The causes of ankle joint popping when rotating internally are divided into physiological popping and pathological popping. Physiological popping does not need any treatment, while pathological popping is mostly due to the wear and tear of the cartilage in the ankle joint, osteophytes, free bodies in the joint cavity, etc. Accordingly, we will give you the general treatment, medication, physiotherapy, and surgical treatment in combination with the causes of the disease. 1. Physiological rattling: it occurs mostly after the ankle joint is at rest and when the ankle joint is being moved, it is when the ankle joint is internally rotated that the synovial fluid inside the ankle joint is squeezed, so that the gas inside the synovial fluid escapes, and then rattling occurs. The popping sound caused by this condition does not need treatment. 2. Pathological popping: mostly caused by ankle joint lesions, it is recommended that the patient should take rest, avoid strenuous exercise and weight bearing, and when accompanied by obvious pain, non-steroidal anti-inflammatory drugs such as ibuprofen can be given according to the doctor’s instructions, and sodium hyaluronate can be injected into the joint cavity to play a lubricating role, and surgical treatment can be given when necessary, such as arthroscopic free body removal surgery, and so on. It is recommended that the patient go to the hospital in time, complete the auxiliary examination, in order to clarify the cause of the disease, the professional physician to give the relevant treatment, the drugs need to be used under the guidance of a professional physician.