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September 1, 2020: Why do I have foot pain?

Why do my feet hurt?

In a series of blogs this month we will look at the causes of foot pain.

There are many reasons why anyone can experience different levels and types of foot pain.

Sharp or dull, bruised or persistant, pain is a warning – don’t ignore it!

This list is not exhaustive but deals with some of the main reasons for calls to Maidenhead Podiatry and Chiropractic Clinic.

Ankle/Heel pain

This is a very common condition and is often worse in the mornings getting out of bed, or after brief periods of sitting such as having a coffee.

Plantar Fasciitis is widely known and there are numerous treatments available from stretching to insoles, from steroid injections to Shockwave.

Pain can also be caused by heels spurs, heel bursitis, Haglund’s deformity and Achilles tendinopathy among others.

Arch and large toe pain

Pain is also often experienced along the inner arch of the foot and into the large toe joint although it can be in either of both.

Arch pain can be due to changes in the strength and position of the foot and custom insoles following bio-mechanical assessment may be the best solution.

This is common in runners and can be linked to over-pronation.

Large toe joint pain can be due to ill-fitting footwear in the past and is often associated with enlargement of the joint and bunions.

It can also be due to arthritic changes.

Localised, specific pain

This is where the pain is usually sharp and persistent, focused on a single point.

Commonly found over a joint surface, between the toes or on the sole of the foot, the most common cause is corns.

Corns are areas of callous with a hard central portion that focuses pressure on the underlying structures and can cause momentary, eye watering pain.

Verrucas can also cause pain because they are rich in nerve tissue.

This means that when they are compressed – they hurt!

There are other possibilities including trauma, bruising, Morton’s neuroma or a foreign body such as a piece glass or an embedded hair.

Referred pain

Often pain in the foot or feet doesn’t have a local origin.

Pain can often be referred from higher up a nerve but be experienced in the extremity.

A common origin of referred pain is the lower back.

Damage, degeneration or repeat stress in the back can lead to the impingement or compressing of a nerve root leading to a reaction in the foot or lower leg.

Our Chiropractors or our Podiatrists will include this in their initial assessment as they form a treatment plan.

Ingrown nails

Anyone who has had an ingrown nail will know how painful they can be.

This is where the nail grows painfully into the side of the toe, often made worse by shoes pressing.

This can be caused by picking and tearing the nail, poor cutting – usually down the side, or simply be due to bad luck.

Some toes are shaped in such a way as to make ingrown nails almost inevitable where others will never experience it.

Ingrown nails vary in severity from constant soreness to infected and weeping.

Maidenhead Podiatry and Chiropractic Clinic offers a comprehensive ingrown nail treatment service, no matter the condition.

Compensation pain

Pain in the foot causes a person to walk differently or limp to take the load off the painful area.

This is the body’s autonomic response to pain.

This response is designed to protect the painful area.

However, this in turn places increased stress on other structures that have to compensate for the change.

In this way a pain in the foot can cause pain elsewhere such as in the lower back, hip and knee.

Other causes of pain

This list is not comprehensive and there are many other causes of foot pain.

These include fracture, stress fracture dislocation, soft tissue injuries, infection, skin infection and neuropathic changes to name but a few.

Each Tuesday this month we will look in more detail at the causes of different types of pain and how they can be addressed.

Remember, pain is a warning don’t ignore it!

Give us a call!

If you are experiencing foot pain and you would like more information give us a call on 01628 773588.

To make an appointment with one of our Podiatrists or Chiropractors, please give us a call on 01628 773588.

If you would like a comprehensive bio-mechanical assessment do give us a call on 01628 773588.

For more information visit www.maidenheadpodiatry.co.uk.

If you would like to know more about how we are risk assessing and managing our Covid-19 click here.