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Q: Right ankle aching
asked by: DoctorQuestion on October 30th, 2009
about 6 days ago i woke up with my inner right ankle aching and this caused pain when i walked on it. It hurt under the ankle when i pressed on it; almost like a bruise; and it looked very slightly swollen and red. So i've been limping around trying not to put pressure on it. But it seems that the pain has changed and moved. There is now less pain on my ankle but more under the arch of my foot and in the smaller toes and outer edge of my foot. I'm still limping around but not going out with the exception of yesterday when i went to the walk in surgery and spoke to a nurse. The nurse said rather vaguely that ive probably just strained it somehow and to just rest it. But it has been 6 days now and no improvement and a twitching has begun in the arch of my foot although this itself does not hurt at all; just feels odd. I am a student and dont drive so i kind of need to be back on my feet asap.


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Dr. Kokil Mathur , MD
replied on November 7th, 2009
Foot Disorders Answer A7813
Hello and welcome to eHealth Forum!

Pain on the inner side of the ankle is often due to inflammation at the attachment of tibialis posterior muscle. Impingement of the ankle joint between the bones of ankle and foot is another possibility.

Dislocation of peroneal muscle tendon can also cause shooting pain. Stress fractures of medial malleolus of the shin bone, tarsal tunnel syndrome, or rupture of tendon of peroneus brevis are the other possibilities.

Since the pain has now moved to the foot arch there is a chance that you have plantar fascitis. Plantar fascia is a ligament that connects your heel bone to your toes. If it swells, becomes weak or inflamed, it causes these symptoms.

The clue to right treatment is right diagnosis of the cause of pain. You can consult an orthopedic specialist or a sports medicine specialist. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind. Hope this helps. Take care!






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