Foot pain

April, 2020 Lower limb pain (thigh, knee, foot)

There are 28 bones in the foot area and more than 5 joints in this area provide a wide range of motion. The soles of the ankle (tarsal) and the soles of the feet (metatarsal) and the bones of the fingers as well as the ligaments and tendons support the entire foot, including the inside of the foot, with an arch and curvature for:

  • Pressure absorption
  • Stabilize the body while standing, walking and running
  • Make it possible to walk on rough and steep surfaces

Leg pain is felt in three parts, one on the soles of the feet and the other on the heels and toes

Causes of foot pain

1- Plantar pain

The arch of the foot is a curve upward in the middle of the foot, which is the tendons that form the arch, meaning that if the tendons are pulled inward enough, the foot, the arch, and its natural curvature It does, but if the tendons are not pulled together properly, either the arch will be lowered or no arch will be created, this is referred to as foot arch drop or so-called flat foot. The dynamic disruption of this area causes severe pain in the soles of the foot and ankle.

2- Morton’s neuroma

Neuroma is a type of thickening and benign inflammation with abnormal growth of nerve tissue. It occurs between the third and fourth toes and two or three toes. It can be a cause of tingling between the toes and severe pain in the spherical area of ​​the toe.

3- Heel spur

Heel spur or plantar fasciitis ,when inflammation of the fascia prolongs or persists, inflammation of the area results in calcium deposition. Heel spur is one of the main causes of heel pain. The success rate in treating heel spurs is very high. When the filaments of heel become inflamed or there are small ruptures in them, it is called inflammation of the filamentous filaments of the foot.

Complications associated with foot pain

Treating foot pain is very important because the foot is able to withstand body weight and the pain in this area changes the position of the body and shifts the axis of the body forces, thus putting more and unbalanced pressure on the other lower extremity structures and causing injuries to the body as below:

  • Inflammation of the plantar fascia
  • Low back and hip pain
  • Knee Pain
  • Achilles tendon inflammation
  • Shin Splint
  • Compressive fractures
  • Hammer finger
  • Heel pain
  • Callus
  • Morton neuroma

Treatment

Using pain treatment techniques for foot pain can relieve pain and prevent it from happening again.

Orthosis and insole :

To improve foot support and heel stability, use of orthosis or insole can be very effective and relieve pressure on the posterior tibialis tendon.

Heel support :

Heel support is effective in reducing pain and discomfort. The shape and height of the support shall be proportional to the type and height of the foot arch.

Muscle Strength :

Posterior tibialis muscle strengthening and Achilles tendon elongation play important roles in reducing pain and possible pronation  of the foot.

Medical insoles and suitable shoes :

The shoes and soles of the individual lifestyle should be suitable for daily activities as well as for more intense activities such as running or exercising.

Night splint :

The overnight protector reduces strain on the arch of the foot by keeping the muscles in proper position and strengthening them at rest.

Cold Massage :

Foot massage, ligation, and a variety of cryotherapy treatments help reduce pain and discomfort.

Exercise and corrective movements

The rolling movements of specific spherical bodies on the soles of the foot increase flexibility throughout the muscle and thereby strengthen the muscles. Rolling a ball or cylindrical body under the foot along the soles of the foot can improve problems and reduce pain.

Other treatments for foot pain :

Non-invasive and maintenance treatments:

Medication / High Power Laser / Manipulation/ Physiotherapy / TENS

Interventional treatments :

Injection, plantar fascia pulse radiofrequency, plantar fascia cryo ,ozone injections into muscles and other methods….

Prevention of foot pain

You should always keep your leg and Achilles and ankle muscles flexible, which is provided by moderate daily exercise. 

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