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Both ankle pain and ankle tendinitis can be caused by injuries (such as sprains and strains from sports) or diseases and conditions (such as rheumatoid arthritis or gout).
A first-degree sprain involves minor stretching of one of the ankle ligaments. Symptoms include some bruising, swelling and pain, but patients are usually able to walk without much discomfort. A second-degree sprain is the result of stretching and tearing of two of the ankle ligaments.