Anterior Ankle Pain
Pain at the front of the ankle which has come on gradually rather than from a sudden twisting or trauma is usually 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. Moving the foot up and down will often be painful, as will kicking a ball. Surgery may be required if the ankle injury is severe.
The tibialis anterior muscle is the large muscle that runs down the outside of the shin. It controls the movement of the foot as it lifts the foot up and inwards. Inflammation of the tendon sheath can cause pain at the front of the ankle, particularly when bending the foot and toes up.
Ankle impingement is when a bony growth at either the front or back of the ankle bone restricts normal ankle range of motion. Impingement means tissues have become trapped between bones. This injury occurs where the ankle bone meets the shin bone and often follows a sprain that hasn't fully healed.