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Why Do My Ankles Hurt When I Walk On a Treadmill?

Published in Ankle Pain 3 mins read

Several factors can cause ankle pain when walking on a treadmill, ranging from improper form to underlying medical conditions. Here's a breakdown of common culprits:

  • Weak Ankle Muscles: The repetitive, forward motion of treadmill walking can sometimes lead to neglecting lateral (side-to-side) movements. This can weaken the ankle muscles, making them more susceptible to pain and injury, especially if you're not used to this type of exercise.

  • Incorrect Footwear: Wearing the wrong type of shoes can significantly impact your ankle health. Shoes that lack proper support or cushioning can place undue stress on your ankles.

  • Poor Treadmill Form: Improper form, such as overstriding or landing heavily on your heels, can contribute to ankle pain. Maintaining a more natural gait and engaging your core can help alleviate this.

  • Pre-existing Conditions: Existing ankle issues like sprains, arthritis, or tendonitis can be aggravated by treadmill walking.

  • Overuse or Overtraining: Increasing your treadmill workouts too quickly, without allowing your body to adapt, can lead to overuse injuries in the ankles.

  • Incline Issues: Walking on a high incline for extended periods can put extra strain on your ankles and Achilles tendon.

Here's a table summarizing the causes and potential solutions:

Cause Explanation Solution
Weak Ankle Muscles Lack of lateral movement during treadmill use can weaken ankle stabilizers. Incorporate ankle strengthening exercises (e.g., ankle rotations, calf raises) into your routine.
Incorrect Footwear Shoes lacking support or cushioning can increase stress on ankles. Wear supportive athletic shoes designed for running or walking. Consider getting fitted at a running store.
Poor Treadmill Form Overstriding or heel striking can increase impact on ankles. Focus on a shorter stride length, a mid-foot strike, and engaging your core. Consult a physical therapist or running coach for form analysis.
Pre-existing Conditions Conditions like sprains or arthritis can be aggravated by treadmill use. Consult with a doctor or physical therapist to manage the underlying condition and modify your exercise routine.
Overuse/Overtraining Increasing treadmill intensity or duration too quickly can lead to ankle pain. Gradually increase your workout intensity and duration. Allow for rest days to allow your ankles to recover.
Excessive Incline High inclines place extra strain on the ankles and Achilles tendon. Reduce the incline level or alternate between periods of incline and flat surface walking.

What to do:

  1. Assess Your Form: Pay attention to your posture, stride length, and foot strike.
  2. Evaluate Your Footwear: Ensure you are wearing appropriate shoes that provide adequate support.
  3. Strengthen Your Ankles: Perform exercises like calf raises, ankle rotations, and balancing exercises.
  4. Gradually Increase Intensity: Avoid sudden increases in speed, incline, or duration.
  5. Listen to Your Body: Stop if you experience pain and rest.
  6. Consult a Professional: If the pain persists, see a doctor or physical therapist to rule out underlying medical conditions and receive personalized advice.

By addressing these potential causes and taking preventive measures, you can often alleviate ankle pain associated with treadmill walking and enjoy a more comfortable and effective workout.

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