
Ankle pain can affect nearly every aspect of daily life, from walking and standing to exercising and working. Because the ankle is a complex joint that bears the full weight of the body, even mild pain can disrupt balance, mobility, and confidence. According to the American Orthopaedic Foot & Ankle Society (AOFAS), ankle pain is often multifactorial, meaning it may result from a combination of joint stress, ligament strain, tendon overload, or underlying structural conditions rather than a single isolated problem.

DPM, FACFAS, FACFO
Over 30 years of experience in podiatric surgery, medical education, and clinical leadership

DPM
More than a decade of caring for patients across Connecticut as a board-certified podiatric surgeon

DPM
Up-to-date surgical training with a conservative-first approach, guided by current research

DPM
An exercise science specialist who combines advanced surgical training with genuine empathy
Understanding Ankle Pain and Why It Should Not Be Ignored
Clinically, ankle pain should be viewed as a warning sign rather than a normal inconvenience. Dr. James M. DeJesus frequently emphasizes that persistent ankle discomfort often reflects abnormal mechanics or tissue stress that, if left untreated, can progress into chronic instability or degenerative joint changes. Early evaluation allows physicians to identify the root cause and intervene before pain begins to limit long-term function.
Common Causes of Ankle Pain
Ankle pain may develop suddenly after an injury or gradually over time due to repetitive stress. Acute causes include sprains, fractures, tendon tears, and joint dislocations, while chronic ankle pain is often linked to ligament laxity, tendon inflammation, cartilage damage, or arthritis. The AAOP notes that improper foot alignment, poor shock absorption, and muscle imbalance can significantly increase the load transmitted through the ankle joint during everyday movement.
Overuse injuries are also common, particularly in active individuals or those whose jobs require prolonged standing or walking. Dr. Austin Davidow explains that even small alignment issues in the foot can shift forces through the ankle in a way that accelerates tissue irritation. Inflammatory conditions, nerve involvement, and post-traumatic changes from prior injuries may also contribute to ongoing ankle pain that does not resolve with rest alone.
Symptoms That Signal the Need for Professional Care
While temporary soreness after activity may be normal, certain symptoms indicate the need for evaluation. AOFAS guidance highlights warning signs such as persistent swelling, stiffness, a feeling of instability, recurrent “giving way,” or pain that worsens with weight-bearing. Pain accompanied by clicking, locking, numbness, or visible deformity may suggest cartilage injury, tendon involvement, or nerve compression.
Dr. Michelle DeJesus notes that many patients adapt their movement to avoid ankle pain without realizing it, which can strain the knees, hips, and lower back. Addressing ankle pain early helps prevent these secondary issues and supports healthier overall movement patterns.
How Ankle Pain Is Diagnosed
Accurate diagnosis is essential for effective treatment. Evaluation typically includes a detailed history, physical examination, and imaging when appropriate. According to the AOFAS, imaging such as X-rays can identify joint alignment issues, arthritis, or fractures, while advanced studies may be used to assess soft tissue structures when symptoms persist.
Diagnosis also involves evaluating gait mechanics, footwear, activity demands, and prior injuries. Dr. Betty Carreira emphasizes that ankle pain should always be assessed in the context of the entire lower extremity, as problems in foot structure or calf flexibility often play a significant role in ankle stress and pain.
Treatment Approaches and Long-Term Management
Treatment for ankle pain is individualized based on the underlying cause, symptom severity, and patient goals. AAOP-supported care often begins with conservative strategies such as activity modification, bracing, physical therapy, and custom orthotics to improve alignment and reduce abnormal joint loading. These approaches aim to restore stability and allow irritated tissues to recover naturally.
When conservative measures are insufficient, more advanced interventions may be considered. Dr. James M. DeJesus explains that the goal of treatment is not simply pain relief, but restoration of stable, efficient movement that protects the ankle over time. Long-term management focuses on preventing recurrence through strength, balance, and biomechanical support.
The Impact of Untreated Ankle Pain
Ignoring ankle pain can lead to progressive joint damage, chronic instability, and early arthritis. AOFAS literature notes that repeated microtrauma or unresolved ligament injury can alter joint mechanics, increasing cartilage wear and limiting mobility. Over time, this can significantly reduce activity tolerance and quality of life.Dr. Austin Davidow highlights that many advanced ankle conditions treated surgically begin as manageable problems that were never properly addressed. Early evaluation and guided care often reduce the need for invasive treatment later.
Your Plan for an Active Life
1. Schedule an Expert Ankle Evaluation Built Around You
We assess joint stability, soft tissue integrity, gait mechanics, and imaging findings to determine the true source of your ankle pain.
2. A Clear, Personalized Treatment Plan
Your doctor explains treatment options clearly, guided by AAOS and AOFAS standards, and tailored to your activity level and long-term goals.
3. A Roadmap Back to Comfortable Movement
Recovery focuses on restoring strength, balance, and movement efficiency so you can return to daily activities with improved comfort and reduced risk of recurrence.
Why Patients Trust Family FootCare
Ankle pain frequently overlaps with other lower extremity conditions, including heel pain, Achilles tendon issues, foot pain, arch pain, and joint arthritis. In some cases, nerve conditions or prior fractures contribute to persistent ankle symptoms. Addressing ankle pain within this broader clinical context allows for more durable and comprehensive outcomes.
Ankle pain does not have to dictate how you move or live. With expert evaluation and individualized care from Our CT podiatrists, many patients regain stability, reduce pain, and return to a more active, confident life.
Related Conditions and Treatments
Ankle pain frequently overlaps with other lower extremity conditions, including heel pain, Achilles tendon issues, foot pain, arch pain, and joint arthritis. In some cases, nerve conditions or prior fractures contribute to persistent ankle symptoms. Addressing ankle pain within this broader clinical context allows for more durable and comprehensive outcomes.
We provide a full spectrum of treatments tailored to the diverse lifestyles of Southbury, Danbury, and Naugatuck, CT, residents.
Schedule Your Appointment Today
Whether you need a routine diabetic foot check, orthotics for work, or treatment for an injury, Family Footcare CT is here to help. Contact us!
Call us today to book your visit:
📞 +1 203-405-6501
Frequently Asked Questions (FAQ)
For immediate relief, follow the R.I.C.E. method (Rest, Ice, Compression, Elevation). If the pain persists for more than 48 hours or you cannot bear weight, visit our Danbury clinic. Dr. James M. DeJesus can prescribe stronger anti-inflammatories or immobilization boots to offload the joint.
Systemic diseases like Rheumatoid Arthritis, Gout, and Lupus often attack the ankle joint. If you have bilateral ankle pain (both ankles hurting), it may be systemic. Dr. Betty M. Carreira works with local rheumatologists in Connecticut to manage these conditions alongside podiatric care.
The ankle-brachial index (ABI) test is a non-invasive check for Peripheral Artery Disease (PAD). It measures blood flow to your legs. If you have ankle pain combined with cold feet or hair loss on the legs, we may perform this test to ensure your circulation is healthy.
Ankle sprains (inversion injuries) are the most common, followed by Achilles tendonitis. Because “simple” sprains can lead to chronic instability, we encourage patients in Naugatuck to get checked even for minor injuries to prevent long-term issues.
Yes. Acute pain from a severe sprain or fracture can stimulate the vagus nerve, causing nausea or lightheadedness. This is a sign of significant trauma. If this happens, sit down immediately and have someone drive you to our office for urgent care.
Common culprits include gout, tendonitis from overuse, or occult (hidden) stress fractures. Do not assume it will “go away.” Early diagnosis by Dr. DeJesus prevents chronic degradation of the joint.
Technically, the ankle is the joint connecting the leg and foot. Because the muscles that control the foot originate in the leg and cross the ankle, pain often radiates. We treat the entire “lower extremity” as a functional unit to solve the problem.
We provide a prescription for physical therapy (PT) to trusted local centers. Essential exercises include calf stretching, alphabet writing with the toes (for range of motion), and proprioception (balance) training to strengthen the ankle stabilizers.
For acute sprains, a “stirrup” brace (which prevents side-to-side motion but allows up-and-down motion) is standard. For return to sports, a lace-up brace offers better protection. We fit these professionally at our Southbury location.


