Swollen Ankle Pain: 23 Causes + 7 Proven Natural Treatments

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Updated: May 2025

A swollen, painful ankle can derail your day – but the right fix starts with knowing the root cause.

🚨 Why it’s swollen? From sprains to arthritis – the 23 most common culprits.
🌱 Drug-free relief: 7 proven natural remedies (Epsom salt, arnica, compression).
⏳ Fast action steps: Exact protocols for acute vs. chronic pain.
❗ Red flags: When to see a doctor immediately.

Contents


Ankle pain & swelling causes (No Injury)


  1. Achilles tendinopathy: Inflammation or degeneration of the Achilles tendon, often related to overuse or excessive strain.
  2. Plantar Fasciitis: Inflammation of the plantar fascia, causing heel pain, especially upon waking.
  3. Ankle sprain: Ligament injury caused by twisting or sudden movement, leading to pain and swelling.
  4. Osteoarthritis and Arthritis: Cartilage degradation (osteoarthritis) or joint inflammation (rheumatoid arthritis), causing pain, stiffness, and swelling.
  5. Bursitis: Inflammation of the synovial bursa, resulting in pain and swelling around the joint.
  6. Changes in foot arch: Flat feet or high arches affecting the biomechanics of the ankle, leading to pain and instability.
  7. Ankle fracture: Bone breakage in the ankle, often after trauma, with severe pain and deformity.
  8. Tendinitis: Inflammation of the tendons around the ankle, often caused by repetitive movements or overuse.

swollen ankle causes


Ankle pain location guide: Pinpoint your cause


Ankle pain can occur in various locations, each indicating a specific cause.
Here's an overview of the main ankle pain based on their location:

Front ankle pain?

  • Anterior ankle impingement: Compression of bone structures or soft tissues at the front of the joint, limiting range of motion.
  • Anterior tibial tendinopathy: Inflammation of the tibial tendon, often linked to repetitive dorsiflexion of the foot.

Back of ankle pain: Achilles or Bursitis?

  • Achilles tendinopathy: Inflammation of the Achilles tendon, frequently caused by overuse or muscle imbalances.
  • Retrocalcaneal bursitis: Inflammation of the bursa between the Achilles tendon and heel bone, worsened by running or jumping.

Inner ankle pain: Ligaments, tendons, fracture?

  • Medial malleolus stress fractures: Small cracks or fractures in the medial malleolus bone due to repetitive stress.
  • Deltoid ligament injury: Sprain or tear of the inner ligaments of the ankle caused by excessive twisting.
  • Flexor Hallucis Longus tendinopathy: Pain in the flexor hallucis tendon, common in dancers or with repetitive plantar flexion activities.

Outer ankle pain: Sprains vs. peroneal tendonitis

  • Lateral ligament sprain: Tear or stretching of the outer ankle ligaments following a sudden twist.
  • Peroneal tendon injury: Pain on the outer side of the ankle due to overuse or trauma to the peroneal tendon.

Inner side sharp pain? Tibialis posterior tendonitis

  • Tarsal tunnel syndrome: Compression of the tibial nerve in the tarsal tunnel, causing pain, tingling, and numbness.
  • Posterior tibial tendon dysfunction: Condition of the tendon supporting the arch, caused by overuse or biomechanical issues.

sore right ankle




Natural ankle pain relief: 7 proven methods


Natural treatment for ankle pain involves several strategies to relieve pain and speed up healing.

  • RICE method for ankles: Step-by-step guide

Rest, ice, compression, and elevation (RICE) are crucial for managing ankle injuries.
Rest helps tissue healing, ice reduces swelling, compression controls inflammation, and elevation aids in fluid drainage, particularly effective for sprains and strains.

  • Cold compression therapy: How to do it right

This method combines cold and compression to reduce inflammation and relieve pain.
Cold constricts blood vessels, while compression stimulates circulation, accelerating the healing of severe injuries.

  • Over-the-counter medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in relieving pain and inflammation, promoting faster recovery and restoring ankle function.

  • Offloading pressure: When to use crutches or braces

Limiting weight-bearing activities and immobilizing the ankle with a brace or cast helps prevent excessive strain and promotes optimal healing, especially for severe injuries like sprains and strains.

  • Lymphatic drainage massage for swelling

Lymphatic massage improves circulation and fluid drainage, speeding up healing by reducing inflammation, particularly after trauma or for chronic conditions like lymphedema.

  • Ankle strengthening exercises

Mobility exercises promote flexibility, range of motion, and tissue healing by delivering essential nutrients to the injured area and improving joint health.

  • Assisted stretching for stiff ankles

Assisted stretching exercises reduce muscle tension and improve ankle mobility, contributing to better function and quick pain relief.

ankle pain relief


Best ankle braces for pain & stability


Depending on the location of your pain, you can choose a suitable orthosis to relieve you.

  • Ankle brace for sprain

Adopting an ankle brace is an excellent choice to limit chronic tension, and protect tendons and muscles.
It is also very suitable for arthritis pain while reducing plantar flexion and protecting against eversion or inversion of the ankle.

This brace for ankle sprained is made from a very elastic and very thin breathable fabric, which allows you to wear it for long periods of time without any discomfort (aff).

  • Stabilizing braces for chronic ankle instability

Choosing a stabilizing splint is ideal for immobilizing the ankle and thus reducing pain.
This Donjoy ankle brace, stabilizing with lateral reinforcements in the form of ankle strapping is an option to be preferred (aff).

  • Drop foot brace: How to choose

Wearing a drop foot support brace like this can help you regain some mobility while relieving your pain (aff).

This orthosis is very suitable if you are looking for real ankle and foot stability to improve mobility during your daily activities.

  • Orthotic inserts for arch support & pain relief

A compression ankle brace like this can help you if you suffer from osteoarthritis of the ankle (aff).

Made of extremely thin breathable fabric, you can wear it all day long under your socks.
Designed to relieve pain and counteract swelling, you can wear it while going about your daily activities and even keep it on at night.

relieve ankle pain


Ankle bandages & wraps: How to use them


  • Sprained ankle bandage: Proper wrapping technique

The ankle wrap can be a great option if you suffer from a sprain, tendonitis with medial or lateral malleolus pain, ligament damage, or osteoarthritis pain (aff).
Designed in a very elastic and comfortable breathable material, it allows you to adjust your ankle brace yourself according to the pain you feel.

  • Ankle compression sleeves

This ankle brace sleeve allows you to stabilize the foot while enjoying a thin, breathable and comfortable material that can be worn throughout the day (aff).
It is very suitable if you suffer repeated sprains to ensure constant prevention.




Home remedies for ankle pain (Evidence-based)


  • Arnica for ankle pain: Gel vs. Cream

Arnica oil is very suitable for ankle pain (aff).

This perennial herb has the ability to reduce inflammation that causes pain.
It also helps to neutralize the swelling of the area.
Arnica is the recommended herb for sprained ankles.

  • Organic Silica: Joint repair benefits

Silica is well known for its positive action on joint mobility.
It also has recognized anti-inflammatory properties that will help you reduce pain.

Available in tablet or liquid form, I recommend ionic silica for better absorption (aff).

  • French green clay poultice: Anti-inflammatory recipe

Green clay is a very powerful natural remedy.
Its application as a poultice brings immediate relief because the clay has anti-inflammatory properties.
As effective as an application of ice, the clay poultice benefits from prolonged duration of action.

Apply a layer of french green clay to your ankle, cover with plastic wrap and leave the poultice to work for at least 30 minutes and your pain will lessen (aff).

  • Aloe Vera gel: Cooling relief for swelling

Pure aloe vera is very indicated in the treatment of many pains (aff).
As part of ankle damage, its anti-inflammatory effects can significantly reduce throbbing.

  • Turmeric for ankle arthritis

Curcumin is a treatment of choice for a sore ankle.
The anti-inflammatory effects of curcumin turmeric are very powerful, to the point that it is very suitable for relieving osteoarthritis pain while reducing joint stiffness (aff).

  • Epsom Salt soak for pain relief

Epsom salt, rich in magnesium sulfate, is renowned for its therapeutic properties in alleviating ankle pain.
By soaking the affected ankle in a warm Epsom salt solution, muscle tension can be eased, inflammation reduced, and soreness relieved (aff).
This simple yet effective remedy provides relaxation and promotes healing for aching ankles, offering a valuable addition to self-care routines aimed at managing ankle discomfort.

my ankles ache


Essential oils for ankle pain & recovery


  • Wintergreen oil: Natural painkiller

Wintergreen essential oil is great for treating pain from a sprained or strained ankle (aff).

To benefit from its unique anti-inflammatory and analgesic effects, massage the affected area with a few drops of wintergreen oil diluted in olive oil or arnica oil for maximum efficiency.

  • Helichrysum oil: Bruise & tendon healing

Italian helichrysum essential oil has anti-inflammatory, anti-hematoma, circulatory, and regenerating properties essential for relieving ankle trauma.

Simply apply 3 drops of pure helichrysum oil to the affected area as soon as possible, an application that you renew 30 minutes later then 5 times a day for 48 hours (aff).




Sudden ankle swelling? Possible hidden causes


Swollen and painful ankle can be very disabling.
But when the pain is localized, it is possible to relieve it by natural means while wearing a brace or a suitable bandage.
The main thing here is to treat the pain gently while avoiding any new risk of sprain or any aggravation of the initial symptoms.

Caring for an ankle requires patience and resignation as well as deep treatment to consolidate it.
Remember to consult your doctor if the pain persists a little too long.


Swollen ankle FAQs: Your questions


How can I speed up healing for my ankle?

To expedite healing, ensure you're getting adequate rest, apply ice to reduce swelling, compress the ankle with a bandage, and elevate it above heart level whenever possible. Additionally, follow any treatment plan prescribed by your healthcare provider.

Which vitamin helps with ankle pain?

Vitamin D plays a crucial role in bone health and may help alleviate ankle pain by promoting bone strength and reducing inflammation. Consider incorporating vitamin D-rich foods into your diet or speak with a healthcare professional about supplements.

Can drinking water ease ankle pain?

Staying hydrated is essential for overall health, including joint function. Proper hydration helps maintain the elasticity of ligaments and tendons, potentially reducing ankle pain. Aim to drink an adequate amount of water throughout the day to support joint health.

Does walking help alleviate ankle pain?

Light, gentle walking may help improve blood circulation and promote healing in the ankle. However, it's essential to avoid putting excessive strain on the injured ankle. Consult with a healthcare provider to determine the appropriate level of activity based on your specific condition.

What's the best sleeping position to relieve ankle pain?

Sleeping on your back with a pillow under your ankles can help relieve pressure on the affected ankle and promote proper alignment. Alternatively, sleeping on your side with a pillow between your knees can also provide relief by reducing strain on the ankles. Experiment with different sleeping positions to find what works best for you.




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Disclaimer
"The content of this article is not intended to replace medical advice or any treatment."

Marie

Marie explores traditional remedies backed by modern science.
Every solution shared on GoMedica is researched across medical journals and historical texts, reviewed for safety with healthcare professionals, tested by our community of natural health enthusiasts.
Important: "I'm not a doctor. These are home-care tips, not medical advice. Always consult your physician."
Marie, GoMedica Founder

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