If you’ve ever noticed a nagging ache, sharp stab, or swelling on the inside of your ankle (also called the medial ankle), you’re not alone. Inner ankle pain can range from a mild annoyance to something that seriously limits your daily activities. With so many possible causes, anything from flat feet to tendon injuries, it can be hard to know when to rest, when to try home care, and when it’s time to see one of our doctors.
This guide will walk you through:
- Common causes of inner ankle pain
- At home treatments you can try
- Signs it’s time to see a doctor
Common causes of inner ankle pain
Inner ankle pain can come from all kinds of different sources. Some of the most frequent include:
- Posterior Tibial Tendon Dysfunction (PTTD): When the tendon that supports your arch becomes strained or torn, leading to pain and sometimes flatfoot.
- Flat Feet or Fallen Arches: Over time, the extra stress on your medial ankle can cause pain.
- Ankle Sprains: Even a mild sprain can leave lingering pain on the inside of the ankle.
- Arthritis: Wear and tear in the ankle joint can trigger stiffness and aching.
- Tarsal Tunnel Syndrome: A nerve gets compressed near the inner ankle, causing pain, tingling, or numbness.
- Stress Fractures: Small cracks in the bone from repetitive activity.
At home treatments to try
For mild cases of inner ankle pain, you may find relief with:
- Rest and Ice: Give the ankle a break and apply ice packs for 15–20 minutes at a time.
- Compression and Elevation: Reduce swelling with an ankle sleeve or bandage, and prop up your foot when resting.
- Orthotics: Shoes with arch support and cushioning take stress off the inner ankle. We provide orthotics that our doctors will customize for your feet and over the counter orthotics you can get in our office on a walk-in basis.
- Gentle Stretching and Strengthening: Calf stretches and light ankle exercises can improve stability. This article from Cleveland Clinic can be a great reference if you need help getting started: Ankle Strengthening Exercises for Weak Ankles
- Over the Counter Pain Relief: Anti-inflammatories like ibuprofen may ease discomfort.
When to call us
Some ankle pain will resolve with rest and care, but it’s important to know the red flags:
- Pain that persists for more than a few days despite rest
- Severe swelling or bruising that doesn’t improve
- Pain that makes it difficult to walk or bear weight
- Numbness, tingling, or burning sensations
- Visible changes in your foot shape, such as a collapsed arch
If you notice these signs, it’s time to schedule an appointment with one of our doctors. Early treatment can prevent small problems from becoming long term injuries.
Bottom line + A reminder to be proactive with your health!
Inner ankle pain, whether it’s from overuse, injury, or underlying conditions, shouldn’t be ignored. With the right care, most causes can be managed effectively. Early detection is key. Catching problems before they progress can mean quicker recovery, fewer complications, and a lower chance of permanent damage. If your pain isn’t improving or is impacting your daily life, our team is dedicated to helping you find lasting relief.
