Foot Pain
Contents
Pain in the arch of the foot
Pain on the side of the foot
Pain in the ball of the foot
Nerve Pain
Tendon Pain
Gout
Diabetic foot/neuropathy
Causes of Foot Pain
The foot consists of 28 bones, 30 joints, and over 100 different ligaments, muscles, and tendons. Foot pain can derive from any of these structures.
Foot pain can develop very suddenly or gradually over time, and this gives us clues as to the cause of the pain. However, the location of the foot pain is particularly important in determining the cause.
Below we have listed some of the more common causes of foot pain at different parts of the foot. With that said, it is important to note that more rare causes of foot pain exist (that we have not described below) which would require a more thorough physical examination by your sports chiropractor.
Pain in the Arch of the Foot
People who experience pain in the arch of the foot, are likely to suffer from a condition known as plantar fasciitis. This condition can cause a sharp pain in the arch of the foot when the person has remained inactive for some time, and suddenly decides to step on the affected foot.Pain on the Side of the Foot
Pain on the side of the foot, or lateral foot pain, can be caused by a broken fifth metatarsal bone. This is actually a relatively common injury, particularly in dancers or runners. Apart from pain, bruising and swelling may also occur on the outside of the foot.Pain in the Ball of the Foot
Metatarsalgia is a common reason for the development of pain in the ball of the foot. Morton's neuroma is another potential cause for the pain to develop in this area of the foot.
Foot Pain with Walking
Patients often complain of pain in the in their feet from walking. In some cases, the pain might only be experienced while walking. While in other patients, walking might actually cause existing symptoms to become worse afterwards. Where the patient experiences their pain is particularly important in helping us determine the cause.
If the pain is more towards the ball of the foot, then the cause may be linked to metatarsalgia. This condition is quite common for those experiencing pain at the front of the foot.
If the pain is more sharp pain and located in the arch of the foot, then we would consider plantar fasciitis to be a potential cause.
When there is a pain at the top of the foot, patients might also consider the possibility of a condition known as extensor tendinitis. The condition can also cause painful symptoms in the middle of the foot.
Sharp pain with walking in the arch of the foot is likely due to plantar fasciitis
Types of Foot Pain
While pain can affect various areas of the foot and even be more aggressive following specific activities, it is also important to consider that there are different types of foot pain too. For example, nerve pain will feel significantly different to ligament pain and thus the type of pain you experience will also give us clues as to what is causing your pain.
Nerve Pain in Foot: There are several nerves that run along the ankles and through the foot. When these nerves become injured or pinched, the patient may experience pain in addition to a burning sensation, which can be quite intense. Tingling or numbness can also develop.
Foot Tendon Pain: Tendon pain is usually caused by a condition known as tendonitis/tendinopathy. This will usually lead to symptoms that are similar to that of an ankle sprain. The affected area will feel hot and painful from the inflammation that develops in the affected tendon. However, the pain may vary over time if the injury continues to persist.
Gout Pain in Foot: Gout tends to cause "attacks," which leads to a sudden onset of significant pain. The sudden and quick nature of this condition is what separates it from the rest. The pain will usually be quite intense and the affected area may also feel extremely hot.
Diabetic Foot Pain: Patients with diabetes are at risk of a condition known as peripheral neuropathy. This is when diabetes causes nerve-related problems, which can then lead to pain, numbness, a stabbing sensation, and tingling in the feet. Patients with a history of diabetes should have their feet regularly checked.
What can Cause Foot Arch Pain that’s Not Plantar Fasciitis?
Even though plantar fasciitis may be one of the most common reasons for foot arch pain, it is not the ONLY cause of pain in the arch of the foot.
Damage to the tendons, ligaments, or muscles in the arch of the foot can all cause pain symptoms, along with inflammation, tenderness, and other issues to develop.
Apart from plantar fasciitis, patients also need to be wary of a condition known as posterior tibial tendon dysfunction.
The posterior tibial tendon runs along the calf and the inner part of the foot, and provides support for the foot arch. When this tendon becomes damaged, its ability to provide adequate support for the arch is reduced and the pain can be similar to plantar fasciitis. The images below show where the posterior tibial tendon runs and where you might experience pain if suffering from this condition.
Two less common conditions that may cause pain in the arch of the foot are overpronation and cavus foot.