Anna heeft pijn in haar enkel, maar haar been voelt verder goed aan.

In Dutch, the normal way to say someone is in pain is pijn hebben = to have pain.

So:

• Anna heeft pijn = Anna is in pain
• more literally: Anna has pain

You can use pijnlijk in some contexts, but it means painful, not simply in pain:

• Haar enkel is pijnlijk = Her ankle is painful

That is grammatically fine, but pijn hebben is the most common everyday wording for a person experiencing pain.

Dutch often uses pijn in to indicate where the pain is located:

• pijn in mijn rug = pain in my back
• pijn in haar knie = pain in her knee
• pijn in zijn enkel = pain in his ankle

So pijn in haar enkel is the normal way to say pain in her ankle.

Yes, enkel can mean two different things.

As a noun:

• de enkel = the ankle

As an adjective/adverb:

• enkel = only, single

In this sentence, haar enkel clearly means her ankle, because it is being used as a body part noun.

So:

• haar enkel = her ankle
• enkel een vraag = only one question

Because Dutch repeats the possessive pronoun with each noun, just like English usually does here:

• haar enkel = her ankle
• haar been = her leg

So the sentence says:

• Anna heeft pijn in haar enkel, maar haar been voelt verder goed aan.

This is completely normal. Dutch does not usually avoid the second haar just because it refers to the same person.

Been means leg.

So:

• haar been = her leg

This is a useful false friend to notice, because English been has nothing to do with the Dutch noun been.

Also, pronunciation is different from English been:

• Dutch been is pronounced more like bayn

Here verder means something like:

• otherwise
• apart from that
• besides that

So:

• maar haar been voelt verder goed aan means
• but otherwise her leg feels fine
• but apart from that her leg feels fine

It adds the idea that there is a problem with the ankle, but the rest of the leg seems okay.

Because the verb is aanvoelen, which is a separable verb in Dutch.

The full verb is:

• aanvoelen = to feel, to seem to feel, to feel to the touch

In a main clause, Dutch often splits separable verbs:

• voelt ... aan

So:

• haar been voelt goed aan literally:
• her leg feels good on

But in natural English:

• her leg feels fine
• her leg feels okay

This splitting is very common in Dutch:

• opstaan → ik sta op
• meenemen → ik neem mee
• aanvoelen → het voelt goed aan

Goed aanvoelen means to feel fine / feel okay / feel normal.

In this sentence, it suggests that the leg does not seem to have a problem apart from the ankle.

A few examples:

• De plek voelt warm aan. = The spot feels warm.
• Mijn knie voelt stijf aan. = My knee feels stiff.
• Haar been voelt goed aan. = Her leg feels fine / feels normal.

So voelt goed aan is about how something feels, often physically.

Because maar is a coordinating conjunction, much like but in English. After maar, you normally get regular main-clause word order.

So:

• Anna heeft pijn in haar enkel
• maar haar been voelt verder goed aan

In the second clause:

• haar been = subject
• voelt = finite verb
• verder goed = adverb + adjective
• aan = separated verb particle

This is standard Dutch main-clause order.

Because pijn is usually treated as an uncountable noun here, like pain in English.

So Dutch says:

• pijn hebben = to have pain
• pijn in mijn arm = pain in my arm

You normally do not say een pijn in this kind of sentence.

Yes. That is another very common way to express this idea.

For example:

• Anna’s enkel doet pijn.
• Haar enkel doet pijn.

This literally means Her ankle hurts.

So Dutch has at least two very natural patterns here:

• Anna heeft pijn in haar enkel. = Anna has pain in her ankle.
• Haar enkel doet pijn. = Her ankle hurts.

Both are correct and common.

In everyday Dutch, been usually means the whole leg.

If you specifically want to say lower leg, Dutch often uses:

• onderbeen = lower leg

And for thigh:

• bovenbeen = upper leg / thigh

So in this sentence, haar been means her leg in general, not a more specific section unless the context says so.

Yes, it sounds natural.

It has a very normal structure:

• problem stated first: Anna heeft pijn in haar enkel
• contrast added after maar: haar been voelt verder goed aan

A native speaker would understand it immediately as:

• the ankle hurts,
• but the rest of the leg seems fine.