Inner ankle pain is also known as pain in the inner ankle area. Inner ankle pain may be caused by physiological reasons such as too much exercise or incorrect posture during exercise, or it may be caused by pathologic factors such as trauma or gout. 1. Physiological reasons: the inner ankle has several ligament structures such as the medial deltoid ligament and the medial talocalcaneal ligament, if the usual amount of exercise is too large or the posture is incorrect when exercising, it may cause aseptic inflammation in the area of these ligaments, which may cause the accumulation of metabolites such as lactic acid and oxygen free radicals, and then stimulate the peripheral nerve roots, resulting in the pain symptom. 2. Pathological factors: the ankle joint itself belongs to the composite joint, and belongs to the body’s very important weight-bearing joints, so it is relatively fragile, and it is very easy to be damaged under the action of external forces, causing pain symptoms, such as the avulsion of the bone of the inner ankle, the tear of the medial deltoid ligament, and so on. Hyperuricemia in the organism may induce the appearance of gout, which can also involve the ankle joint and present symptoms of inner ankle pain. There may also be other causes of inner ankle pain, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy under the guidance of the doctor.