Chronic Pain After an Ankle Sprain

Ankle Sprain Healed- But You Still Have Chronic Pain?

If your ankle sprain healed but you still feel burning, tingling, aching, throbbing, or sharp pain. the problem may be a pinched or irritated nerve.  This kind of pain is common- and it is often missed.

At Janus Foot and Ankle, we focus on finding, diagnosing  and treating nerve pain that continues after an ankle sprain. 

Submit our form or give us a call at (612) 353-9311

 

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You don’t have to face these challenges alone. We look forward to walking with you on this new journey.

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Understanding how an ankle sprain can cause nerve pain

An ankle sprain can stretch, irritate, or trap nerves. Even after swelling goes down, a nerve can stay sensitive.

Nerve pain may happen because of:

  • Swelling that presses on a nerve

  • Scar tissue after injury

  • Tight muscles or tissue

  • Walking differently to avoid pain

  • An ankle that still feels unstable

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Common Peroneal (Fibular) Nerve Entrapment

The common peroneal nerve runs along the outside of the leg and helps control foot movement and feeling. After an ankle sprain, this nerve can become stretched, compressed, inflamed, or irritated.

Common  symptoms:
  • Burning or tingling

  • Sharp or “electric” pain

  • Pain that travels up the outer leg or across the top of the foot

  • Numbness or sensitivity to touch

  • Weakness, tripping, or foot slapping

  • Does not improve with rest alone

Other nerves that can become irritated after an ankle injury include the superficial fibular, deep fibular , sural, and tibial nerves.

 

How we diagnose nerve pain in the ankle

We focus on finding which nerve is involved and why.

Your visit may include:

  • Exam of strength, feeling, and movement
  • Gait and balance check
  • Testing common entrapment points
  • Imaging or targeted injections

Treatment for nerve-related ankle pain

  • Ankle support or orthotics
  • Swelling and inflammation control
  • Physical therapy exercises
  • Image guided nerve injections
  • Regenerative medicine
  • Nerve decompression surgery when a nerve is clearly entrapped

When to get checked

  • Pain lasts more than 6-8 weeks
  • Burning, aching , or numbness is present
  • Pain spreads up the leg or into the foot
  • Weakness or instability develops

 

Start Feeling Better

Submit our contact form or give us a call at (612) 353-9311 to talk to our dedicated and compassionate team.

Ongoing nerve pain after an ankle sprain is not normal – and is often treatable.  If your ankle sprain healed but the pain didn’t, it’s time to take a fresh look at an old problem.

Schedule an appointment with Janus Foot and Ankle today.

 

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Frequently Asked Questions About Chronic Pain After an Ankle Sprain

Why does my ankle still hurt after my sprain healed?

If your ankle sprain healed but pain continues, a nerve may still be irritated or pinched. Swelling, scar tissue, ankle instability, or changes in how you walk can keep pressure on a nerve even after the ligament injury heals.

What does nerve pain feel like after an ankle injury?

Nerve pain often feels burning, aching, tingling, sharp , or hypersensitive.  It may travel up the leg or into the foot, feel worse at night , or hurt more with light touch than pressure.  This is different from muscle, tendon or joint pain.

Can an ankle sprain cause a pinched nerve?

Yes. An ankle sprain can stretch, bruise, or trap nerves. One common problem is common peroneal (fibular) nerve entrapment, which can cause pain on the outside of the leg and top of the foot, along with numbness or weakness.

Will nerve pain after an ankle injury go away on its own?

Sometimes nerve pain improves with time, but ongoing symptoms lasting more than 6–8 weeks should be evaluated. Early treatment helps calm the nerve and prevents long-term pain or weakness.

How is chronic nerve pain after an ankle injury treated?

Treatment often starts with non-surgical care, including activity changes, bracing, physical therapy with nerve-gliding exercises, footwear changes, and orthotics. If pain continues and a nerve is clearly trapped, advanced treatments or nerve release surgery may be recommended.

How do you know which nerve is causing my pain?

We find the problem nerve by listening to your symptoms, checking where the pain travels, testing feeling and strength, and pressing on common nerve pinch points. How you walk and move also gives important clues. Imaging or targeted injections may be used when needed to confirm the diagnosis.

 

Common Sites of Lower Extremity Nerve Entrapments

Image of Condition

Name of Condition

Common peroneal (fibular) nerve

Cause

Compression or injury to the common peroneal nerve below the fibular neck, where it is most vulnerable

Location

Outer aspect of leg below the knee, outer aspect of leg, top of the foot

Symptoms

Foot drop- inability to lift the front part of the foot with a high-steppage gait, numbness, tingling, pain, loss of sensation along the course of the nerve, weakness

Image of Condition

Name of Condition

Superficial peroneal (fibular) nerve

Cause

Compression or irritation of  the superficial peroneal nerve as it exits the fascia in the lower leg

Location

Lower 1/3 of the leg at the outer aspect, ankle, and top of the foot

Symptoms

Burning, tingling, or numbness along the course of the nerve, often exacerbated at the boot line and worsened by activity

Image of Condition

Name of Condition

Deep peroneal (fibular) nerve

Cause

Compression of the deep peroneal nerve as it passes under the inferior extensor retinaculum  at the ankle and/or under the extensor hallucis brevis muscle at the forefoot

Location

Top of the foot- especially between the 1st and second toes, can extend to just above the ankle joint

Symptoms

Pain, tingling, and aching along the course of the nerve, often exacerbated by up-and-down motions of the foot

Image of Condition

Name of Condition

Soleal sling nerve entrapment

Cause

Compression of the tibial nerve in the upper leg as it passes through the tendinous arch of the soleus muscle

Location

Back of the leg

Symptoms

Pain, tightness, and cramping in the calf can coexist with tarsal tunnel syndrome.

Image of Condition

Name of Condition

Tarsal tunnel syndrome

Cause

Compression of the tibial nerve as it passes through the tarsal tunnel at the ankle

Location

Behind and below the medial malleolus at the inside of the ankle joint, extending to the sole

Symptoms

Shooting pain, burning, tingling, and numbness, often exacerbated by activity, can worsen at night

Image of Condition

Name of Condition

Morton’s nerve entrapment

Cause

Compression of the tibial nerve as it passes through the tarsal tunnel at the ankle

Location

Behind and below the medial malleolus at the inside of the ankle joint, extending to the sole and toes

Symptoms

Aching, burning in the forefoot, feeling of walking on a pebble

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On the Journey With You

At Janus Lower Extremity Pain Center, we understand the challenges of life with chronic pain . We are here to guide you toward less pain and better mobility, treating you with dignity, understanding, and respect.

Dr. Moore, the founder of Janus, brings her 30 years of experience as a foot and ankle surgeon. We specialize in advanced procedures for lower extremity nerve pain, including nerve decompression surgery.

Lower Extremity Advanced Procedures for Nerve Pain
30 Years of Field Experience
Compassionate Approach

How it Works

1. Reach Out

Fill out our contact form. Our team will assist you in gathering the pertinent medical records prior to your visit.

2. Meet

At your visit, we will take a detailed medical history and perform a comprehensive medical exam.

3. Find Relief

We will work with you to determine if our treatment options may be of benefit to you for your pain symptoms.

A New Beginning Awaits

Contact us to get started!