What should you know about a swollen ankle bone?

Swelling may sit over the inner or outer ankle bone, around the joint, or in nearby tendons. A recent twist can injure ligaments and cause an Ankle Sprain; a hard impact or inability to bear weight raises concern for an Ankle Fracture. Gradual stiffness may occur with Ankle Osteoarthritis. A hot, red, very tender joint can occur with Gout, even without a clear injury. The symptom alone cannot identify the cause, so the timing, pain pattern, skin changes, movement, and ability to walk all matter.

Rest from activities that increase pain and keep the ankle raised when practical. A wrapped cold pack for short periods may ease discomfort; place cloth between the pack and skin. Wear supportive footwear and avoid tight straps over the swelling. Do not force painful movement or massage a newly injured area. Arrange an examination if swelling does not settle, walking is difficult, or the ankle is tender directly over bone. An X-ray or other test may be chosen after the examination.

Get urgent help if the ankle looks deformed, the foot is cold or discoloured, pain is severe, you cannot take a few steps, swelling is rapidly increasing, or there is fever with a hot red joint. Seek immediate care for calf swelling with chest pain or breathlessness. These signs need prompt evaluation rather than home treatment. For ongoing symptoms, the Ankle Swelling page can help you prepare for a clinical review.

Could the swelling be in the joint, bone, ligament, or tendon? Do I need imaging? How much weight can I put through the foot? Which pain relief is suitable for me? What changes should make me return sooner?