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Published on: 4/24/2025

What could be the reasons for experiencing pain at the back of the ankle?

Kenji Taylor

Reviewed by Kenji Taylor, MD, MSc

Family Medicine

Pain at the back of the ankle might be due to problems like Achilles tendinosis, bursitis, or other conditions affecting the ankle area.

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Explanation

Pain at the back of the ankle can have several causes. One common reason is Achilles tendinosis, which is when the tendon becomes thick and painful. This can happen from overuse or not warming up properly. Another possible cause is bursitis, where small sacs near the ankle become swollen and sore.

Here are some common causes of pain at the back of the ankle:

  1. Achilles Tendinosis: The Achilles tendon connects the calf muscles to the heel bone. When this tendon is overused, it can become thick and painful, leading to tendinosis.
  2. Bursitis: This occurs when the fluid-filled sacs in the ankle, called bursae, become inflamed. These sacs help reduce friction, but when they swell, they can cause pain.
  3. Other Conditions: Conditions like tendon tears or ankle sprains can also lead to pain in this area.

If you experience persistent pain, it is important to get it checked by a healthcare professional to find the exact cause and get the right treatment.

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