Ankle pain after sleeping like twisting and not being able to land may be caused by overwork, Achilles tendonitis, osteoarthritis and rheumatoid arthritis, etc. Further examination is recommended. 1. If the ankle joint is overworked due to too much walking during the day, weight-bearing exercise, etc., ankle pain may appear the next day. 2. If the Achilles tendon is overstretched due to frequent long jump, high jump, track and field training, etc., it may cause Achilles tendonitis, resulting in pain, swelling and stiffness of the ankle. 3. Long-term joint strain, ageing, obesity, congenital anomalies of joints, joint deformities and many other factors may lead to degenerative damage of articular cartilage, causing arthritis, which may also lead to the manifestation of pain similar to a broken foot. 4. If there is streptococcal infection and other causes of rheumatoid arthritis, may also appear ankle joint redness, swelling, pressure and pain and other manifestations. Sleeping ankle pain like twisted can not land, need to actively seek medical attention, clear cause for targeted treatment.