Ankle pain at night or in the morning: causes, relief, and when to seek help

Article written and reviewed by a pharmacist graduated from the Faculty of Paris.

Key point: Ankle pain that appears at night or upon waking is common. It is often linked to inflammation, an old sprain, daily overload, or sleeping position.

Why does ankle pain worsen at night?

• Inflammation: pain becomes more noticeable at rest; swelling or warmth may be present.
• Morning stiffness: reduced movement overnight increases stiffness.
• Old sprain: residual instability or tendon tension can flare after daily activity.
• Overuse: long walks, standing all day, or sport.
• Sleeping position: prolonged pressure or awkward foot position.

What really helps

• Ice if swollen or warm (10–15 min, 2–4×/day).
• Gentle heat later if stiffness dominates (not during active inflammation).
• Relative rest and activity adaptation.
• Sleep positioning: avoid direct pressure; a small cushion under the calf may help.

When ankle support may help

With repeated pain or instability, a supportive solution can improve comfort and walking safety.

When to seek medical advice

• Severe pain or inability to bear weight
• Marked swelling, redness, or heat
• Persistent pain beyond 2–3 weeks
• Worsening night pain or repeated sprains

FAQ

Is night ankle pain serious?
Usually not, but persistent or severe symptoms should be assessed.

Can I walk in the morning?
Yes, gently, avoiding impact if painful.

Conclusion

Night-time ankle pain is often manageable with simple measures. If symptoms persist or instability is present, medical advice is recommended.

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