Inflammation of any ankle tendons and the synovial sheath lining
Strain from unusual or overuse of the ankle's muscles and tendons.
Ankle injury or direct blow
Ankle injury on multiple occasions.
Inflammatory arthritis or degenerative changes
Constant pain or pain when moving.
Ankle motion is restricted.
Crepitation (a crackling sound produced when the tendon is moved or touched).
Redness and heat over the inflamed tendon
The doctor will request an x-ray to rule out bony problems and a blood test to rule out infection.
In addition, if the problem is long-standing and not improving with conservative treatment, an MRI scan may be requested.
Rest: Because walking will cause pain, it is best to avoid applying pressure to the injured knee and limit activity while the inflammation is present.
Ice: During the first 48 to 72 hours, or until the swelling subsides, apply ice for 10 to 20 minutes no more than once every hour. It is strongly advised that you use a barrier, such as a towel, to protect your skin. Heat should be avoided while the inflammation is still active; however, once the swelling has subsided, heat can help relieve pain.
Compression: A compressing wrap can be very helpful in reducing edoema. While it is important to ensure that the wrap is secure, numbness, tingling, or swelling above or below the wrap indicates that it is likely too tight and should be adjusted.
Elevation: Raising the knee above the heart level for a few hours each day can significantly help to reduce swelling.