Florida Foot Specialists

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What Causes Ankle Pain Without Injury?

As a seasoned podiatrist, I’ve seen my fair share of puzzled faces asking, “Why does my ankle hurt when I haven’t injured it?” It’s a question that’s more common than you might think. Ankle pain without injury can feel like a mystery, a riddle waiting to be solved.

In this article, we’ll pull back the curtain on this perplexing issue, exploring the various conditions that can cause your ankle to protest, even when you haven’t taken a tumble or twisted it. So, let’s lace up our detective shoes and start this intriguing journey together.

So, what can cause ankle pain if no injury has occurred?

Ankle pain without injury can be caused by various conditions such as arthritis, tendonitis, nerve damage or neuropathy, infections, and diseases that affect bodily joints like lupus. These conditions can lead to inflammation, discomfort, and pain in the ankle even in the absence of a physical injury.

Understanding Ankle Pain

When we talk about ankle pain, it’s not just a simple “ouch” we’re referring to. The ankle is a complex structure, a marvel of engineering that bears the weight of our entire body. It’s composed of three bones – the tibia, fibula, and talus – held together by numerous ligaments.

These bones are moved by muscles, which are connected to the bones by tendons.

Ankle pain can manifest in various ways. It might be a dull ache that nags at you throughout the day, a sharp pain that strikes when you move in a certain way, or a throbbing sensation that keeps you awake at night.

The pain might be localized to one area of the ankle, or it might be more diffuse, spreading out to affect the foot or the lower leg.

Understanding ankle pain involves recognizing these different manifestations of pain and identifying their potential causes. It’s like being a detective, piecing together clues to solve a mystery.

And in the case of ankle pain without injury, the mystery can be particularly challenging to unravel. But don’t worry, we’re here to guide you through it.

Common Causes of Ankle Pain Without Injury


Arthritis isn’t just for the elderly. It can strike at any age, and your ankle isn’t immune. There are different types of arthritis that can cause ankle pain, including osteoarthritis, rheumatoid arthritis, and gout.


Tendonitis is inflammation of the tendons, the fibrous tissues that connect muscle to bone. It can cause a dull ache or a sharp pain in your ankle, even without an injury.

Flat Feet

Flat feet, also known as pes planus, is a common problem in which the arches of the feet collapse. This can put extra strain on your ankles and cause them to ache without any injury.


Lupus is a chronic autoimmune disease that can affect any part of the body, including your ankles. It can cause pain and swelling in the joints, even without an injury.

Nerve Damage or Neuropathy

Nerve damage, also known as neuropathy, can cause ankle pain. It might feel like a burning sensation, a sharp stabbing, or even a tingling in your ankle.


Infections in the ankle are less common, but they can happen, and when they do, they can cause pain even without an injury.

Diseases that Affect Bodily Joints

Certain diseases, like lupus, can affect the joints in your body, including your ankle, causing pain without an injury.

What do you do when your ankle hurts out of nowhere?

When your ankle hurts out of nowhere, it’s crucial to take some immediate steps to manage the pain and prevent further discomfort:

  1. Rest: Avoid putting weight on the painful ankle. This can help prevent further injury and allow the ankle to start healing.
  2. Ice: Apply an ice pack to the ankle for 15-20 minutes every 2-3 hours. This can help reduce swelling and numb the area, reducing pain.
  3. Compression: Wrap the ankle in an elastic bandage or wear a brace to help reduce swelling.
  4. Elevation: Whenever possible, try to elevate your ankle above the level of your heart. This can help reduce swelling and promote healing.
  5. Pain relievers: Over-the-counter pain relievers like ibuprofen can help manage the pain.

If the pain persists, worsens, or is accompanied by other symptoms like fever or redness, it’s important to seek medical attention. A healthcare provider can help determine the cause of the pain and recommend appropriate treatment.

When Should I Be Concerned About Ankle Pain?

You should be concerned about ankle pain and seek medical attention in the following situations:

  1. Severe pain or swelling: If the pain or swelling is severe and makes it difficult to move or put weight on your ankle, it’s important to seek medical help.
  2. Pain that doesn’t improve with rest and home treatment: If your ankle pain doesn’t improve after a few days of rest, ice, compression, and elevation (the RICE method), you should see a healthcare provider.
  3. Pain that persists or worsens over time: If your ankle pain is getting worse instead of better, it’s a sign that you should seek medical attention.
  4. Signs of infection: If your ankle is red, warm to the touch, or if you have a fever, these could be signs of an infection and you should seek medical help immediately.
  5. Inability to walk or bear weight on the ankle: If you can’t walk or bear weight on your ankle, it’s important to get medical help. This could be a sign of a severe sprain or fracture.

Remember, it’s always better to be safe and get your symptoms checked out if you’re concerned about your ankle pain.


Ankle pain without injury can be a real mystery. But with a better understanding of the possible causes, you’re well on your way to solving the puzzle.

Remember, persistent ankle pain is your body’s way of saying, “Hey, something’s not right here.” So, don’t ignore it. Seek medical advice and get back on your feet.