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My ankles hurt a lot

19 May 18

What causes ankle pain. How to treat ankle pain

Common causes of ankle pain are:

  • subluxation of the joint, turning into arthrosis;
  • arthritic inflammation.
  • Arthritis differs from subluxation in that in most cases the ankle joint is not alone in its condition - the other joints are also affected by the disease. One far from wonderful morning, a person discovers that his ankles hurt, and he knows for sure that he did not receive any injuries the day before. Inflammation, swelling, and pain complicate the patient’s life mainly at night. When walking, the pain is less pronounced.

    Diseases that cause ankle pain

    The main causes of ankle pain:

    – Foot and ankle injuries. This is perhaps the most common reason why ankle pain occurs. Patients with a similar diagnosis make up the lion's share of visitors to trauma centers. These injuries occur due to mechanical effects on the bones of the foot: the patient twists his leg, lands on his feet when falling or jumping from a height, or drops a heavy object on his foot. Most often, based on the results of such cases, doctors record sprains, fractures of the bones of the foot (phalanxes, metatarsals, tarsals, calcaneus, ankles) and the posterior edge of the tibia, dislocation of the feet.

    – Deforming osteoarthritis is a serious disease that affects the musculoskeletal system. Very often, due to the development of deforming arthrosis, a person loses his ability to work and becomes disabled. The leading cause of deformation of the ankle bones under the influence of arthrosis is trauma to the bones of the foot (ankle, talus and tibia).

    – Degenerative arthritis, otherwise called osteoarthritis, is often recorded not only in elderly people, but also in middle-aged people. This disease is associated with the natural wear and tear of the cartilage tissue that acts as a covering for the bone inside the joint capsule. From smooth and “slippery” it becomes rough, dry, the movement of the bone in the joint is hampered, which leads to inflammation of the joint, ankles, knees, etc. become inflamed and painful. Gradually developing, articular syndrome causes increasingly unpleasant sensations in the joint area.

    - Rheumatoid arthritis. This disease is quite common, although scientists question the fact that it is inherited. However, one should not deny the possibility of a predisposition to it. Some infectious diseases can provoke the development of rheumatoid arthritis. It is possible that some immune bodies produced by the defense system negatively affect the condition of the joints. This is exactly the scenario that events develop when joints are damaged by rheumatoid arthritis.

    – Arthritis resulting from injury. Post-traumatic arthritis is mainly caused by damage to the connective tissues of the lower extremities. Usually a complication of a ligament or muscle tear is joint dislocation, which then makes the injured joint extremely susceptible to developing arthritis. Under the influence of biologically active substances generated by the inflammatory process, processes of replacement of the cartilaginous tissue itself with inelastic connective tissue occur in the joint.

    Specialists to contact if pain occurs:

    If you have an injury, swelling and pain in your ankle, or pain in the bones of your feet or ligaments when walking or after running, the cause can only be determined by a doctor after an appropriate examination.

    Causes of ankle pain. Ankle hurts

    Ankle pain can be caused by several diseases or injuries. The main and most common cause may be when the foot turns outward. In this case, too much stress may be placed on the supporting ligaments, resulting in unwanted stretching. Ankle pain can also be caused by a muscle tear or bone fracture. Each of these injuries can cause swelling, which causes loss of leg mobility and pain.

    But these reasons are not the only ones that can cause ankle pain. Also, this ailment can be caused by too much stress, either from walking for a long time, or from going up and down too quickly and for a long time, or from standing on your feet for a long time. In this case, tendinitis may develop, that is, inflammation of the tendons and connecting muscles. Inflammation of the Achilles tendon can be very dangerous. This tendon runs up from the heel. It is quite susceptible to various kinds of stretching and tearing. Also, too much stress on the ankles can cause bursitis, the pain of which is associated with dangerous inflammatory processes in the ankle bursa.

    Ankle fractures can also cause severe pain. A fracture can be caused by intense sports, for example. In addition, pain can be caused not only by a fracture, but also by the formation of cracks. An x-ray should be taken to detect a bone fracture or crack. As a rule, it is difficult to distinguish the injury in the next 6 weeks after the fracture.

    Uncomfortable shoes can also cause ankle pain. When turning the foot and walking on hard surfaces, the feet are especially susceptible and a person can suffer unwanted injuries. Therefore, it is worth choosing shoes with arch supports that are durable enough and designed for specific purposes. So, for sports it is necessary to select special shoes. The same applies to long walking.

    A condition such as gout can also cause ankle pain. In this case, jerking pain may appear. In this case, swelling of the joints may occur, which is caused by deposits of uric acid in them.

    The following diseases can also cause and aggravate ankle pain: rheumatoid arthritis, circulatory disorders and nerve damage, bone spurs, tearing of small pieces of bone or interarticular cartilage, etc.

    If you notice that your ankle hurts, you should consult a doctor. In this case, a traumatologist or rheumatologist will be able to help you.

    Legs become swollen around the ankles

    Swollen and tired legs after a hard day at work are one of the most common problems today; unfortunately, sometimes the legs around the ankles become swollen not because of uncomfortable shoes or heavy loads, but due to severe diseases of the internal organs or endocrine disorders.

    Why do my legs swell around the ankles?

    There are actually a lot of reasons why your legs may swell around the ankles: from pregnancy to dislocated bones, so you should not take any medications until you see a doctor and make an accurate diagnosis. Most often, swelling of the lower extremities in the ankle area occurs when:

  • Overworked legs, improperly selected shoes or flat feet are the most common and safest causes of swelling of the legs in the ankle area. People who spend most of their time on their feet, are overweight, lead a sedentary lifestyle, or prefer uncomfortable high-heeled shoes that squeeze their feet are 100% likely to encounter this problem. Edema of the lower extremities occurs due to increased load on the vessels of the legs, accumulation of fluid in the intercellular space and compression of the lymphatic vessels. Such swelling is painless, not too pronounced, the skin on the lower extremities is not changed, patients complain of heaviness in the legs, fatigue and swelling of the legs, which occurs exclusively in the evening or after prolonged exercise, and after sleep or rest all unpleasant sensations disappear;
  • impaired venous circulation - insufficiency of venous circulation, developing due to varicose veins or thrombosis, occurs in most women over 40 years of age. Gradually, the muscular walls of the venous vessels weaken more and more and can no longer ensure sufficient contraction of the veins and the return of the entire volume of blood to the heart. This leads to the fact that in the evening hours the ankles of patients become very swollen, the pattern of blood vessels on the lower extremities becomes clearly visible, the skin over the swelling turns red, inflamed, becomes hot to the touch, and severe pain occurs when pressure is applied;
  • diseases of the cardiovascular system - regularly occurring swelling of the ankles may indicate insufficiency of the cardiovascular system. Due to stagnation of blood in the vessels, edema occurs on both legs, they are painless, the skin over them is not changed, swelling of the legs is typical in the evening hours and after drinking large amounts of liquid; accompanying symptoms help diagnose such edema: shortness of breath, pain in the heart, increased heart rate , weakness and so on;
  • kidney diseases – in kidney pathologies, swelling occurs due to the accumulation of fluid in the body. Not only the legs, but also the face swell; large “bags” appear under the eyes, and tumors appear not in the evening, but in the morning, after sleep. The swelling is painless, dense, and can rise to the level of the knees;
  • diseases of the thyroid gland - dysfunction of the thyroid gland leads to the accumulation of intercellular fluid in the lower extremities, lower part of the face, and hands. The swelling is very dense - when you press your fingers, a hole remains, they appear at any time and do not disappear after rest;
  • diseases of the lymphatic system - when the flow of lymph in the body is disrupted, a person develops “elephant disease” - the legs become very swollen, the feet become like a pillow and he almost loses the ability to walk independently;
  • Ankle injury – a fracture, dislocation or sprain of the ankle joint is accompanied by severe pain and rapidly appearing swelling of the ankle. It is caused by hemorrhage in the tissue, the leg swells, turns red, the skin over the swelling is hot, inflamed, pain intensifies when trying to walk or when pressing on the sore spot;
  • arthrosis or other joint diseases - with such pathologies, patients complain, first of all, of pain when walking and only after that - of swelling. With arthrosis, the ankles are constantly swollen, they increase in size, the joints become deformed, turn red, the mobility of the foot decreases, the pain intensifies after walking, hypothermia, or when trying to move the foot;
  • insect bite – severe swelling and pain in the ankle can occur due to an insect bite, the leg swells, the skin of the ankle turns red, and the bite site can be discerned on it;
  • pregnancy – swollen ankles during pregnancy are considered quite common. Blood stagnation in the lower extremities is associated with an increase in body weight, changes in water-salt balance, and impaired blood and lymph circulation in the body. If the legs swell slightly, and the swelling appears only in the evening and quickly disappears, the expectant mother has no particular cause for concern, but if swelling occurs regularly, the legs hurt when walking or become very swollen, you should definitely consult a doctor who will check how the urinary organs and cardiovascular system of the pregnant woman work.

What to do - ankles are swollen

If the cause of swelling of the lower extremities is not diseases of the internal organs, it is quite possible to cope with the problem on your own. To do this you need:

  • wear comfortable shoes - if you have flat feet, orthopedists recommend getting special orthopedic insoles and wearing them constantly - at work, at home and on vacation. And if there are no such problems with the feet, it is necessary to abandon high heels, wear only comfortable, non-squeezing feet, which make it possible to place the toes in a natural position;
  • limit fluid intake in the evening and reduce the consumption of certified salt. Salt retains fluid in the body, so in case of edema, you need to completely avoid salty, spicy and spicy foods and minimize the amount of fluid consumed after 6-7 pm;
  • wear compression tights - if there are signs of varicose veins, special compression tights will help strengthen the walls of blood vessels and relieve swelling in the ankle area;
  • do contrast baths - help reduce swelling and relieve the feeling of fatigue. To achieve maximum effect, it is recommended to keep your feet in hot water for 5 minutes and in cold water for 10-20 seconds, repeat the procedure 2-3 times daily, before going to bed;
  • do massage and special exercises for the feet - a light foot massage and regular exercises for the feet will help reduce pain and relieve swelling of the ankles, and will also strengthen blood vessels and muscles, which will help to avoid the formation of edema in the future. Foot massage can be done independently, 2-3 times a day, stretching the ankles and feet, and special gymnastics can be easily combined with everyday activities - work, watching TV, cooking or cleaning. To do this, it is enough to step from toe to heel for 15-20 minutes a day, place your foot on your toe, rotate your foot and perform other similar exercises;
  • use ointments - severe pain and swelling in the lower extremities can be reduced with the help of ointments such as asklezan, lyoton, troxevasin, heparin ointment;
  • use folk recipes - you can take diuretics such as birch buds, horsetail extracts and astragalus decoction.
  • All of the above remedies can only help if the swelling is caused by incorrectly selected shoes, sedentary work, or, conversely, too much stress on the legs; in all other situations, consultation and treatment by a specialist is necessary.

    Another common cause of pain in the feet and ankles is flat feet, either acquired or traumatic. A number of medical conditions can cause pain in the ankle area, such as gout. Excruciating pain in the ankle can occur not only with sudden rotational movements.

    The main and most common cause may be when the foot turns outward. In this case, too much stress may be placed on the supporting ligaments, resulting in unwanted stretching.

    In addition, pain can be caused not only by a fracture, but also by the formation of cracks. As a rule, it is difficult to distinguish the injury in the next 6 weeks after the fracture. When turning the foot and walking on hard surfaces, the feet are especially susceptible and a person can suffer unwanted injuries.

    In this case, swelling of the joints may occur, which is caused by deposits of uric acid in them. If you notice that your ankle hurts, you should consult a doctor. In this case, a traumatologist or rheumatologist will be able to help you. Foot and ankle injuries. The leading cause of deformation of the ankle bones under the influence of arthrosis is trauma to the bones of the foot (ankle, talus and tibia).

    In bedridden patients, there is a connection of bones, muscles, tendons in the foot area, which also manifests itself in pain. Systemic or chronic diseases in history have a certain impact on the patient’s entire body, including the musculoskeletal system. For example, chronic osteoporosis or developed as a result of injury is the cause of diffuse pain in the foot; local pain, as a rule, is a consequence of a number of diseases.

    Attacks of burning in the foot and pain in the toes are most often a reaction to hyperthermia. Diagnosis is based on an external examination, a thorough questioning of the patient, the complaints presented and the presence of other diseases in the anamnesis that provoke pain in the feet and ankles. Regular exercise and moderate physical activity help improve blood circulation in the legs. It is important to choose shoes with good arch supports and shock-absorbing insoles.

    Causes of pain in the ankle and foot

    In any case, you should not start the development of the disease, but it is better to consult a doctor in a timely manner, because... As a rule, pain in the big toes accompanies reactive or psoriatic arthritis, as well as true gout, which occurs only in men. With age, people increasingly complain of such unpleasant ailments as tired legs and pain in the legs. Some people have joints that are sensitive to weather changes, while others have a burning sensation in their feet after walking.

    Lower back pain radiating to the leg is a typical manifestation of lumbar ischialgia. Without the correct, complete course of treatment, the pain, as a rule, does not go away and only gets worse over time... One of the most common ankle injuries is a rupture or sprain of the ankle joint ligaments. The most common ankle injuries occur when the foot turns outward. They may be caused by excessive loads of another kind. When walking too long, standing in one position, going up and down quickly, tendonitis develops.

    It rises from the heel along the back of the ankle. Bursitis is a painful sensation associated with inflammation of the ankle bursa (a fluid-filled sac on the back of the heel that acts as a protective pad). Ankle fractures.

    This is perhaps the most common reason why ankle pain occurs. Uncomfortable shoes can also cause ankle pain. Incorrectly selected shoes and lack of arch supports can cause pain in the ankles when turning the foot or walking on a hard surface.

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