Ankle Pain - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes conditions associated with ankle pain.
.
What are the common causes of ankle pain?
We are going to group all of the causes of ankle pain into 4 groups:
Anterior ankle pain (in front of the ankle)
Anterior lateral impingement: This is painful limitation of full range of motion of the ankle due to soft tissue thickening or tibial bony spur impinging on the talus, limiting dorsiflexion of the ankle.
Arthritis of the ankle: Arthritis of the ankle can occur due to injury or due to inflammation. It can be diagnosed by examination or by an x-ray.
Osteochondritis dissecans of the talus: A little chip fracture inside the ankle that causes pain, swelling, and stiffness.
Medial ankle pain (inside of the ankle)
Tarsal tunnel syndrome: Compression on the posterior tibial nerve produces symptoms of pain and numbness on the medial (inside) side of the ankle. When conservative treatment fails, surgical treatment of the tarsal tunnel release may be needed.
Posterior tibial tendon tendonitis or rupture: Posterior tibial tendon problems can occur from overuse activities, from degeneration, or trauma. The posterior tibial tendon is one of the major supporting structures of the foot. The tendon helps to keep the arch of the foot in its normal position. When there is insufficiency or rupture of this tendon, the arch begins to sag, and a flatfoot deformity can occur associated with a tight Achilles tendon. The posterior tibial tendon rupture occurs in the hypovascular area, which is distal to the medial malleolus. The patient will have painful swelling on the posteriomedial aspect of the ankle. The patient will be unable to perform a single heel toe raise, too many toes sign, or flatfoot or fixed deformity of the hindfoot. Rupture of this tendon could be missed!
Flexor hallucis longus tendonitis: Pain, swelling, and weakness posterior to the medial malleolus. Dorsiflexion of the big toe may be reduced when the ankle is placed in dorsiflexion. Triggering and pain along the tendon sheath may also occur with toe flexion.
Posterior ankle pain (behind the ankle)
Posterior ankle impingement (os trigonum): Os trigonum is a nonunited piece of accessory bone seen posterior to the talus. Tenderness in the posterior lateral aspect of the ankle posterior to the peroneal tendons, especially with passive plantarflexion of the ankle, may be seen in association with Flexor hallucis longus (FHL) tenosynovitis.
Achilles tendonitis: Irritation and inflammation occurs due to overuse. Pain, swelling, and tears within the tendon. It is usually treated with therapy and eccentric exercises. It is rarely treated with surgery.
Achilles tendon rupture: The Achilles tendon can become prone to rupture with age, lack of use, or by aggressive exercises. Rupture of the Achilles tendon is diagnosed by the Thompson test or by an MRI. Treatment may be conservative without surgery by doing early functional rehab. Or it can be treated with surgery by approximation of the torn ends of the tendon. The risk of surgery is infection and skin/wound complications. The risk of conservative treatment is a high rate of rerupture of the tendon.
Lateral ankle pain (outside of the ankle)
The cause of ankle pain on the outer side of the ankle may be a sprained ankle, but diagnosis of a sprained ankle may be the wrong diagnosis. There are other structures in this area that can mimic an ankle sprain, but it is not an ankle sprain.
Ankle sprain: When the pain is anterior and around the fibula, it can be attributed to ligament sprain. Ankle sprain can be high ankle sprain (rare) or a low ankle sprain (common). Both types of ankle sprains are seen in this diaphragm.
High ankle sprain: High ankle sprain is a syndesmotic injury and requires surgery. The high ankle sprain is a serious injury because it injures the ligament that connects the tibia to the fibula at the ankle joint. The diagnosis is usually done by the use of external rotation stress views or by CT scan.
Low ankle sprain: A low ankle sprain is not a serious injury and it does not require surgery. Low ankle sprain is collateral ligament injury. With an ankle sprain, although the condition is painful, the patient will be able to walk. When there is a fracture of the ankle, the patient will be unable to walk due to severe pain. The treatment of ankle sprains will include immobilization, ice therapy, physical therapy, and rarely surgery.
Diagnosis of a sprained ankle may be the wrong diagnosis. So, let us see what else can cause pain on the outside of
the ankle.
Peroneal tendon subluxation: Occurs due to rupture of the superior peroneal retinaculum.
Rupture of the peroneus longus tendon: The os peroneum displaces proximally.
Peroneal tendinitis
Anterior process of the calcaneus fracture
Lateral process of the talus fracture

[@cand33cane]

Your videos are so informative yet helpfully concise. Thank you so much for taking the time to share your knowledge with us. It is truly appreciated

[@sreedeviharishkumar3154]

L

[@atreener]

Thank you. This was very helpful. Explained clearly and easy to understand.

[@shanep3045]

Hope everyone gets better soon ❤ I am now on week 7 and still have a lump on my ankle and restricted movement to my foot 😢 and mild pain now (I'm just scared I think it will not get better) I'm walking on it but very uncomfortable, I swear I'm going to start running when and if it does heal 🙏 good luck to you all

[@RahulGandhiClub]

Hi Shane p same here

[@RahulGandhiClub]

Hi shane can you reply me please

[@RahulGandhiClub]

@shanep3045

[@RahulGandhiClub]

@shanep3045 can

[@TheInstinctWithinV2]

Go to the doctor. It's not going to go away.

[@jimboland1730]

As always, information presented coherently that I can walk right out into the clinic and apply to patient care.

[@allisonreid1256]

Extremely helpful.Great clarity. Appreciated Thank you

[@amaliag.3541]

Amazing video. Thank you so much!!

[@naziabhatti2385]

Thanks for incredible information. It's helpful to know about the various conditions of ankle pain.

[@MrAitutaki1]

Thank you! That was very clear

[@jione8722]

Extremely helpful. Thank you.

[@jessicabaker9757]

Thank you so so much for making this video for regular people! 🙏🙏🙏🙏🙏💪 you are a super hero! ❤

[@rosinarakoma5119]

Thank you to share us. With ankle pain and to treat it.

[@jetznikecateringservices9551]

Thank you so much for that explanation. It's was very educative.

[@jessicaculver6198]

Top notch video this is very informative easy to understand and the most thorough I've way hed I think ever . Thank you Dr

[@mikes8809]

You need another video on exercises you can do to relieve the pain...thanks...

[@choibyeongwoog988]

Thank you every time..

[@sparrowss134]

Thank you so much! I suffer all 4 group of ankle pain at the same time.❤❤❤

[@mohamedyahia6788]

Thank you for the precious info

[@conniepascual3660]

Thank u for sharing this to us very clear ....

[@dorisgreen9820]

Appreciate your advice about my ankle pain.

[@sondbird2421]

Very informative and right to the point.

[@sushmaprehar4356]

Very informative.

[@saltedcaramel1999]

This was an extremely helpful video. Thank you! 😁

[@nabilebraheim]

Thanks

[@wawanhermawan7596]

Thank you very much. I love this video.

[@mayaTN]

Thanks for sharing Dr Ebrahim. I had trimalleolar surgery 6 months ago, and with physical therapy, AlHamdullillah I'm walking again. Now as I'm resuming my normal routine, new areas of pain appear every day. Since last week, I've been experiencing 6/10 pain in Tibialis Anteriror Tendonitis. Thanks to you, I can rest assured that it's just because of overuse, and I can explain my pain clearly to my physical therapist.

[@vxlentina4161]

I had that same surgery about a month ago and my ankle still hurts a lot do you have any advice? When did the pain reduce for you?

[@WAFFLEBOYPHD]

I have a lot of left ankle pain in many places of the ankle, have a hard time moving my foot up and down and same for my toes, constantly in pain and been to doctors and they have said nothing is wrong. but this video helped me get insight on what the problem might be. Thank you

[@WAFFLEBOYPHD]

@Kajal Bhendre I’m sorry man I don’t understand.

[@inerit5175]

I use to get very bad pain until i started using vitamins C, D, ZINC and SELENIUM ( Buy seperately) in less than 2 weeks all pain gone! Just buy any cheap brand!

[@butterflynotes839]

Thank you! I self administered physical therapy in the water. Although, I had to avoid using my leg all together for about a month or two when flutter kicking because of the pain eventually with time and adding resistance in kicks it got better.

[@surendrasinghdhanjal5835]

Excellent video

[@missk9950]

Thank you Dr, so helpful 🙏🙏🙏

[@carloshathcock5333]

Thank you. It was helpful.

[@sureshbr2731]

Thank you it is very helpful...

[@avinashbhogun]

Thank you - very helpful.

[@geoffreykibuga7457]

Thank you Prof Ebeaheim

[@AMRPhysiotherapy]

Love this! Very informative and educational. Thanks for sharing

[@wednesdaychild2408]

I love your slow and clear explaination, ❤❤❤❤❤❤❤❤❤❤❤👍👍👍👍👍👍👍👍👍👍👍👏👏👍

[@stevedre4771]

Thank you very much

[@the111l.t2]

ขอขอบพระคุณมากๆนะคะคุณหมอ ที่ช่วยแนะนำสาเหตุของอาการเจ็บเท้า...เป็นประโยชน์อย่างมากเลยค่ะ...เพราะกำลังเป็นอยู่...ขอคุณพระคุณเจ้าปกป้องคุ้มครองรักษาท่านนะคะ.🙏🙏🙏💖03/01/2022

[@ramchillarege1658]

Very good. Thank you!

[@pascalbordy5804]

THANK YOU P Bordy MD

[@vitaminb4869]

A low ankle sprain is definitely a serious injury. I couldn't walk for half a month. 1.5 months later I'm still heavily limping. I hope I can recover in 3-4 months, but there is no guarantee. Some people have ongoing issues for years.

[@ishu2798]

I have ankle sprain too its been 4 months and i cant walk properly

[@dreadlux]

Ahhhh...I still had hope at 3-4 months. I am now 1 year out from my sprain. Still bracing daily. Still not healed. I pray you are more fortunate.

[@vitaminb4869]

@@dreadlux Wow, a year is a long time! I don't know what the issue is exactly, but it could be scar tissue and tightness if you never had that taken care of. Although it shouldn't be causing real pain, just tightness and lack or range of motion. Myself I'm doing better now at 4 months, but still not fully recovered. Getting there though. I also never felt I need a brace to walk, so to me it was never necessary.

[@JUBASH57]

good explanation

[@s.7184]

Yes very helpful, but can you do videos on what can the patient do ourselves to help improve? I have posterior tendonitis and want to do physical therapy to improve, and would like suggestions on exercises. Thank you!

[@cindybochenski6976]

There is NOTHING about WHAT TO DO to relieve the pain or help the condition. Even the many questions asked below are not answered.

[@tigistgoshu3042]

J

[@inerit5175]

I use to get very bad pain until i started using vitamins C, D, ZINC and SELENIUM ( Buy seperately) in less than 2 weeks all pain gone! Just buy any cheap brand!

[@ricosuave5120]

Start by bracing it to relieve pain while walking. Ice and massage while resting with it elevated.

[@dm5129]

Please visit Bob and Brad on U Tube, the internet's best physical therapists, in their opinion, and in mine too. They are fantastic, you will never have to visit a therapist again, they have hundreds of videos for every problem area in the human body and they show in detail which exercises can be done from the very beginning of an injury to the strengthening and maintenance of that body part and they always use the first couple of minutes to describe the exact injury, the symptoms and which condition these symptoms belong to, if and when to consider surgery and they are right when they say that just about every condition can be worked on for many years and a patient may never have to consider surgery.

[@vajravelub8767]

Very much informative Thank you sir

[@user-hh4cn3uj3p]

Удивительное видео большое спасибо !

[@PEACE_FOR_ALL_ALWAYS]

JAZAKALLAHA HU QHAIR DOCTOR YOUR EFFORTS TO EXPLAIN IS TRULY HELPFUL THANKS FOR THE KINDNESS

[@nabilebraheim]

Thanks

[@moushumiakhter5806]

Very helpful

[@gamaltaher9714]

Thanks

[@Abuhashimasi]

I am a therapist, I would like to thank you Dr Ebrahiem . You are extremely informative . Every night I spend an hr going over your Videos Listening to your Lectures and can’t get enough. Many many thanks to you Dr Nabil .

[@nabilebraheim]

Wonderful!, thank you

[@PratimaNavale]

I am a teacher and sprained my ankle a year ago while coming down the stairs. Xray showed no fracture but MRI showed inflammatory synovitis with mild ankle joint effusion. I had no option to quit the job at that time, so I took no rest and kept working all days. I used to get cramps and pain while standing, walking, climbing stairs and swelling by the end of the day. The injury became more serious and I had to quit the job. It's been almost 2 months now I have been resting at home. But still I can't walk properly and my ankle shows stiffness, redness, swelling and burning pain. I can climb the stairs but can't go down the stairs easily. It really hurts. I feel hopeless and helpless thinking that my ankle has been permanently damaged. Not understanding what to do.... totally fed up now.☹️😫 Someone please suggest what should I do?

[@suadbalayahchannel1776]

Thank you good information 👍 I have pain in the ankle.👍

[@ayasarsour2860]

Thank you

[@searching.truth.]

Thank you sir

[@abhilashkumar-fl2gx]

Awesome information sir 👌🏻🤍

[@gunnuarmy2611]

Very good info

[@FearOfGeorge]

Very good

[@siashabrang2715]

Hi Dr. Nabil. You have done a surgery of my right ankle many years ago. I no longer live in CA and moved to east coast. I hope that I can arrrange a Facetime meeting and get your opinion on both ankles. Thank you

[@MattBounpraseuth]

Excellent to use demonstration this video, but where is the the clinic to see the Specialist please? appreciate that if you can help.

[@vinayakpingat1242]

Thanks, Sir 🙏🙏🙏

[@user-oc5qs6sq8q]

خيااال انت في الشرح وسهوله رائع بوركت

[@bqtraceyqian4621]

I have suffered ankle discomfort recently, which caused observable limping while walking. I was cured by my massage therapist.

[@loca-cola9218]

Wow. That's a relief.

[@santharamachandran2427]

Thank you. Want to know about the leg pain and the vericose.

[@user-kg9kq8gs9s]

Thanks sir for Nice explaining of orthopaedic deformities, l'm orthopaedic technical officer (accedent and orservice) of National hospital of sri lanka

[@kalaiselvivastiampillai4788]

Thank you so much Sir. I am having both plantar fasit and akel pain for last four years. I went operation for plantarfasit and akel pain but no more improvement. I went for some physical therapy too. Can you please give some tips to get better.

[@monaattiah3976]

Sorry to hear that. How is your foot now?

[@PratimaNavale]

I am a teacher and sprained my ankle a year ago while coming down the stairs. Xray showed no fracture but MRI showed inflammatory synovitis with mild ankle joint effusion. I had no option to quit the job at that time, so I took no rest and kept working all days. I used to get cramps and pain while standing, walking, climbing stairs and swelling by the end of the day. The injury became more serious and I had to quit the job. It's been almost 2 months now I have been resting at home. But still I can't walk properly and my ankle shows stiffness, redness, swelling and burning pain. I can climb the stairs but can't go down the stairs easily. It really hurts. I feel hopeless and helpless thinking that my ankle has been permanently damaged. Not understanding what to do.... totally fed up now.☹️😫

[@DOCSRUCS4265]

..sports physio ...can help out asap

[@baparna5190]

I'm also suffering same like you Ma'am

[@baparna5190]

Ma'am are you get any remedy for ankle pain relief please can you reply me Ma'am

[@_D_E_V_]

@@baparna5190 malayali ahno?

[@santoshshirsath5381]

Same problem suffering now me plz help me what do treat

[@sgdmdyic4316]

thanks

[@luckyhotspot2176]

Thanks...

[@jessetanko1973]

Nice classified and good lecture overall

[@daliakariaso5449]

Thank you Doc

[@stevosteve]

Clear, concise, understandable, good simple graphical support. Thank you so much.

[@21Dazzler]

What happens if I have pain at multiple sites?anterior, medial and posterior. There is no lateral ankle pain.

[@tungduongthanh7190]

thankyou

[@perigeesyzydy]

1:15 For about 3 weeks I had a sharp pain on that place showed in number 2. My ankle swells in a very specific spot and it gets very much sensitive to the touch. The pain came out of nowhere and just like that it vanished. But yesterday I woke up feeling the same thing again and I'm afraid I'm about to go through another 3 weeks of pain, swelling and not putting any weight on my right foot.

[@cmcproductions26]

I'm goin through something similar. My whole ankle, and foot just swelled, and turned dark red outta nowhere. I didn't twist it or anything. It hurt pretty bad. Then like 3 days later, it felt better, snd the swelling went down. Now, the side of my anke, and shin, hurt really bad, and are swollen. It hurts so bad I can barely walk on it. The past month or so, I haven't been able to sleep at all, and so I've basically just stayed up all night, every night, and will snooze for a little bit in my gaming chair. Im wondering if not laying down at all, can cause whatever it is.

[@perigeesyzydy]

@@cmcproductions26 it was kinda dark red on the swelling spot for me too. I'm starting to wonder it there's something to do on the way I walk. It's turned from "constant nonstop pain" to "it hurts if I take a step with my foot a little bit twisted to the side". Hard to explain.

[@cmcproductions26]

@@perigeesyzydy I feel the exact same way about myself. Im pretty sure I walk an abnormal way too. Plus, I have horrible knee pain too. But my feet have gotten bad. Every time I'm on them, it hurts. What's sad is, I'm only 32. It's scary to think that you're body really does start to get beat up more easily as you get older. I can't imagine being 40 much less 60 or 70. I'm pretty sure I've been on my feet too much lately. Like I said earlier, I haven't lied down in bed or on the couch in like 3 or 4 days. Ill just doze off in my gaming chair for a short bit. A lot of bad stuff is goin on in my life right now, and I can barely sleep.

[@JOXAVLOGS]

​@@cmcproductions26 I think I have similar symptoms without redness. I hope your ankle is recovered. I wonder that how many weeks has it taked to fully recovery? I went to doctor. Doctor took xray and said "don't walk rest more and nothing to worry about". Which methods did you use to fast recovery? Thanks a lot !

[@JOXAVLOGS]

​@@perigeesyzydy I think I have similar symptoms without redness. I hope your ankle is recovered. I wonder that how many weeks has it taked to fully recovery? I went to doctor. Doctor took xray and said "don't walk rest more and nothing to worry about". Which methods did you use to fast recovery? Thanks a lot !

[@walterbrown8694]

That's amazing - Who would have ever thought the various causes of ankle pain all appear to be close to the ankle ?

[@m3nt4l_]

lmao 💀

[@cmlowpro]

What about brown spots around the ankle?? Like bruising but did not injure my ankle.

[@AnnaMaria-uy3wp]

I have medial ankle issue for past month or more. Very painful , hard to walk. Did bloodwork, negative for gout. Xray next. Taking anti-inflammatory pills . My garden is suffering. I still hobble out, but so hard to do with garden hose . I want to go to the beach but too much pain to even walk and carry stuff. I have a cane. Huge yard with blueberries too. Now ready for picking. Trying to cope. Good wishes to all here.

[@shehlak]

What therophy is best for the ankle pain?

[@askarsfan2011]

Can sciatica from a bulging disc cause lateral ankle pain that refuses to go away?

[@jyotideshpande3593]

Hii...tks a ton for this video..I had undergone an ORIF surgery of ankle n talus of right leg 9 months back..still it pains alot n m yet not able to walk...contineous physio is going on..but my leg is not taking my weight..what can be the solution...

[@colesguppychannel.23]

What are the treatment?

[@angelaangela1509]

thanke you good to know

[@amelielelieveld987]

Very sweet

[@sellakabwe7416]

What medication should I take

[@orchidiadizon6210]

thank u so much for imformatives about unckel pain...i exoerience now this situation now i.know what this couse and how to cure the pain...allah bless u thank u

[@mvgonzaga998]

Above of my ankle is a bit swelling.calcaneus

[@shivsneha3422]

How we treat

[@blessookezie8705]

Visit Doctor Ani John herbalhome on KZbin channel he cured mine permanently within 12days with his natural herbs and root.

[@nadjaminnadjamin304]

Graciassss 👍👍👍

[@krystynakula1537]

Przetłumacz na polski

[@roscoe1237]

Lateral tendinitis of the ligaments on both ankles , very painful.

[@staceypollack808]

You finally got to 4 where I have pain and didn’t say how to fix it. I have a lot of cramping in there on both sides more my left. No injury Any idea ? Thanks

[@adriang6259]

I have anterior ankle pain apparently from some arthritis and residue from an old injury. The best treatment so far has been to do calf raises but that seems to do nothing. Any tips?

[@monaattiah3976]

What are calf raises?

[@adriang6259]

@@monaattiah3976 in a seated or standing variation. From a flat shoe position you raise up onto the balls of your feet (almost tip toes) then back down. There's machines in the gym. Otherwise work on a step for a deeper stretch

[@inerit5175]

I use to get very bad pain until i started using vitamins C, D, ZINC and SELENIUM ( Buy seperately) in less than 2 weeks all pain gone! Just buy any cheap brand!

[@shubhamjain004]

I am still unable to figure out it pains suddenly and it’s very hard to

[@deepakbiswal9350]

My medeal had fracture 2 times at first . I walk and run but 2nd time I am walking but not running .

[@birdlynn417]

Now if only our foot doctors would point this out and deal with it or fix it.

[@gampalasankarama8247]

Thank you so much sir for explain of low ankle pain.

[@SplashYTT]

Tysm i had pain in my left ankle and right and their were in 2 different places

[@PalmdalesAdonis]

Thank you I’m like almost positive that I have tibialis anterior tendonitis , what should I do?

[@zabihullah7292]

Sir i have a little dislocation of talus bone .how to replace it

[@erinleighscruggs251]

At one point “too many toe signs” was mentioned. What does this mean exactly? I sprained my ankle and can’t move my little and the toe beside it. Having many spasms and so much pain and swelling all around my ankle, even 4 weeks after. Cramps and spasms in calf as well, extremely painful

[@blessookezie8705]

Visit Doctor Ani John herbalhome on KZbin channel he cured mine permanently within 12days with his natural herbs and root.

[@RockyBhai-tp8ff]

Now i taking treatment for medial ankel pain

[@shehlak]

What is best excersize?

[@Allah4ever729]

My ankle just randomly starts to hurt from time to time but it lasts long and mostly hurts at night but not every day someone please explain what this is for me

[@TheInstinctWithinV2]

PSA to everyone who has pain in either foot that doesn't go away, you may have developed a blood clot. Seek a doctor immediately if it happens without an injury all of a sudden.

[@sibeltancuay7483]

I've been suffering with outer ankle pain for 6 years now I had physiotherapy but did absolutely nothing. The doctors are refusing to even do an xray of my ankle 😒

[@patriciaoreilly8907]

Pay Privately for treatment & diagnosis.

[@shehlak]

I'm having a lot of pain in my ankle. How can I do simple exercises at home please.

[@Jonathan-pr1wo]

I sprained my ankle last year and it was kinda bad. It took me about 3 months to finally be able to move my foot around as it was stiff and swolen and could not move it any direction. I was able to walk but with some pain. I can walk normal now and do normal things again but every now and then I’ll feel some pain in the ankle bone area shown in picture #2 which is Medial. Would this be something that would heal over time on it’s own? I was told I had no fracture when they did an xray on my foot.

[@NPPREMA]

Im having two of these ankle pains. Can ankle pain be due to a herniated disc? Because i didn't injure my foot but having severe ankle and foot pain which makes me limp while walking. I also cannot stand on my tiptoes on the left foot.