While lateral ankle sprains are common, medial ankle injuries are often more complex and easily overlooked. These injuries affect the inside (medial side) of the ankle and may involve ligaments, tendons, or bones. At Leading Edge Podiatry, we frequently see patients with lingering ankle pain that turns out to be a medial issue that was missed or misdiagnosed. Here are the 10 most common questions we get about these injuries—and the answers you need to take the right steps toward recovery.
1. What is a medial ankle injury?
A medial ankle injury refers to damage on the inside of the ankle. This can include:
- Deltoid ligament sprain
- Tibialis posterior tendon dysfunction
- Medial malleolus fractures
- Impingement or soft tissue strain
These injuries can result from trauma, overuse, or poor foot mechanics.
2. How do medial ankle injuries occur?
Most commonly, they result from rolling the ankle outwards (eversion injury), causing stress to the inside ligaments and soft tissues. Repetitive strain, especially in flat-footed individuals, can also damage the tibialis posterior tendon and surrounding structures.
3. What are the symptoms of a medial ankle injury?
Symptoms vary depending on the structure injured but may include:
- Pain or tenderness along the inner ankle
- Swelling or bruising
- Difficulty walking or standing
- Instability or weakness
- A “catching” or impingement sensation in chronic cases
4. How is a medial ankle sprain different from a lateral sprain?
Medial sprains are less common but usually more severe due to the strength of the deltoid ligament. They often involve associated injuries, like fractures or tendon damage, and take longer to heal.
5. How are medial ankle injuries diagnosed?
At Leading Edge Podiatry, we use:
- Detailed biomechanical assessment
- Hands-on clinical tests
- Ultrasound or imaging referral where needed
Early and accurate diagnosis is critical to avoid long-term issues.
6. What is tibialis posterior tendon dysfunction (PTTD)?
PTTD is a progressive condition affecting a key tendon that supports the arch and controls ankle movement. It’s a common cause of medial ankle pain, especially in adults with flat feet or those involved in high-impact sports.
7. How are medial ankle injuries treated?
Treatment depends on the severity and structures involved but may include:
- Rest and offloading
- Compression and support (ankle braces or taping)
- Orthotics to improve foot alignment
- Shockwave therapy for tendon recovery
- Rehabilitation exercises
- Referral for imaging or surgical opinion in complex cases
8. How long do medial ankle injuries take to heal?
Recovery time varies:
- Mild sprains: 2–4 weeks
- Moderate to severe sprains or tendon injuries: 6–12 weeks or more
- Chronic cases (like PTTD): May require long-term support and rehab
9. Can I still walk on a medial ankle injury?
You might be able to walk, but that doesn’t mean it’s safe. Continuing to load the injury without treatment can lead to chronic pain, joint instability, or tendon rupture.
10. When should I see a podiatrist?
If you have persistent pain, swelling, or instability on the inside of your ankle—or if your injury hasn’t improved within a few days—book an appointment. A podiatric assessment ensures you’re not missing a serious injury.
Get Expert Help at Leading Edge Podiatry
If you’ve rolled your ankle or are dealing with ongoing inner ankle discomfort, don’t wait it out. At Leading Edge Podiatry, we provide expert diagnosis, tailored rehab plans, and long-term support to get you back on your feet—stronger than before.
Ready to take the next step? Book online today, give us a call on 08 7120 6063, or visit our Contact Page.