Inner Ankle Bone Pain: Why the Bone on the Inside of Your Ankle Hurts

Perhaps you’ve asked yourself, ‘Why does the bone on the inside of my ankle hurt?’

There are several probable causes of inner ankle bone pain such as ankle sprains, ankle stress fractures, and posterior tibial tendonitis.

In this post, we’re going to closely examine six of these likely causes beginning with the most common.

Ankle Sprains

The most common musculoskeletal injuries and the leading cause of inner ankle pain are ankle sprains. And it is estimated that approximately 2 million acute ankle sprains occur in the U.S. every year. Sprains are accompanied by tenderness, ankle instability, and ankle pain.

Ankle Stress Fractures

Typically exhibited among runners, these types of ankle fractures are the result of repetitive physical pressure coming from activities like jumping and running. Fractures cause inner ankle pain, soreness, ankle instability, and oftentimes radiating foot pain.

Posterior Tibial Tendonitis

Located on the inside of the ankle, the Posterior Tibial Tendon attaches your calf muscles to the bones in your leg. When injured or overused, it can quickly weaken or become swollen. Consequences include inner ankle pain, tenderness, and pain in the tendon.

While these tend to be the major causes of inner ankle bone pain, there may be others.

What Can Cause Ankle Pain Without Injury?

You may wake up one day with pain and yet you don’t recall being injured. There are several potential causes from bursitis to lupus. Here are three other conditions I see on occasion:


Reactive arthritis and Rheumatoid arthritis have been linked to ankle pain. Rheumatoid arthritis can result in swelling, stiffness, and pain in your ankles. Reactive arthritis can set in after a urinary tract infection and it’s often accompanied by ankle swelling, inflammation, and pain.


Gout is notorious for affecting the feet and ankles. It’s a condition involving the formation of sharp crystals from uric acid which collects in joints around the body. Ankle pain and swelling are some of the symptoms.


Thickening of the connective tissues and skin can occur around the joint tissues of the ankle. This often results in pain and stiffness in the ankles.

How to Treat Inside Ankle Pain

Treatment begins with a diagnosis by a podiatrist. There is no one size fits all cure because treatment is determined by the root cause of the ankle pain. That’s why it’s key to come in and be examined properly. Get in touch with me or request an appointment today.

Looking for more insight? Check out our previous posts:

Disclaimer: Any information provided in this blog is not intended to replace medical advice given by qualified professionals.