When the tendons around the ankle joint have tenosynovitis, there can be localized painful pressure on the tendons, and at the same time, there can be obvious fluid accumulation, which should be diagnosed and treated by early examination and MRI of the ankle joint. Second, ankle cysts or tendon sheath cysts can also have localized pain on pressure, while cystic swellings can be palpated and have a fluctuating sensation when pressed, which requires early physical examination and early examination of ultrasound and MRI of the ankle joint for early diagnosis and treatment. Thirdly, gout, when gout involves the ankle joint, there can be localized pressure pain, and in serious cases, there can be localized skin redness, swelling, skin temperature increase and gouty stone formation, then it is necessary to check blood uric acid and ankle X-ray and MRI for early diagnosis and treatment.