Anterior Ankle Pain
Pain at the front of the ankle which has come on gradually rather than from a sudden twisting or trauma is ususally due to impingement or tibialis anterior tendinopathy (tendinitis). Anterior ankle impingement occurs when a bony growth at the front of the ankle bone where it meets the shin bone restricts normal ankle range of motion. Tendonitis of the large tibialis anterior muscle on the outside of the shin can occur through over use.
Footballers' ankle is a bony growth at the front of the ankle where the joint capsule attaches. It can follow an injury where the ankle has been over stretched or over bent.
The tibialis anterior muscle is the large muscle that runs down the outside of the shin. Inflammation of the tendon sheath can cause pain at the front of the ankle.