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Foot Pain Tips

Foot Arch Pain - How To Manage It?

Dr.Pallavi Singh 88% (64ratings)
BPTh/BPT, Vasyli Certification
Podiatrist, Mumbai
Foot Arch Pain - How To Manage It?

Foot arch pain is used in a broader context for describing pain in bones, ligaments, muscles and nerve on the foot bottom. Slight damage to any of the components in the foot bottom can cause great pain. For starters, the pain lasts for a brief period but increases over time if the condition is left untreated. Foot arch pain is more commonly witnessed in people over the age of 60 and among athletes engaged in sports of high impact.
The treatment plan of the pain totally depends on the cause. An early and right diagnosis goes a long way in treating the condition faster. For occasional mild to moderate pain, simple solutions such as footwear change can do the trick. Doctors often suggest four simple methods. This starts with rest followed by applying ice and then trying compression and elevation.

Anti-inflammatory medications are used to treat foot arch pain. Cases that are severe in nature can be treated with steroid and anti-inflammatory injections. For extreme cases, cortisol injections are prescribed too. This is done to relieve pain and release plantar fascia. Even stretching exercises are known to give relief from the pain. Some of the recommended exercises during this period are:

  1. Stretch-related to plantar fascia: This exercise should be performed by crossing the legs at the junction of the knee. The body weight should be rested on the unaffected leg and it should gradually come down to touch the toe. The idea is to stretch the plantar fascia. A set of 20 such movements should be practised on a daily basis. Each movement should last for about 10 seconds.
  2. Foot flexing: This exercise can be practised before getting out of bed. This is the tie when the pain from the plantar fascia is felt the most. This exercise should be repeated 20 times each lasting for about 10 seconds.
  3. Rolling stretch: This exercise should be started by sitting in a chair. A tennis ball should be placed under the foot arch and the same should be rolled back and forth for ten times at a time. The same should be repeated with the second foot. Once this posture gets comfortable, the same should be practised by standing on the ball. It is known to be extremely useful for people suffering from foot arch pain.

How to prevent foot arch pain?
1. Wear shoes that are half an inch lose as they will make feel comfortable while walking
2. Losing weight; obese tends to cause pain in the foot arch
3. Performing free hand exercise and simple stretching on a daily basis
4. Not to overuse the footwear. People who stand for more than 5-6 hours at stretch on a daily basis are observed to have foot arch pain.

4069 people found this helpful

Foot Problems - Know Surgery That Can Help You!

Dr.Ashok Jain 90% (709ratings)
MS ( General Surgery)
Oncologist, Mandsaur
Foot Problems - Know Surgery That Can Help You!

Foot problems can occur due to a number of causes that, in most cases, are easily diagnosed. An orthopedic is a specialized doctor whose advice you should seek if you have any kind of discomfort in one or both of your feet. Discomfort may include chronic or regular pain, difficulty in movement and/or disfigurement. These are generally a result of arthritis, physical injury or a genetic or hereditary condition. In some of the cases, the pain and discomfort can be treated without any surgery, by using medications. However, in extreme cases, where medication, physical therapy, and other such non-surgical methods fail to have any impact, surgery is the only way to go.

These surgeries are less invasive and require limited recovery time. They are also one of the most successful types of surgery. The surgical procedure is successful in dealing with the main complaints of a foot problem. It successfully treats a foot by,

  1. Relieving pain: The pain in your feet interferes with your work, making it difficult to carry on with your daily life, affecting your personal and social relationships. Pain often indicates an underlying problem, and it is easier and effective to treat the problem with surgery, as it relieves you from the chronic pain.
  2. Restoring function: If your feet do not function properly, it will be impossible for you to move, as they are necessary for mobility. When a simple stride becomes a problem, your whole lifestyle is affected. Accepting defeat is not an option. A good orthopedic can help you to get back to your normal daily life by surgically treating your feet thus ensuring they function properly.
  3. Improving appearances: Foot deformity, due to a number of reasons such as polio or bone spurs, can lead to a restricted lifestyle. Movement is hampered and so is freedom. Surgically it can be treated and the appearance of your feet can be improved.

Arthritis is also a cause of a number of foot problems. In more cases than not, surgery becomes a necessity to treat your foot. Here are some of the surgeries that cater to arthritis-related foot problems:

  1. Repairing Fracture: If the fracture is beyond repair by non-surgical methods, surgery is the last refuge for an orthopedic surgeon. Surgery will include repositioning of the bone and the use of supports to keep them in position.
  2. Arthroscopic debridement: This surgical procedure helps to remove inflamed tissues or spurs from the joint.
  3. Arthrodesis: Also known as joint fusion, it involves the removal of the ends of the bones at the joint and replacing them with metal pins or screws.
  4. Osteotomy: The surgical procedure involves the realignment of a joint by cutting the bone.
1613 people found this helpful

Know More About Foot Deformity & Its Treatment!

Dr.Milind Ruke 87% (13ratings)
MBBS, MS - General Surgery, Certified Wound Specialist, Trainer in Podiatry Surgery, Fellowship in Orthopaedic Foot & Ankle Surgery, Wound Management, CAQ (Hyperbaric Medicine), Post Graduate Certificate course in Diabetic Foot
Diabetic Foot Surgeon, Mumbai
Know More About Foot Deformity & Its Treatment!

Foot deformity is a broad concept which includes any problem that changes the structure and shape of the foot. This condition can be painful and damaging. It happens because of the misalignment of joints and bones. It can either be genetic or may be caused by some accident, weak bones, age factor, and others. These deformities can be treated to some extent with surgeries and medication.

Types of Foot Deformities-
There are various types of foot deformities which can be genetic, may develop with age, or may be caused by injury or infection.

● Flat Foot: It is usually inherited but might be the result of years of wear and tear or due to being overweight. They often complain about pain in the feet, or walking and running difficulties. This deformity is easily diagnosed and can be treated to some extent with some medication and using special kinds of shoes.

● Heel Spur: It is caused with the deposit of calcium underside the heel bone resulting in bony lump or protrusion. This kind of foot deformity can usually be seen among athletes. It develops over time due to age factor, extreme physical work, continuous standing diabetes or having high arches or flat foot. There are medications and exercises that can help in treating Heel Spur but if it becomes severe then surgery is needed.

● Bunions: It is a bony bump that develops at the base of the big toe around the joint. The toe gets out of place and sticks out. They can be caused due to wearing narrow shoes, injuries, congenital deformities, and others. It is usually treated by medications but can need surgery depending upon the severity of the problem.

● Clubfoot: It is often congenital where a newborn’s foot is out of position and shape. In clubfoot, the tissues attaching the muscles to the tendons or bone are undersized. Expecting mothers are advised to avoid unhealthy habit and environment.

● Hammertoe: This condition develops with an imbalance in the tendons, ligaments or muscles responsible to hold the toe straight. It is an unusual curve in the mid joint of the toe. It can be caused due to some trauma, disease or shoe type that one wear.

● High-Arched or Cavus Foot: It is an ailment where the foot has a high arch than usual. Due to this unusual high arch, an extra amount of burden or weight is placed on the heel and ball of the foot. Cavus Foot can develop at any age and causes instability and pain.

Take Away-

Foot Deformities includes any condition that causes the feet of an individual to get out of shape and position. It can either develop with age or may be inherited or may be caused due to an accident. One should not avoid if he/she experience any regular pain in the feet or finds any deformity.

2408 people found this helpful

How To Cure Flat Feet Pain?

Diploma In Orthopaedic, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedic Doctor, Mumbai
How To Cure Flat Feet Pain?

Excessive and persistent pain in the feet, as well as the ankle joints, could point at the existence of a condition known as flat foot pain. This happens due to the difference between a normal foot and a flat foot. While a normal foot will have an upward arch under the foot, right in the middle, the flat foot does not have such support. This arch is usually formed by the tendons and ligaments that help in rendering support to the foot as well as stabilizing the rest of the body. When these tendons and ligaments become weak, the arch begins to diminish before finally disappearing, which leaves the patient with a flat foot.

This can be a painful condition. Let us look at the ways in which it may be cured.

  1. Foot Wear: When you are suffering from this condition, it is important to wear comfortable and supportive footwear like shoes, sandals and slippers which can support the arch and help in giving stability to the rest of the body. Besides looking for shoes that will provide the right amount of comfort, one can also use additional support like insoles that will help in giving comfort while you are walking, standing or running.
  2. Orthotics: These are tools that can be recommended by your doctor in order to help in minimizing the pressure that one feels in the foot. The orthotics usually distribute this pressure by giving much needed additional support to the arch of the foot. These tools also help in realigning the foot’s ankle with its bones as well as the joints, which can help in successfully treating this condition to a great extent. They are usually customized as per your exact foot shape and size, as well as the problem you are facing so that you have plenty of support when you are using your feet for varied activities.
  3. Arch inserts and wraps: If your normal shoes are lacking the arch support that you require for flat feet, then you can also invest in arch inserts and wraps which will reduce the pain and prevent it from reoccurring. Also, these will help you to remain standing or walking for longer periods of time, as they add that extra bit of support to your feet for normal functioning.
  4. Surgery: If the various non surgical treatments do not help you over a period of a few months, then it may be time to speak with your podiatrist or orthopedic specialist so that you can go in for a surgery that will fix this problem. This kind of surgery will help in stabilising the feet and ankle bones by applying for corrective foot support.
2003 people found this helpful

Charcot Foot - How To Manage It?

MBBS, MS - General Surgery
Diabetic Foot Surgeon, Mumbai
Charcot Foot - How To Manage It?

Charcot foot is a rare complication of diabetes. It usually affects diabetics with peripheral neuropathy. Charcot affects the joints, bones and soft tissues of the ankle or foot. This causes the bones to become brittle and fragile, and the joints to become dislocated. Over time, the foot joints collapse and become deformed.

What causes Charcot foot?

The following conditions/factors may cause Charcot foot to develop in individuals –

  • Spinal cord injury/disease

  • A fracture or sprain that does not heal quickly

  • A footsore that refuses to heal

  • An infection

As these problems start to show up, the patient may not be aware that the foot is hurt because of nerve damage – a complication common in diabetic mellitus patients – that keeps you from feeling or sensing any pain.

What are the symptoms?

Although you might not be able to feel the pain due to loss of sensation, you are likely to notice the following symptoms if you have Charcot foot –

  • Swelling in the ankle or foot

  • The foot/ankle may appear reddish

  • Feels warm to the touch

Watch out for the early signs of the condition. It is advisable that you get yourself diagnosed for Charcot foot upon identifying the above symptoms.

Diagnosis of Charcot Foot

Lab tests and X-ray are usually used to detect Charcot foot. Your doctor will carefully examine the foot and go through your medical history to check if you have diabetes.

After confirming the diagnosis, the doctor will decide on the line of treatment depending on the severity of the condition.

Treatment/Management

The goal of Charcot foot treatment is to heal fractured bones and prevent deformity and further damage to the joints.

Non-surgical treatment involves –

  • Casting – In the initial stage, a cast boot or cast protects the ankle and foot. It is an effective method of managing the symptoms of Charcot foot. The cast helps reduce swelling and acts as a shield to the bones.

  • Custom Shoes – A custom shoe or diabetic shoe is recommended once the initial swelling has reduced and the bones have fused together. The shoe is specially designed to reduce the risk of foot sores/ulcers.

Surgery is recommended if the foot deformity increases one’s likelihood of getting ulcers, or if the specialized shoe wear is not effective. The surgeon will fuse or align bones to stabilize the foot. He might also level sharp bones that could cut into the skin of your foot and cause ulcers.

There are other ways to manage Charcot foot.

  • Do not put too much weight on the injured foot

  • Wash your feet daily

  • Always wear shoes and socks

  • Get regular checkups with a specialist who treats diabetic foot problems

Follow the doctor’s instructions to ensure the best outcome from treatment. Patients with Charcot foot must inspect both their feet carefully on a daily basis. You should also work to keep your blood sugar levels under control to avoid complications.

 

6401 people found this helpful

Plantars Fasciitis - How To Handle It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Amritsar
Plantars Fasciitis - How To Handle It?

Plantar Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel. Let us look at ways that can help you deal with this pain.

-Rest: Taking rest and giving your feet a break from all kinds of strain-inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area. 

-Supportive Footwear: Using pads within your shoes with gel built into them, or using specific footwear that helps in walking without feeling too much of pain is a good way of dealing with Plantar Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.

-Exercise: Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

-Pain Killers: Use painkillers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain-inducing nerves in the brain and give you instant relief.

-Anti Inflammatory Drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

-Surgery: Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

4303 people found this helpful

Plantar Fasciitis - Know How To Avoid It!

MBBS, MS - Orthopaedics, fellowship in Arthoplasty
Orthopedic Doctor, Bangalore
Plantar Fasciitis - Know How To Avoid It!

Plantar fasciitis or foot arch pain is the most widely recognised form of foot ache. The plantar fascia is a belt of the tissue (tendon) that connects your heel to your toes. It supports your foot arch. If you strain your plantar belt, it gets weak, swollen, and inflamed. At that point, your heel or the base of your foot hurts when you stand or walk.

Plantar fasciitis is very common in moderately aged individuals. It also affects young individuals who are on their feet a great deal, like athletes or sportspersons. It can happen in one foot or both feet. Straining the tendon or ligament that supports your arch causes plantar fasciitis. Repeated strain can bring about small tears in the tendon. These can lead to pain and swelling.

  1. No single treatment works best for those suffering from plantar fasciitis. However, there are numerous things you can do to help your foot to improve from this condition. These are as follows:
  2. Try to give your feet a lot of rest. Decrease the type of exercises that can make your foot hurt. Do whatever it takes not to walk or keep running on hard surfaces.
  3. Avoid wearing heels if that is what might be causing the pain. Try to wear shoes with soft soles.
  4. To diminish the pain and swelling, try applying ice on your arch or even heels, in case the pain is caused because of the arch. On the other hand, take an over-the-counter (OTC) pain reliever like ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  5. Do toe stretches, calf stretches and towel extends a few times a day, particularly when you first get up in the morning. (For towel stretches, you pull on both the ends of a towel that you put under the bundle of your foot.) Before doing so, roll the towel into the shape of a band.
  6. Get another pair of shoes. Pick shoes with great curve bolster and a padded sole. On the other hand, you can also use heel mugs or shoe inserts (orthotics). Utilize them in both shoes, regardless of the possibility that only one foot hurts.

In case that these medications do not help, your doctor may suggest splints or supports that you can wear during the evening. He or she may also suggest certain shots of medicine, (for example, a steroid) in your heel, or different medicines. Most people will not require surgery. Specialists just propose it for individuals who still have pain even after taking different medicines for six to twelve months.

Plantar fasciitis frequently happens as a result of injuries that have happened after some time. With treatment, you will face less pain within a couple of weeks. However, it may take time for the pain to leave totally. It might take a couple of months to a year. Continue with your treatment. In case you do not, you may have chronic pain when you stand or walk. The sooner you begin treatment, the sooner your feet feel relief.

4069 people found this helpful

Plantars Fasciitis - How To Deal With It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB (Orthopedics)
Orthopedic Doctor, Nagpur
Plantars Fasciitis - How To Deal With It?

Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel. Let us look at ways that can help you deal with this pain.

-Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area. 

-Supportive Footwear: Using pads within your shoes with gel built into them, or using specific foot wear that help in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.

-Exercise: Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

-Pain Killers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.

-Anti Inflammatory Drugs: Your doctor may prescribe anti inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

-Surgery: Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

1394 people found this helpful

Bunions - How Can Podiatry Help In Its Treatment?

Dr.Pallavi Singh 88% (64ratings)
BPTh/BPT, Vasyli Certification
Podiatrist, Mumbai
Bunions - How Can Podiatry Help In Its Treatment?

A bunion is a very common problem in foot related problems or in podiatry. A bunion appears as a bump on the outer side of the big toe. It is a result of a bone abnormality. It misaligns the toes by bending the big toe in the direction of the other toes.

The condition may be painful but sometimes it does not feel any different. However, the resultant misalignment of the toes causes problems in walking. This eventually gets painful. If not treated, the resultant deformity can be permanent.

Causes - 

Bunions can be caused by any of the following factors and sometimes, due to unknown reasons:

  • Genetic condition.

  • Flat foot.

  • Excessively flexible ligaments.

  • Changes in the bone structure.

  • Diabetes.

  • Wrong footwear.

  • Excessive pressure on the feet.

  • Arthritis.

Symptoms -

How to figure out that a bunion is forming before it is already present in all its bumpy glory? Here’s how:

  • Noticing inflammation and redness on the outside of the big toe.

  • A slight change in the direction of the tip of the big toe.

  • Thickening of skin under the big toe.

  • Calluses on the second toe.

  • Foot pain.

  • Rigidity or pain while moving the big toe.

Diagnosis -

Bunions can be diagnosed visually alone because all the symptoms are very clear and they do not overlap with other conditions. The physical examination will involve sensation around the toes, their mobility, and the intensity of pain.

Blood tests can be conducted to figure out the cause of the bunion, be it arthritis, diabetes, or something else.

X-rays are done to locate the exact stage of the deformity and the condition of the foot bones.

Treatment -

Bunions can be treated surgically. Bunionectomy is the commonest surgical option. It involves removing some parts of the bone or swollen tissues to restore the shape of the toes and feet. Total recovery takes about 8 weeks but the patient can walk on the same day.

However, surgical treatment is still the last resort. Non-surgical podiatric treatment is recommended and usually, it works. Some of the ways include:

  • Wearing footwear specially made for bunions. It helps ease the pain and prevent further deformity.

  • Using HAV night splint to stretch the adductor halluces muscle.

  • Physiotherapy to strengthen the adductor hallucis muscles.

  • Orthoses to control abnormal movement.

  • Physician tape to keep the toes in place preventing further misalignment and pain.

  • Pain relief with acetaminophen is recommended over ibuprofen or naproxen.

  • Arch support or padding to protect the bunions.

  • Ice packs and Epsom salt to relieve the inflammation.

Bunions can be cured, but in some cases, the deformity is already permanent. Depending on the progress of the podiatric treatment in combination with lifestyle changes to reduce pressure and pain, surgery may or may not be required.

5880 people found this helpful

How To Deal With Foot Pain Due To Diabetes?

Dr.M Wali 85% (39ratings)
MBBS, MD - Medicine, FACC, FRCP
Internal Medicine Specialist, Delhi
How To Deal With Foot Pain Due To Diabetes?

If you have numbness or tingling sensation in your feet, then you could be suffering from diabetic peripheral neuropathy. It can have an impact on your sleep, mood and overall quality of life. Besides taking the prescribed medications, there are effective ways of dealing with foot pain stemming from high blood sugar as explained below.

  1. Taking over-the-counter medicines: Medicines such as aspirin, naproxen, acetaminophen and ibuprofen can help to serve mild to moderate pain stemming from diabetic nerve damage. But before taking these medicines, you should consult with an expert since they can raise the risk of heart attack and kidney problems.
  2. Quit smoking: Smoking may cause the blood vessels to constrict and impair the circulation. This indicates that the peripheral nerves will not get an adequate amount of nutrient-rich blood which can pave the way for more pain.
  3. Have control over your blood sugar levels: With the passage of time, the excess blood sugar levels can cause damage the peripheral nerves. When you have blood sugar levels within a healthy range, you can substantially reduce your risk of nerve damage. You should eat a lot of fruits and vegetables and low-fat dairy and whole grains.
  4. Take more Vitamin DEven though it is hard to get the desired 600 IU of this vitamin from food, you can get it in the form of supplement. A study found that people with diabetic neuropathy can take the supplement once in a week to curb the symptoms of feet pain. Vitamin B complex plays a crucial role in improving nerve health. You should get it in right amounts so that the brain can produce certain chemicals which are required for sending information through the body channels.
  5. Take Alpha-lipoic acid supplement: The human body has the natural ability to produce little amounts of antioxidants. When you take them in recommended quantities it can regulate the blood sugar levels and ease the pain in the feet and palms. A per a study, people taking more than 600 milligrams of antioxidants on a regular basis experienced 19 percent improvement in the diabetic neuropathy symptoms within 5 weeks.
  6. Indulge in daily workouts: Regular workout can help you to combat pain in a variety of ways. It can regulate the blood sugar levels and slow down nerve damage. Exercise can surge the flow of blood to the legs and arms and it can also enliven your mood and offer relief from stress.

Note that a nerve damage can lead to loss of sensation in the feet which means that you may not realize any cut or scratch in your feet until much later which could prove fatal. Hence it is essential for you to prevent the loss of sensation. Using the methods suggested above you can deal with the foot pain related to diabetes.

5430 people found this helpful
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