Medial Ankle Pain
Medial or inner ankle pain refers to pain on the inside of the ankle which is not a sudden acute injury. Pain may come on gradually or from an acute injury that has not healed properly. We explain the most common causes, some less common medial ankle injuries and important conditions that should not be missed. Tibialis posterior syndrome is probably one of the more common gradual onset injuries along with stress fractures and nerve impingements. A traumatic medial ankle sprain is rare and is likely to occur with a fracture to the fibula bone at the ankle as well.
Posterior tibial tendon dysfunction or PTTD is a dysfunction of the posterior tibialis muscle, resulting in a fallen arch, or flat feet. As the muscle inverts the foot, when it is not working fully, the arch of the foot collapses. This can then cause other conditions and injuries such as plantar fasciitis which makes the foot painful.
Medial calcaneal nerve entrapment has similar symptoms to that of tarsal tunnel syndrome. Pain will radiate from the inside of the heel out towards the centre of the heel. Resting and icing the ankle are effective ways to help ease the pain and recover from this injury.
The medial malleolus is the bony bit on the inside of the ankle. A stress fracture of the medial malleolus can occur but is very rare. It cause pain on the inside of the ankle which is exacerbated by activity.