Key takeaways

  • Treatments for ankle pain and discomfort vary depending on the cause. Home treatment options may include cold compresses and pain medications.
  • Surgery may be necessary if ankle pain or injury is severe. Doctors may consider surgery if home treatments have not helped improve ankle pain.
  • Signs someone should contact a doctor about ankle pain include severe pain or pain that occurs alongside symptoms such as a fever, dizziness, or an inability to put pressure or weight on the ankle.

People can develop ankle pain for various reasons. Ankle sprains are one of the most common musculoskeletal injuries that may result in ankle pain. Other possible explanations for long-term pain around the ankles include:

  • improperly fitting footwear
  • arthritis
  • connective tissue diseases
  • insufficient circulation
  • nerve damage
  • avascular necrosis of the ankle
  • chronic ankle instability

Ankle pain should gradually resolve. However, full recovery time may depend on the underlying cause. Pain that worsens, does not improve, or lasts longer than a few months may indicate an underlying condition.

This article explains different treatment options for ankle pain and when to see a doctor.

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Experts may recommend the rest, ice, compression, and elevation (RICE) method to reduce ankle pain at home.

The RICE method involves:

  • Rest: Avoid putting weight on the affected ankle and limit physical activity until it heals.
  • Ice: Apply ice to the ankle for 20 minutes every 2 to 3 hours to help reduce swelling.
  • Compression: Wrap compression bandages and dressings around the painful ankle.
  • Elevate: Keep the ankle elevated to reduce swelling.

Risks

People should avoid applying cold compresses directly to the skin, as they can damage the skin or nerves. Ice directly on the skin may also result in frostbite in some cases.

Those with neuropathy or heart problems should consult a doctor before opting for cold therapy.

Over-the-counter (OTC) or prescription nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce ankle pain. However, they will not necessarily treat the underlying cause.

Doctors may prescribe NSAIDs such as ibuprofen or naproxen sodium to help someone manage ankle pain.

NSAIDs are also available as gels that people can apply directly to painful areas, such as the ankle. These can penetrate the skin and reduce pain in the joints and tissues.

In cases of moderate to severe pain, a doctor may consider prescribing opioids such as:

  • codeine
  • morphine
  • hydrocodone

These medications are available in tablet, capsule, injection, and skin patch form.

Risks

The Food and Drug Administration (FDA) advises against using NSAIDs after 20 weeks of pregnancy because they can harm the fetus. Many OTC medications contain NSAIDs, so it is important to read labels carefully and consult a doctor before using a medication.

NSAIDs may be beneficial in treating musculoskeletal pain, including arthritis-related ankle pain. However, serious side effects — such as heart attack, gastrointestinal problems, and allergic reactions — are possible.

While opioids are generally safe for short-term use, a person should take them only under medical supervision, as there is a risk of adverse effects and misuse.

If home remedies and OTC treatments do not improve symptoms, a medical professional may recommend other options to treat ankle pain.

Braces may help with injury recovery and prevention by restricting motion and reducing pain.

Risks

Wearing an ankle brace may lead to decreased balance and strength in the affected ankle. Therefore, a person may benefit from engaging in physical therapy and rehabilitation exercises to prevent or address these effects.

Additionally, a person should consider the type of ankle bracing they use.

A 2020 study involving 2,073 high school volleyball players with lower extremity injuries found that soft-shell braces increased the risk of ankle injuries. Hard-shell braces, on the other hand, did not affect injury risk.

Exercise may help reduce ankle pain and stiffness in some cases. Low impact exercises that avoid putting weight on the ankle, such as swimming, may be suitable.

People should start exercising gently and slowly, and build up each time they exercise. If the ankles are stiff before exercising, a warm shower or warm up may help loosen up the joints.

It is important to speak with a healthcare professional before exercising on a painful ankle, as exercise may worsen injuries. A doctor may recommend avoiding high impact sports and heavy lifting until a person has less discomfort in their ankle.

Physical activity can help a person:

  • maintain their fitness level
  • keep other muscles and joints strong and flexible
  • prevent a recurrence of injury
  • maintain a moderate weight

Risks

Some types of movement may worsen ankle pain or cause bursts of more intense pain. A person should consult a doctor and physical therapist to find out the best way to ease back into physical activity.

Steroid injections can be an effective option to reduce pain and inflammation for those experiencing ankle pain.

In a 2024 study of 166 people with osteoarthritis, 51% of participants reported complete pain relief after the injections, and 32% reported partial relief. The study found that the first injection was the most effective for pain relief.

Risks

Steroid injections may cause side effects such as the following:

A person should consult a doctor if they experience any of the above or other noticeable effects after the injection.

Surgery may be necessary in the case of severe injury and pain. Possible surgical procedures include:

  • Ankle arthroscopy: During this procedure, a surgeon may make a few incisions and insert an arthroscope into the ankle. This small tube has a video camera that allows the doctors to look closely at the joints and scar tissue. They may then reconstruct torn or stretched tissues.
  • Ankle ligament reconstruction: This involves using tendons from different areas of the body to repair or reconstruct torn ligaments.
  • Ankle replacement surgery: This is for people with severe ankle arthritis and involves replacing the damaged joint with an ankle implant.
  • Ankle fusion: People with severe arthritis who cannot undergo replacement surgery may need an ankle fusion. In this procedure, a surgeon connects the two bones below the ankle using nails, screws, or plates.

Risks

Possible complications of ankle surgery include:

  • bleeding
  • infection
  • stiffness
  • damage to tissues such as tendons and nerves
  • issues with screws, nails, or plates
  • new arthritis affecting nearby bones

People should consult a doctor if they have a sprained ankle and the swelling does not go away with home remedies.

A medical professional can evaluate the symptoms and discuss potential treatment options.

If the following symptoms occur after an ankle injury, they may indicate a break that needs immediate medical attention:

  • dizziness
  • a change in ankle or foot shape
  • severe pain
  • fevers, chills, or sweats
  • an inability to put any pressure on the affected leg

Swelling and stiffness may often accompany ankle pain or discomfort.

Applying cold compresses and elevating the leg can help relieve pain and improve circulation. If home remedies do not work, a person may benefit from visiting a doctor. A doctor will evaluate the injury and may prescribe medications or recommend wearing a brace to help with healing.

The treatment plan depends on the person’s condition and the severity of the pain.