What conditions can be associated with plantar heel pain on the medial aspect of the ankle?

Updated: Oct 01, 2018
  • Author: Vinod K Panchbhavi, MD, FACS; Chief Editor: Thomas C Dowd, MD  more...
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Answer

Conditions that can be associated with pain on the medial aspect of the ankle include the following:

  • Posterior tibial tendon dysfunction - This is associated with pain on the medial side of the ankle, which radiates proximally along the leg and distally into the midfoot; swelling and pitting edema often occur over the region of the tendon; the patient has weakness in active inversion of the hindfoot and difficulty performing a single or double raise on the toes [21]
  • Medial ankle instability - The patient history includes an ankle sprain, followed later by the ankle giving way; the pain and tenderness are in the medial gutter of the ankle; the heel is in valgus, but unlike the situation with posterior tibial tendon dysfunction, the heel valgus is corrected when the person raises up on the toes

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