HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Severe Pain In The Right Ankle?

I have pain in my right ankle area. My ankle is not swollen, red, or feverish. It hurts most when I turn my ankle onto the right side of my foot. The pain is from the arch of my foot to above the ankle. It hurts a lot in the morning after a night s sleep. Gets better as I use it. I ve been wearing an ankle bandage and that seems to help. But it doesn t feel as if it is getting better after a week of pain. Is it a sprain?
Thu, 29 Sep 2022
Report Abuse
Anesthesiologist 's  Response
Hello,

Few probable causes of your ankle pain are plantar fasciitis or inflammation of tissues in your foot, entrapment syndromes like tarsal tunnel syndrome, calcaneal bursitis, bone bruise, inflammatory joint arthritis, osteomalacia and retrocalcaneal bursitis. Please do not worry looking at the long list. The most common and probable cause of your pain is plantar fasciitis.

The causes of plantar fasciitis are obesity, sudden increase in running speed or running distance, hill climbing and usage of worn out shoes for running. Treatment includes 6 weeks of consistent and daily icing, stretching, NSAID therapy, strapping and taping, and over-the-counter (OTC) orthoses. Counseling as to activity modification, as well as choice of shoe gear, is important.

After 6 weeks, recalcitrant cases should be treated additionally with a night splint and, possibly, an injection, along with the initial regimen for another 6 weeks.
1) Icing daily for 15-20 min for 6 weeks consistently
2) Rest and activities modification like reducing the speed and distance of running, avoiding hilly terrains
3) NSAIDs must be used consistently for 6 weeks like Ibuprofen, Aceclofenac
4) Oral corticosteroids like methylprednisolone can be used for 6 weeks and then slowly tapered
5) If all the above primary measures fail, corticosteroid injection into the plantar fascia is indicated
6) Usage of over the counter orthoses
7) Many stretching exercises are available online for plantar fasciitis please have a look and they are very promising.

If all the above methods fail, many experimental methods like autologous blood and plasma, cryopreserved human amniotic membrane, extracorporeal shockwave therapy are in trials. But plantar fasciitis is self limiting illness.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
I find this answer helpful
Pathologist and Microbiologist Dr. Shailja Puri's  Response
Hello,

Severe pain in ankle could be due to trauma causing soft tissue injury or joint related pathology. I suggest you to get an X-ray of the joint first to assess the bones around joint and soft tissues.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Shailja Puri, Pathologist and Microbiologist
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Severe Pain In The Right Ankle?

Hello, Few probable causes of your ankle pain are plantar fasciitis or inflammation of tissues in your foot, entrapment syndromes like tarsal tunnel syndrome, calcaneal bursitis, bone bruise, inflammatory joint arthritis, osteomalacia and retrocalcaneal bursitis. Please do not worry looking at the long list. The most common and probable cause of your pain is plantar fasciitis. The causes of plantar fasciitis are obesity, sudden increase in running speed or running distance, hill climbing and usage of worn out shoes for running. Treatment includes 6 weeks of consistent and daily icing, stretching, NSAID therapy, strapping and taping, and over-the-counter (OTC) orthoses. Counseling as to activity modification, as well as choice of shoe gear, is important. After 6 weeks, recalcitrant cases should be treated additionally with a night splint and, possibly, an injection, along with the initial regimen for another 6 weeks. 1) Icing daily for 15-20 min for 6 weeks consistently 2) Rest and activities modification like reducing the speed and distance of running, avoiding hilly terrains 3) NSAIDs must be used consistently for 6 weeks like Ibuprofen, Aceclofenac 4) Oral corticosteroids like methylprednisolone can be used for 6 weeks and then slowly tapered 5) If all the above primary measures fail, corticosteroid injection into the plantar fascia is indicated 6) Usage of over the counter orthoses 7) Many stretching exercises are available online for plantar fasciitis please have a look and they are very promising. If all the above methods fail, many experimental methods like autologous blood and plasma, cryopreserved human amniotic membrane, extracorporeal shockwave therapy are in trials. But plantar fasciitis is self limiting illness. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist