You have indicated that you have an inside ankle pain

Below are some specific descriptions of symptoms related to a running inside ankle injury or inside ankle pain.

Decide which description most closely matches the inside ankle problem you are experiencing then click on
the button next to it. You will be presented with a likely diagnosis for your inside ankle injury and advice as to
what to do.

You can diagnose other running injuries here.

  • Step 1
  • Step 2
  • Step 3 - current step
  • Step 4

Click on the description that most closely matches your symptoms:

Symptom 1

Select symptom
  • Deep aching pain in the ankle, especially with movement.
  • The ankle may be swollen.
  • Stiffness in the ankle, particularly in the morning, which decreases as you start to move around and warm up.
  • You may have pain at night.
  • A crunching or grinding sound as you bend your ankle whilst standing.
  • Symptoms develop slowly over time.
  • The ankle does not show a full range of movement (i.e it is stiff), either with bending or straightening, and may be painful at the end of range of the movements.
  • You may have noticed that you are starting to limp, and favour the other leg.
  • The affected ankle may be larger than the other (regardless of any swelling).
  • It tends to occur in more mature runners.

Symptom 2

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  • A poorly localized ache in the midfoot, particularly under the inside arch.
  • Worsened or brought on by running.
  • Pain goes away quickly with rest only to return again during exercise.
  • Tenderness over the navicular bone (at the highest point of the inside arch of the foot).
  • A navicular sprain can be caused by a change in training methods or running terrain, particularly hill running, overuse, significant flat foot, or running in shoes that are not supportive enough against excessive pronation (rolling in of the heel).

Symptom 3

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  • Sharp or dull pain radiating into the arch of the foot/heel/toes.
  • Tingling, numbness, burning, or electric shock feeling on the inside of the ankle or the sole of the foot.
  • Pain with prolonged standing.
  • Pain when running.
  • Tarsal Tunnel Syndrome is commonly caused by tight shoes or fallen arches.

Symptom 4

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  • Pain and tenderness on the underside of the heel, often about 4cm forward from the heel, although it can be anywhere along the inside arch of the foot.
  • Pain is often worse first thing in the morning, described as ‘walking on broken glass’.
  • As foot warms up, pain eases, but can worsen later in the day, especially if you are walking a lot.
  • Often worsens during a run, or worsens after the run (sometimes the next day).
  • Plantar Fasciitis can be caused by sudden increases in running intensity, duration or frequency, wearing the wrong running shoes (or work shoes with poor cushioning), running overweight, and tightness of the calves and achilles tendon.

Symptom 5

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  • A generalised pain in the ankle whilst running. Often there is no pain when not running.
  • Pain often comes on in the middle of a run, and goes when you stop.
  • You may also have some pain in the hip, low back, and knee at the same time.
  • Rest helps, but pain comes back when you start to run again.
  • Stretching may help but does not take the problem away.
  • Your symptoms do not fit into any of the other symptom patterns in this section.
  • Biomechanical ankle pain can be caused by worn out shoes, poor foot mechanics, a leg length difference, weak hip muscles, poor running style, or unstable and weak stomach muscles.

Symptom 6

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  • Pain behind/below the inside ankle bone whilst running.
  • Tenderness in the above area, and sometimes at the top of the inside arch of your foot.
  • Swelling, pain, bruising, and sometimes creaking in the above areas.
  • An ache on the sole of the foot.
  • A flattening of the main arch of the foot, and an inward rolling of the ankle (pronation).
  • Standing on the toes of the affected foot may be difficult or painful.
  • A tibialis posterior tendon injury may be caused by a high intensity period of running, or recently having increased your mileage, a pronated running style (rolling in of the ankle and foot) and shoes that are not supportive enough, running repeatedly on the same camber, either on the track or on a road.