Malleolar bursitis: what to know

A bursa cushions movement between soft tissue and bone. Around the malleoli, repeated rubbing from footwear, kneeling, contact, or an ankle injury can irritate the sac. The area may look puffy and feel sore when touched or when a shoe presses against it. Movement may be possible, although side-lying, walking in tight footwear, or ankle motion can be uncomfortable.

Joint Swelling around the ankle can have other causes, including injury or infection, so appearance alone cannot confirm bursitis. A clinician may examine the skin, ankle stability, range of motion, and tenderness, then decide whether further tests are needed.

Remove pressure from the tender area with roomier footwear, protective padding, and a temporary reduction in activities that rub the ankle. Elevate the leg when resting and use a wrapped cold pack for short periods if it feels soothing. Do not puncture or squeeze the swelling yourself.

A clinician may discuss Anti-Inflammatory Medication when suitable for your health history. If fluid persists or the diagnosis is uncertain, Joint Aspiration can help remove fluid for examination or relief. A Cortisone Injection may be considered in selected cases after infection has been excluded.

Get urgent assessment if the ankle becomes hot, very red, rapidly more swollen, or associated with fever or feeling unwell. Seek prompt care after a significant injury, if you cannot bear weight, or if the foot becomes numb, pale, or cold. Persistent drainage or an open sore over the swelling also needs review.

Ask whether the swelling is in a bursa or the joint, whether infection or a fracture needs exclusion, how to protect the area in footwear, and which treatment is appropriate if it does not settle.