Ankle ringing may be caused by long time inactivity, or it may be caused by osteoarthritis, traumatic arthritis and other diseases. 1. Prolonged inactivity: If the ankle joint is inactive for a long time due to braking or less exercise, it can cause aseptic inflammation of tendons and ligaments, and when the joint is active, the friction between the tendons and ligaments will make a sound, which will lead to ankle ringing. 2. Osteoarthritis: It is a chronic joint disease, which is characterized by degenerative changes of articular cartilage and secondary osteophytes. Due to the unevenness of joint surfaces, it can cause the joints to make noises after moving and is usually accompanied by pain and stiffness of joints. 3. Traumatic arthritis: it occurs after the joints are injured, mainly manifested as joint pain, activity limitation, and in severe cases, joint deformation, articular cartilage damage or uneven joint surface, which leads to friction sound after ankle joint activities. There are many other causes of ankle ringing, which should be emphasized, timely consultation, identify the cause of the disease, and follow the medical advice for further treatment or therapy.