Foot Pain: Common Reasons and Solutions
By Dr. Rakesh Mahajan in Centre For Orthopaedic
Aug 26 , 2024 | 9 min read
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Foot pain often results from overuse or injury, such as a sprain, strain, or fracture. Other typical problems include bunions, which affect the joint at the base of the big toe, and plantar fasciitis, which causes heel pain. There are also times when uncomfortable shoes may cause foot pain.
You could also develop chronic foot pain from an underlying medical condition like diabetes, arthritis or nerve disorder. Identifying the reasons for these foot pains will help you relieve pain and avoid further suffering.
Plantar Fasciitis
Plantar fasciitis is an injury involving inflammation of the plantar fascia. It is sustained by overstretching and overuse of the plantar fascia. The area becomes swollen and painful due to the injury. Because of irritation, it is difficult to use the feet to walk.
Symptoms of Plantar Fasciitis
- Heel pain
- Pain in the arch of your foot
- Stiffness
- Swelling around your heel
- A tight Achilles tendon
Common Risk Factors of Plantar Fasciitis
- Ages 40 to 60 are the most typical range for plantar fasciitis cases.
- Activities that put a lot of strain on the tissues linked to your heel.
- Flat feet impact how your weight is distributed when standing.
- Extra weight puts additional strain on your plantar fascia.
Treatments Options of Plantar Fasciitis
- Medicines
- Physical therapy
- Walking boots, cranes, or crutches
- Shock wave therapy
- Surgery
Prevention Strategies of Plantar Fasciitis
- Before and after a workout session, stretch.
- After intense physical activity or exercise, give your feet time to relax and recuperate.
- Put on supportive footwear.
- On hard surfaces, avoid wearing bare feet.
- You should replace your shoes every six to nine months or after covering 250-500 miles walking or running.
Bunions
A bunion is a bony growth that develops on the big toe joint. It occurs when a few of the bones that make up the front part of your foot move.
Signs and Symptoms of Bunions
- A protruding lump near the base of your big toe
- Redness, swelling, or discomfort around the joint of your big toe
- Corns or calluses: these typically form where the first and second toes rub against one another; they can cause constant pain or sporadic pain; they can also limit the movement of your big toe.
Contributing Factors of Bunions
Bunions may develop from wearing tight, narrow shoes or worsen. In addition, foot deformities, medical conditions like arthritis, or even just the shape of your foot can cause bunions. Your little toe's joint may develop smaller bunions or bunionettes.
Treatment of Bunions
- Changing footwears
- Bunion pads and taping
- Orthotic devices
- Pain relievers
- Corticosteroids
- Physical therapy
- Surgery
Preventive Measures of Bunions
- Avoid those shoes that have a sharp, pointed end at the toes.
- Even if you know your size, try a couple of pairs of shoes to ensure you get the best fit possible.
- Before you buy your next pair of shoes, walk, sit, and stand in them.
- You may find that your fit is better if you try on shoes toward the end of the day.
Arthritis
Arthritis is a medical condition in which joints become inflamed, causing pain, stiffness, redness, and swelling. Over 100 types of arthritis exist, but the most common are osteoarthritis and rheumatoid arthritis. Proper diagnosis and treatment enable individuals to manage symptoms and maintain active, productive lives.
How Does Arthritis Affect the Feet?
Rheumatoid arthritis occurs when the immune system attacks the body's own tissues due to an autoimmune dysfunction. The pain, stiffness, swelling, heat, and redness in the ankle and foot result from an immune response focused on the synovium, the soft tissue lining within joints.
Symptoms of Arthritis
- Joint pain
- Limited movement, or rigidity in a joint's movement
- Swelling (inflammation)
- Change in skin colour
- Pain when touching or tenderness around a joint
- The feeling of warmth or heat near your joints.
Diagnosis of Arthritis
Examine your past medical records and your present symptoms. Try to identify if you are facing any usual issues with your joints. Place orders for X-rays, lab tests, and other imaging tests (like an MRI or ultrasound). Execute an arthrocentesis, a process that involves draining fluid from a joint.
Management and Lifestyle Tips of Arthritis
- Balanced diet
- Manage your weight
- Exercise
- Quit smoking
- Improve sleep
Injury and Overuse
The following are the most common foot injuries. Achilles tendonitis: The tendon joining the heel bone with the calf muscle is prone to this condition. Tendonitis is a common disorder characterised by irritation and inflammation of the tendon.
Signs and Symptoms of Injury and Overuse
It might be sharp or dull, acute or chronic, and it can worsen when you wear uncomfortable shoes or do exercise. Even the smallest touch can occasionally cause agony. Additional signs and symptoms could be bruising, redness, swelling, numbness, and changes in the appearance of your toe or other foot.
Treatment and Recovery Guidelines of Injury and Overuse
The course of recovery for foot and ankle disorders varies according to the nature of the injury, where it occurs, how severe it is, and what kind of care is needed. With rest and conservative care, mild soft tissue injuries, such as those from sports-related overuse, usually disappear in a few weeks.
Identifying Underlying Medical Conditions Linked to Foot Pain Reasons
- Walking may be challenging due to the arthritis accompanying foot joint inflammation.
- Neuropathy is generally caused by diabetes and brings tingling, numbness, and discomfort to the feet.
- Gout causes sudden and severe pain in the big toe due to high uric acid.
- Peripheral artery disease causes poor circulation and foot pain from a lack of blood flow. It causes plantar fasciitis with inflamed tissues and tendons. Tendonitis is the cause of chronic foot pain.
Knowing these conditions will allow focused therapies to be adapted that would reduce discomfort, increase mobility, and improve quality of life.
Diabetes and Neuropathy
Long-term diabetes can cause diabetic neuropathy, which means damage to nerves, resulting in tingling, discomfort, and loss of sensation in the foot. If you have lost feeling, you won't feel a rock in your shoe or a blister on your foot.
Symptoms of Diabetes and Neuropathy
- Sensory nerves take in information from the skin about temperature, discomfort, vibration, and touch.
- Motor neurons that regulate the movement of muscles.
- Autonomic nerves that regulate bodily processes like heart rate, blood pressure, perspiration, digestion, and bladder function.
Complications of Diabetes and Neuropathy
- Burns, skin injuries and wounds on the feet
- Infection
- Falls
Every diabetic's feet should be examined by a physician or podiatrist at least once a year. This is necessary to avoid ulcers and other consequences and to identify issues early on.
Gout
Urate crystals build up in your joint, resulting in gout, characterised by extreme pain and inflammation during an attack. When your blood uric acid level is high, uric crystals may form. Your body generates uric acid when it breaks down purines, naturally occurring chemicals.
Anybody can have gout, a frequent and complicated kind of arthritis. Sudden and intense pain, swelling, redness, and tenderness can affect one or more joints, with the big toe being the most commonly impacted.
Treatment and Dietary Considerations of Gout
- Consume more whole grains, fruits, and vegetables rich in complex carbohydrates.
- Restrict foods and drinks that contain high-fructose corn syrup; limit your intake of naturally sweet fruit juices.
- Drink water. Water will help you stay well hydrated.
Peripheral Arterial Disease
Peripheral vascular disease is a symptom of arterial disease due to the deposition of calcium and fatty materials in the walls of the arteries.
Symptoms of Peripheral Arterial Disease
- A pain in your feet and toes that burns or aches when sleeping, especially at night when you're flat on your back
- Cold feet
- Redness or other variations in skin tone
- Increased occurrence of soft tissue and skin infections (typically in the legs or feet)
Risk Factors of Peripheral Arterial Disease
- Compared with nonsmokers, smokers may have an approximately threefold increased risk of PAD. Utilise our smoking cessation guide.
- Diabetes increases your risk for peripheral artery disease and cardiovascular disease.
Diagnostic Procedures of Peripheral Arterial Disease
- Blood tests
- Ankle-brachial index (ABI)
- Ultrasound of the legs or feet
- Angiography
Treatment Options and Lifestyle Changes of Peripheral Arterial Disease
- Give up using items made of tobacco
- Consume a well-balanced diet that is low in fat, cholesterol, and sodium and high in fibre
- Work out
- Manage other health conditions such as diabetes, hypertension, or high cholesterol
- Keep the level of tension low.
Lifestyle Factors Contributing to Foot Pain
The two major reasons for foot pain are our lifestyle choices and habits regarding using and caring for our feet. The tension is exerted on the feet as it is caused by wearing shoes that fit too small, especially those that don't have any support or cushioning. Prolonged standing or walking on hard surfaces without much rest can cause pain and tiredness in the feet. Moreover, sports and any high-impact activities, such as jogging, can overstress the foot and cause an injury. Obesity exacerbates any discomfort caused by an injury to the foot as it imposes further stress on the feet and joints.
Elevation, cold packs, and mild foot stretching exercises are other immediate interventions for pain relief and the reduction of inflammation. Long-term foot pain treatment relies heavily on maintaining a healthy weight through regular exercise and a balanced diet.
Conclusion
Determining the underlying reason enables focused interventions, such as controlling chronic illnesses like diabetes or arthritis, selecting the right footwear, reducing daily activities to lessen strain, or treating injuries with rest and therapy. People can enhance their quality of life and preserve mobility for a long time by adopting preventative measures to reduce discomfort and maintain good foot health.
Frequently Asked Questions
1. Who treats foot pain disease?
A podiatrist is generally a fantastic choice if your primary concern is foot pain.
2. How can I prevent foot pain during exercise?
Invest in shoes that fit well and offer enough support and cushioning for your activity and foot type.
3. Is foot pain always a sign of a serious problem?
It cannot always result from minor issues like strain or poorly fitting shoes, but chronic or severe pain may indicate underlying problems.
4. Can wearing certain shoes cause foot pain?
When you wear the wrong shoes, you are at a higher risk of foot pain, stress fractures, plantar fasciitis, and other conditions.
5. Are there specific activities that contribute to foot pain?
Inflammation and soreness in the ball of the foot are symptoms. Ankle-height shoes are typically at fault. However, physically demanding activities like sprinting or jumping may cause it. It also goes by the name "stone bruise" occasionally.
6. How does age affect foot pain?
Common indications of ageing feet include increased frequency of aches and pains, bunions' emergence, toe clawing, and overall circulation issues.
7. Are there any natural remedies for foot pain?
Ice packs, exercises, showering, and resting are some at-home treatments for foot discomfort and swelling.
8. Can foot pain be a symptom of a larger health issue?
Your feet may suffer from tendonitis, plantar fasciitis, arthritis, gout, or a cracked or shattered bone. As you age and your joints deteriorate, you have an increased risk of developing foot issues.
9. What role does weight play in foot pain?
Obesity is known to cause increased stress on the feet. Research suggests that a slight decrease in weight can substantially reduce pressure and tension on the lower limbs.
10. Can foot pain be hereditary?
Genetics can contribute to the development of foot deformities like hammertoe, depending on the kind and shape of your foot.
11. How do I know if my foot pain requires medical attention?
- Excruciating pain or oedema, particularly following an injury.
- Possessing an open wound or a pus-filled wound.
- Temperature higher than 100 F (37.8 C) or symptoms of infection, such as redness, warmth, and pain in the afflicted area.
- Unable to place weight on the foot or walk.
12. What impact does foot structure have on foot pain?
Changes in the foot or ankle structure or an underlying ailment may cause pain that seems to be worsening, does not improve, or lasts for several months.
13. Can foot pain affect mobility in the long term?
The foot is prone to various types of stress. Foot issues can result in injuries, pain, and inflammation, which may restrict mobility and range of motion.
14. Are there any lifestyle changes that can alleviate foot pain?
Wearing shoes that allow the foot more space can be beneficial because many individuals wear overly tight shoes, which can cause pain. Orthopaedic shoes support the structure of the ankle, foot, and leg.
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