A burst of pain above the ankle bone may be caused by trauma, gout, synovitis, lumbar disc herniation and so on. 1. Trauma: due to trauma, the ankle is subjected to direct or indirect violence, which causes ankle joint fracture or soft tissue injury, and the patient may have a burst of pain above the ankle bone. 2. Gout: due to long-term bad dietary habits caused by increased uric acid in the body, more than the body’s normal metabolic level of uric acid accumulation in the ankle joints, the patient may appear above the ankle bone a burst of pain. 3. Synovitis: due to trauma, infection, immunity, degenerative diseases and other factors leading to inflammation, cartilage degeneration, sclerosis and other changes in the ankle joint synovitis, patients may experience a burst of pain above the ankle bone, localized swelling, restricted movement and other symptoms. 4. Lumbar disc herniation: For low lumbar disc herniation compressing the nerve root innervating the ankle, the patient will have a burst of pain above the ankle bone. There may be other reasons for the pain above the ankle bone, 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 treatment.