk?
Athletes who do a lot of running, jumping, or quick direction changes are prone to ankle tendinopathy. This includes runners, soccer players, and basketball players. Dancers and hikers are also at risk. Even non-athletes can develop it, especially those over 40 or with certain medical conditions like diabetes.
Spotting the Signs
Key symptoms include pain and swelling along the affected tendon, difficulty walking, and pain that worsens with activity. You may also notice weakness when moving your foot in certain directions. Unlike a sprain, the pain usually develops gradually rather than suddenly after an injury.
Getting the Right Diagnosis
A doctor can often diagnose ankle tendinopathy based on your symptoms and a physical exam. They may use ultrasound to visualize the tendons and confirm the diagnosis. X-rays or MRI might be needed in some cases to rule out other conditions like fractures or arthritis.
Frequently Asked Questions
No, tendinopathy is a chronic condition while tendonitis is acute inflammation.
Mild cases may improve with rest, but most require proper treatment.
Recovery can take 4-12 weeks or longer, depending on severity.
Surgery is rarely needed and only considered if conservative treatments fail.
Low-impact activities are often okay, but consult your doctor first.
Don't Ignore the Pain
Ankle tendinopathy can significantly impact your mobility if left untreated, so it's crucial to seek proper diagnosis and care.
References
- Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med 2004; 23:55.
- Simpson MR, Howard TM. Tendinopathies of the foot and ankle. Am Fam Physician 2009; 80:1107.
- Heckman DS, Gluck GS, Parekh SG. Tendon disorders of the foot and ankle, part 1: peroneal tendon disorders. Am J Sports Med 2009; 37:614.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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