March 20, 2023
Are you experiencing foot arch pain? You’re not alone.
The arches of our feet support our weight when we're upright, providing a critical function for the body. Your arch also influences how you move, making it essential to keep them healthy and supported. But, sometimes, pain can creep up.
We're here to help. This blog post outlines how foot arch pain develops and how to nip foot arch discomfort early to prevent long-term effects.
What is foot arch pain?
Foot arch pain can be a subtle or intense discomfort in the curved, raised area along the bottom of the foot (the arch). The arch is the midpoint of the foot between the ball and the heel of the foot. It comprises bones, ligaments, and tendons in the foot, which support the body's weight and help absorb shock during walking and other activities.
A person's arch is unique. The height and shape of the arch vary from person to person. Genetics, age, and the type of shoes a person wears all play a role in the arch's shape. Foot arch pain is a common source of discomfort and may occur for various reasons. You may experience pain in different parts of the arch: the medial arch (inside edge), the lateral arch (outer edge), and the transverse arch (middle).
Next, we get into the causes of foot arch pain.
What causes foot arch pain?
Foot arch pain can be acute or chronic, typically stemming from inflammation. Pain can also range from a dull soreness to an intense sensation. Below, we outline the various causes of foot arch pain.
Overuse or repetitive stress
Foot arch pain can be simply the result of doing too much in too short a period. Repeated stress or overuse of the feet can lead to inflammation and pain in the arches. Overuse is especially prevalent in sports, with running, jumping, or even standing for long periods (like at work or if you stand at your desk while working from home).
Flat feet
Flat feet occur when the arch comes in complete contact with the ground due to weakened tendons and ligaments that can no longer hold up the arch. While flat feet may not always cause problems, individuals with fallen arches may require treatment such as supportive shoes or custom orthotics to alleviate symptoms and prevent further damage.
Plantar fasciitis
Plantar fasciitis affects the bottom of the foot and causes heel pain. This foot condition occurs when the band of tissue between your heel and toes becomes irritated. Plantar fasciitis can happen for various reasons, such as overuse, repetitive strain, or injury to the foot.
People who are overweight, have flat feet or high arches, or engage in activities that stress the feet, such as running or standing for long periods, are more likely to develop plantar fasciitis. You may experience pain and stiffness in the heel or arch of the foot, especially in the morning or after walking, running, or standing.
Arthritis
Arthritis describes conditions that cause inflammation and damage to the joints. Various forms of arthritis can lead to arch pain. Types of arthritis that cause arch pain include osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Injury
You may experience foot arch pain because of past trauma or injury. Conditions like sprains, strains, or falls can cause arch pain due to acute muscle damage, ligament, and tendon damage.
Now that you know the various causes of arch pain, let's get into treatment methods.
How can foot arch pain be treated?
Foot arch pain treatment can sometimes be frustrating due to our reliance on our arch. Staying off our feet to reduce stress on the arch can be challenging, but fortunately, there are several effective treatment options for foot arch pain. Depending on the intensity of the pain, you may choose a DIY treatment method. If your arch pain is persistent or severe, we recommend seeing a foot specialist to discuss treatment options and create a treatment plan.
Rest and ice
A mix of rest and ice is an effective treatment method for foot arch pain. First, temporarily reduce impactful activities and allow your feet to rest. Supplement rest with icing to keep swelling and inflammation down. (You can even use a frozen water bottle as an icy massage tool by rolling your feet on the bottle.) Then, when you feel like you're on the upswing, ease slowly back into physical activity. Avoid returning to strenuous activity to allow your body to readjust from rest to being active.
Stretching
Stretching exercises can help improve flexibility and relieve tension in the arches. Here are a few effective stretching and strengthening exercises for arch pain:
Place a towel on the floor, and grab the towel with your toes pulling it towards you.
Grasp your toes (while seated), and scrunch them towards you to feel a stretch in your arch.
Lean against a wall with your arms extended, and move your hips forward to stretch your calves.
Shockwave Therapy
This non-invasive innovative treatment delivers high-energy sound wave pulses to the affected area. Shockwave therapy triggers your body’s natural healing response to repair the damaged tissue in the arch area and reduce pain. Shockwave therapy is scientifically proven to be a highly effective treatment for chronic arch pain caused by plantar fasciitis. It is an excellent supplement to other treatments like orthotics and supportive footwear.
Orthotics
Custom-made orthotics can provide additional support and cushioning to the arches, which can help reduce pain and discomfort. Orthotics work to correct or accommodate biomechanical abnormalities, foot deformities, and other conditions to improve your gait and manage pain. The purpose of orthotics is to redistribute the force and pressure placed on our muscles and joints when we move. Equal distribution across your feet means fewer aches and pains as your muscles work better in tandem instead of select groups overworking.
Supportive footwear
Shoes with good arch support can alleviate arch pain, much like orthotics can. Wearing the proper footwear for your feet and the purpose is the least we can do for our feet. Supportive footwear acts to provide both the correct cushioning and
Physical therapy
Physical therapy can help improve strength, flexibility, and range of motion in the feet and ankles. Keeping your feet strong and balanced is vital to proper arch support. Over time, the tendons and ligaments of the arch tend to weaken. Physical therapy can help combat age and fallen arches.
Medications
You may supplement the above treatment methods with over-the-counter medication like ibuprofen or acetaminophen to reduce inflammation. Consult a doctor if you have intense pain or have questions about dosage or the recommended medication.
February 23, 2023
Foot health isn't just important because it keeps the foundation of your body in good condition. There is also a direct link between foot health and overall wellness!
Forgetting to practice foot care and foot pain management can trigger a domino effect that leads to other health problems. If you have a nagging sense that your body and mind feel generally "unwell," it could all stem from neglecting to take care of your body's foundation and lower extremities.
Here are some of the most common problems associated with poor foot health that we'll discuss today:
Back, hip and knee pain
Posture and balance
Heart health and diabetes
Mental health
Back, Hip and Knee Pain
Our body's joints, ligaments, tendons and nerves need our feet to be in good shape. If they aren't, it can lead to a concerning trickle-down (or trickle-up!) effect that jeopardizes the rest of our body. The most common symptoms of this effect are back pain, hip pain and knee pain.
First, your lower back will take a hit if you don't wear shoes with proper shock absorption and arch support. The effects will transfer upwards, resulting in low back pain. People who work long hours without the right footwear often notice this and not know the reason why.
Furthermore, if you have frequent foot pain, it will alter your gait. This means you adopt abnormal walking patterns to navigate life with chronic pain, such as using your tip-toes or the outside of the feet to bear weight. The unusual walking pattern causes extra strain on the joints and muscles in your lower body from having to move in ways they weren't designed to move. This kickstarts feelings of pain and tightness in the lower back and knees. Your ankles may also roll slightly inwards or outward while walking. People with flat feet or high arches are at risk of experiencing gait-related back and knee pain.
Plantar fasciitis and bunions can also trigger back pain. If you neglect to treat plantar fasciitis, the plantar fascia ligament can become so inflamed that other muscles have to compensate in order to support your weight. This ultimately affects your back. Likewise, bunions cause a misshapen structure in the feet, which can alter your posture and make it difficult to fit into supportive shoes.
Modifying movements due to foot pain also takes a toll on your hips. Bilateral foot pain can lead to pain in the corresponding hips, often due to multi-joint arthritis.
Photo by Karolina Grabowska from Pexels
Heart Health and Diabetes
These connections aren't as farfetched as you think!
Your heart is responsible for transferring oxygen-enriched blood and nutrients to your lower extremities, so if the heart cannot do this for any reason, your feet can mirror your general heart health and wellness. For example, illnesses like diabetes can be a major sign of extremely restricted blood circulation; foot swelling and numbness can be symptoms of this.
Your feet can also show signs of serious heart issues, like heart disease and peripheral artery disease. You may not be able to feel a pulse in your feet, or you may notice excessively shiny skin or hair loss on your toes. Heart failure can also cause foot swelling due to excessive fluid build-up. Plaque accumulation in the arteries can also lead to foot numbness and pain, warning you of peripheral artery disease.
Photo by Puwadon Sang-ngern from Pexels
Posture and Balance
There is a direct correlation between foot and ankle health and posture and balance. According to a study on gait posture published by the National Library of Medicine, poor postural balance in the upright position can pose a greater risk of sudden falls and resulting foot injuries in older people. The study found that improving toe flexor strength via foot stretches and exercises contributes to overall improved postural balance in people over 60.
But it could also be the shape of your foot that lets you down. For instance, people with flat feet risk experiencing muscular imbalances in the legs, ankles and hips. Luckily, simple and non-invasive foot clinic services can help people with flat feet curb this problem, such as wearing custom orthotics or shoes that support a flat arch.
Mental Health
Can't hike on your favourite trails due to foot pain? Or perhaps you simply struggle to get out of the house due to mobility issues.
Since our feet keep us moving, there is a clear link between mental and foot health. Time and time again, fitness proves to be helpful to those struggling with mental illness. But without cooperative feet, it can feel impossible to be physically fit, which leads to a sedentary lifestyle. Feeling stuck inside too often can also cause psychological stress and loneliness. Furthermore, the feeling of consistent pain can cause anxiety and depression.
It can also work both ways. According to a study in Arthritis Care and Research Vol. 66, chronic foot pain can also be a symptom, or manifestation, of major depression.
Photo by Suzy Hazelwood from Pexels
February 6, 2023
Age is just a number, but age starts to catch up with us at a certain point. As much as we want aging to slow, getting older comes with its fair share of aches and pains.
Few people age the same; it is a complex process. Environment, genetics, exercise, and many other factors mould who we become as we enter our elderly years. This also applies our feet. As we age, our feet become more susceptible to various conditions such as arthritis, plantar fasciitis, bunions, foot injuries and chronic pain.
Our latest blog is all about common foot conditions in the elderly and how to treat them.
What happens to our feet as we age?
Did you know that when you turn 70, you'll be 25,550 days old? That helps put the body's remarkable ability to withstand constant wear and tear into perspective.
Beyond just a number, there are also physiological changes that occur as we age. Your feet may get bigger. Your feet may widen. Muscles, tendons, and ligaments also wear down, putting you at greater risk of certain foot conditions.
You may notice you experience foot pain and other problems more often. Any number of the following may happen:
Weakness
Frailty
Exhaustion
Gait alteration
Balance difficulties
Increased swaying while walking
Decreased walking
Walking speed
As we age, it's essential to check how you feel regularly. A bonus would be to have your feet checked regularly. Our team of expert foot specialists can help you manage acute and chronic conditions that affect the toes, feet, and ankles.
Most common foot conditions in the elderly
Foot conditions amongst the elderly may include bone injuries, toenail damage, foot deformities, and muscle and tendon damage. It's important to note that most of these conditions are not specific to the elderly, but age contributes to increased risk.
Below we break down the following common foot conditions in the elderly and how to treat them:
Bunions
Osteoarthritis
Fat Pad Atrophy
Thickened or Discoloured Toenails
Gout
Plantar Fasciitis
Stress Fractures
1. Bunions
What are bunions?
A bunion is a deformity of the first metatarsophalangeal joint ("MTP" joint for short). The first MTP is the joint of the big toe. (Essentially, the big toe's "knuckle.) Damage to this joint can cause bone misalignment over time. Eventually, the bone shifts and protrudes at the base of the big toe. Bunions affect approximately one quarter to one third of adults, and women experience the foot condition more often than men.
As we age, bunions worsen. Although there is no "cure" for a progressive foot deformity, you can lessen the effects and pain associated with bunions through several habitual changes.
How can I treat bunions?
You can choose either invasive treatment or non-invasive bunion treatment. In most cases, you can manage bunions with non-invasive treatments, though surgery is the only way to remove the bump altogether.
Footwear modification: Avoid tight shoes that squeeze the toes and ditch your high heels. You may also find that orthopedic shoes that stretch or come in wide widths effectively accommodate your bunion in your footwear. Shoe stretching is also an effective method for changing the structure of your current footwear.
Anti-inflammatories: Specific medication like NSAIDs or ibuprofen reduces joint inflammation and relieves pain.
Splints/aligners: Medical-grade bunion splints and bunion aligners help stabilize the joint. You can choose from medical-grade plastics or a toe sleeve based on your preferred rigidity.
Taping: A specialist tapes the joint to keep the big toe in place, prevent further misalignment, and manage pain and inflammation.
Supportive insoles or custom orthotics: Supporting your arches and correcting poor biomechanics can reduce pressure and strain on the first MTP joint.
Bunion exercises: Basic exercises to strengthen foot muscles can better support and stabilize the joint, thus decreasing pain over time.
The treatments you see above are all available at Feet First Clinic.
2. Osteoarthritis
What is osteoarthritis?
Osteoarthritis is not only the most common variant of arthritis; it is also one of the most common foot conditions in the elderly. Osteoarthritis is the "wear-and-tear" arthritis that causes degeneration of the cartilage in our joints. Reduced cartilage in our joints causes pain and can lead to other foot conditions like bone spurs. Your toes are most susceptible to osteoarthritis.
Age plays a significant role in developing osteoarthritis. Wear and tear of our joints accumulate over time. Also, post-menopausal women risk developing osteoarthritis through osteoporosis (low bone density).
How can I treat osteoarthritis?
Osteoarthritis is a degenerative condition, meaning what's done cannot reverse. The cartilage in your joints doesn't re-grow, so treatment aims to slow the effects of osteoarthritis and reduce pain. Effective treatment includes a combination of the following:
Active rehabilitation: Physiotherapy, massage, and exercise all help reduce the effects of osteoarthritis by promoting solid muscles. Stronger and more balanced muscles and feet reduce the strain on affected areas where you may have osteoarthritis.
Medication: Anti-inflammatories can help control inflammation.
Proper footwear: Specialized shoes can accommodate deformities of osteoarthritis (like bunions or hallux rigidus). The right shoes or boots can support your feet, provide balance, and offer cushion.
Custom orthotics: Orthotics can be customized to add or reduce your reliance on certain parts of your feet. Controlling the impact on affected joints can help prevent further joint damage by distributing the impact and weight elsewhere.
Limit awkward movements: If you find your joints are sore after a particular activity, consider reducing, modifying, or stopping the activity. For instance, if lunges hurt your foot, consider finding a replacement exercise.
Surgery: If the joint is damaged extensively, a doctor may recommend surgery. Surgery and removing part of a bony outgrowth can be effective if the sheer volume of bone buildup is the culprit.
If you experience osteoarthritis and are looking for orthotics, a gait analysis, or proper footwear, visit Feet First Clinic for solutions.
3. Fat pad atrophy
What is fat pad atrophy?
The heel fat pad is a cushion to absorb shock and distribute plantar force on impact. As we age, the heel fat pad gets atrophies and gets thinner. This can put you at a greater risk of heel injuries and other foot conditions. The increased pressure on the heel can cause you to overcompensate with other parts of your body, and weight distribution becomes unevenly distributed.
How can I treat fat pad atrophy?
You should reduce the pressure on your heel if you suffer from fat pad atrophy. Custom orthotics are effective as the personalized insoles provide padding and support and help distribute weight across the complex network of foot muscles. Be sure to also wear shoes with lots of padding and cushioning, like the ASICS Gel-Nimbus.
4. Thickened or Discoloured Toenails
What are thick or discoloured toenails?
Thick toenails and discoloured toenails are a byproduct of aging and are one of the most common foot conditions in the elderly.
As we get older, toenail growth declines. As such, nail cells begin to accumulate at a faster rate than nail growth. The accumulation of onychocytes (nail cells) causes thickened toenails. Alternatively, reduced circulation or acute trauma can cause thickened toenails.
Discoloured toenails, on the other hand, indicate damage to the nail or nail bed. Acute trauma to the nail causes discolouration, but so does reduced circulation. At an older age, we're at a greater risk of diabetes and peripheral vascular disease. Both diabetes and peripheral vascular disease cause reduced circulation in our feet and discoloured toenails.
How can I treat thick or discoloured toenails?
Toenail treatment for thickening and discolouration varies. To properly diagnose your feet and nails, book an appointment with a specialist at Feet First Clinic. Our nail care services involve proper trimming and filing of the toenails, addressing any pain or discomfort, and educating patients on proper hygiene and care.
For more information, visit our nail care and treatment page.
5. Gout
What is gout?
Gout is a form of inflammatory arthritis targeting the foot's joints. You may experience intermittent bouts of severe pain, including inflammation and hypersensitivity. During these episodes, any kind of activity becomes challenging, leaving you less mobile.
The prevalence of gout increases in older people. Elderly people are susceptible to gout for a few reasons: Renal function declines with age, there can be dietary changes, you may experience sudden weight gain, and certain medications for age-related conditions have indirect side effects that may lead to gout (i.e.: water pills, blood pressure medication).
How can I treat gout?
Before any treatment, the first step is to see a family doctor and a rheumatologist. Once diagnosed, you may be prescribed the following treatments, all of which aim to prevent future attacks, reduce pain, and improve quality of life:
Change your diet: Ditch food containing excessive purines. Avoid foods like red meat, certain types of seafood like sardines and mussels, alcohol, high fructose beverages, and yeast. Diet also impacts your weight. Maintaining a healthy and consistent diet can help reduce sudden weight gain and keep inflammation at bay.
NSAIDs: Non-steroidal anti-inflammatory drugs reduce joint inflammation. Alternatively, corticosteroids are an option if one doesn't react to NSAIDs.
Stay or become active: Light-strengthening exercises, relaxing physical activity, and physiotherapy can improve quality of life and mobility in people with gout. Keeping your muscles strong also makes them less susceptible to inflammation build-up, which can trigger gout attacks.
Supportive footwear: Proper footwear can help you deal with any pain associated with gout as it reduces the impact on the joints.
6. Plantar fasciitis
What is plantar fasciitis?
Plantar fasciitis is a condition of the heel. The band of tissue on the underside of the foot gets inflamed and causes pain. Often, plantar fasciitis develops gradually over time. Changes in our body as we age can make this condition more common in the elderly.
How can I treat plantar fasciitis?
With proper care and treatment, most cases of plantar fasciitis heal with time. A foot specialist can guide you through the healing process and provide options for preventing it from recurring in the future.
There are several treatment methods available for plantar fasciitis.
Rest: Take a break, and let your heel recover by staying off your feet.
Supportive footwear: Wearing supportive footwear with strong arch support and a good heel counter is essential for managing and even preventing plantar fasciitis. Stability shoes are particularly helpful. Check out this article for our top recommended shoes for plantar fasciitis.
Rolling: Gently massage your heel using a tennis ball or frozen water bottle under the foot. Rolling helps massage and relieve the plantar fascia and encourages faster recovery.
Add stretching and strengthening exercises to your routine.
Shockwave therapy: Shockwave therapy delivers sound wave pulses to the injured fascia. This triggers your body's the healing process, making for a natural recovery. Shockwave therapy is extremely effective for cases of plantar fasciitis persisting more than 6 months.
Taping: Taping the heel engages other muscles and tendons of the foot, reducing the load on the plantar fascia.
Wear a splint: A splint helps keep your foot stable while you sleep.
Supportive Insoles or Custom Orthotics: A good supportive insole, like Superfeet Green, is tried, tested and true for helping with plantar fasciitis. If that doesn't work, or if there are biomechanical factors contributing to your plantar fasciitis, you can look into custom orthotics.
7. Stress fractures
What are stress fractures?
Stress fractures are micro-breaks of bones are another common foot condition in the elderly. When we age, bone growth slows, losing more bone than we generate. Our bone density also reduces. If your bone density drops too much, you develop osteoporosis. Weaker bones put the elderly at greater risk of stress fractures, whether acute, like when you fall or by too much repetition, like walking.
How can I treat a stress fracture?
The RICE method is critical to treating a stress fracture. Rest, ice, compression, and elevation. Untreated stress fractures can lead to bone shift, permanently altering the foot's biomechanics.
January 5, 2023
What comes to mind when we think of the best "medical shoes?" Would they be shoes for doctors? Or shoes someone wears to overcome an injury? While both may technically be true, a medical shoe is simply a shoe that supports and accommodates the structure of your foot, which is a means of treating foot ailments. In other words, they go above and beyond what standard footwear can provide.
The best medical shoes are more widely available than some people may think. Countless shoe brands focus on constructing the best shoe for your foot health. But it can be tough to know what shoe you need to address your unique foot concerns.
Let's assess the best medical shoes of 2023 to better understand what footwear you may be missing out on!
Best Medical Shoes 2023
Saucony Integrity Walker
ASICS Gel-Nimbus
APEX Lace Walker
Anodyne Sport Double Depth
ASICS Gel-Keyano
Saucony Integrity Walker
The reasons the Saucony Integrity Walker shines amongst footwear choices are twofold. This shoe can help with foot pain relief for everyday Torontonians, but it's also a great choice for nurses, doctors, and working students who spend Mondays to Fridays (and sometimes the weekends!) standing all day.
Part of what makes this one of the best medical shoes is its ability to accommodate wide feet, and you can select options based on your foot width. You can choose from wide, extra wide, regular or narrow to ensure the perfect fit. This neutral walker also offers responsive cushioning for people who need to walk or stand for long days. Furthermore, the PWRRUN midsole gives the shoe a light and bouncy feel, as opposed to a clunkier shoe which can weigh you down.
Lastly, this shoe has the stamp of approval from The American Podiatric Medical Association. Not all shoes come with the honour of being recognized as a highly beneficial product for maintaining foot health - so that's a plus!
Saucony Integrity Walker
ASICS Gel-Nimbus
The Gel-Nimbus is a great medical shoe for neutral walkers or those with high arches who slightly underpronate. If you have a higher arch, this shoe can prevent and help you manage ankle strain, shin splints and plantar fasciitis.
The newest version of the Nimbus is about 10% lighter than its predecessor, which keeps your steps light and springy. In terms of being a top-notch medical shoe, its advanced impact protection stands out and helps you land your steps without triggering muscle strain. This is thanks to ASICS' highly developed rearfoot and forefoot GEL® technology.
Lastly, the FLYTEFOAM™ and FF BLAST+™ cushioning work together to protect your joints by creating a softer landing, more responsive toe-off, and lightweight impact absorption. After all, cushioning is more than just "padding"; Insufficient cushioning can make your feet too tired to continue throughout the day.
ASICS Gel Nimbus
APEX Lace Walker
The APEX Lace Walker is an orthopedic shoe and a godsend for anyone with flat feet.
This type of foot structure can cause you to overpronate while walking. Likewise, neglecting to buy the proper footwear for flat feet can put you at risk of developing bunions, bone spurs, and arthritis.
The external heel counter in the APEX walker extends around the heel to the foot's arch. Then it works with the internal heel counter to provide excellent motion control and promote neutral steps. This gives people with flat feet a higher chance of successful and comfortable walking.
If that isn't enough to make it one of the best medical shoes, doctors recommend the APEX Lace Walker for anyone who needs stability control and extra comfort.
Apex Lace Walker
Anodyne Sport Double Depth
Anodyne makes shoes for people with diabetes, propelling them to superstar status in our discussion of the best medical shoes. Furthermore, this company's careful construction and focus on health makes Anodyne shoes an appropriate choice for those with other foot problems, not just diabetes.
The Anodyne Sport Double Depth shoe comes with width options, but where it truly shines is in its depth. This gives even more room to accommodate those with debilitating foot conditions than other Anodyne options.
Hailed as perfect for those with "difficult" feet, anyone with extremely swollen feet or who need to insert their custom orthotics into their shoes can use them. Furthermore, those with bunions and hammertoes should consider investing in the Anodyne Sport Double Depth, as those conditions are known for requiring extra depth in the toe box.
Anodyne Double Depth Shoe
ASICS Gel-Kayano
While the Gel-Nimbus is designed for those with high arches who underpronate, the Gel-Keyano is great for people with low arches who overpronate.
This shoe helps with rearfoot support by offering a low-profile external heel counter. The LITETRUSS™ stability feature in the midsole keeps your feet from rolling too far inward, which is the typical experience of overpronators. This is highly beneficial as overpronators are more at risk of putting strain on their muscles, tendons and ligaments, which makes them more injury-prone.
Other features include the Rearfoot GEL® technology cushioning, which gives your shoes much needed shock absorption, and the OrthoLite™ X-55 sockliner takes comfort to new levels.
ASICS Gel Keyano
January 3, 2023
The top of your foot is one of the most common areas to experience everyday foot pain. The muscles and tendons within the top side of your foot play a critical part in how you move. The top of the foot can be easily overworked and damaged, leading to various foot conditions.
Some symptoms and top-of-foot conditions are short-lived. Other top-of-foot symptoms can signal an underlying condition elsewhere in your foot or leg.
This article teaches about five potential causes (and solutions) for top-of-foot pain.
Cause 1: Foot Sprain
A foot sprain occurs when the ligaments in your foot stretch beyond their limit and become damaged. Foot sprains can vary in location. An ankle sprain is likely to be more of a forefoot sprain. A midfoot sprain is more likely to affect the front half of your foot.
Cause: Acute trauma causes foot sprain. Acute trauma refers to a one-time impact of an incident where you put your foot in an awkward or uncomfortable position. Your tendons are stretched beyond their limit and lose some elasticity. Your tendons may develop micro tears or more serious strains. More severe forms of acute trauma can result in a stress fracture or a hairline break of the bone.
Solution: Foot sprains require rest and recovery to heal. Rest allows your tendons to repair themselves and regain their elasticity. Ice and elevating your legs above your body can help promote healing and may quicken the recovery process. If the injury persists, or you have difficulty moving, you should visit your family doctor.
Taping can also act as an additional support system. A chiropodist can skillfully tape your feet. Taping works by providing additional support and "locking" your feet to avoid re-aggravating the injury.
Cause 2: Tendonitis
Inflammation of the tendons in the foot can cause top-of-foot pain. Damage to the tendons is known as tendonitis.
Cause: Extensor tendonitis can cause pain in the top of the foot. The extensor tendons are the tendons that run along the topside of your foot. The tendons help you straighten your feet and lift your toes. The extensor tendons play a critical role when running or walking. Chronic damage through overuse injuries can cause extensor tendonitis. Too much walking or running, or even too much of a weight-intensive activity too soon after any injury can cause extensor tendonitis.
Solution: The best course of action for tendonitis is rest. Specifically, you want to avoid the source activity that causes aggravation. If the pain is intense, you can also take over-the-counter medications and visit your family doctor. They may refer you to a massage or physiotherapist. If the tendonitis persists or is disrupting your mobility, you should visit your family doctor.
Cause 3: Athlete's Foot
Athlete's foot is a contagious fungal skin infection that affects the skin on the feet. Although athlete's foot, medically known as tinea pedis, sounds like it only affects sporty folks, it can affect anyone. Although not life-threatening, it's contagious and can be painful if left untreated.
Cause: A fungus called dermatophytes causes athlete's foot. The fungus inhabits, grows, and survives off the outer layer of the skin. By extension, the fungus can also spread to other parts of the body and people, either directly or indirectly.
You can catch athlete's foot anywhere where fungus thrives. Fungi love warm, moist environments, such as communal showers, locker rooms and the decks around public swimming pools.
Solution: Over-the-counter topical antifungals are the most common remedy for mild cases of athlete's foot in the early stages. However, fungal infections are notoriously persistent and stubborn. If your Athlete's foot persists, you should see a chiropodist, who can treat the skin on your feet and prescribe prescription anti-fungal creams. Our Toronto foot clinic also sells foot deodorants, including an antifungal foot spray, which are great for prevention and supplementing your athlete's foot treatment.
While treating your athlete's foot infection, it's essential to do the following:
Clean your socks and linens with bleach or hot water. The fungus can spread from your feet to these surfaces and re-infect you if not cleaned between uses.
Clean any surfaces that your bare feet come into contact with
Wash your feet once or more a day
Ensure your feet are thoroughly dry after bathing or washing.
Wear flip-flops or shoes in any place where you think you could catch athlete's foot
Cause 4: Bone bruise
Damage to the bone itself can be painful and cause top-of-foot pain. There are varying degrees of bone damage, ranging from bruises to fractures.
Cause: A bone bruise is an acute injury, less severe than a fracture. Bone bruises typically stem from a one-time event that causes damage to the foot. Dropping an object, rolling your ankle, or stubbing your foot on an object can cause damage to the bone itself. You may notice bruising (reddish/blueish) on the skin. When in doubt, an X-ray can determine the severity of a bone bruise.
Solution: Treatment for a bone bruise includes the following:
Rest
Icing
Elevating your leg so it's above your heart (to promote blood flow and reduce swelling)
Taking anti-inflammatories or over-the-counter medications if the pain is intense
Cause 5: Peroneal nerve injury
Nerve damage can cause top-of-foot pain. The general term for nerve damage is known as peripheral neuropathy. When nerves are damaged, signals between your muscles and brain are disrupted, causing numbness, pain, and complete loss of sensation.
Cause: Injury to the peroneal nerve, known as peroneal nerve dysfunction, can cause top-of-foot pain. The peroneal nerve is outside our lower leg and just below the knee.
For example, you may experience temporary numbness in your feet from peroneal nerve compression. Have your legs crossed, and your feet and toes go numb? Peroneal nerve compression causes the numbing and tingling sensation.
There are several symptoms of peroneal nerve dysfunction. Signs can include:
Foot drop
Pain, weakness, or numbness on the top of the foot
Inability to move the toes up and down
Reduced mobility in the foot
Abnormal knee lift to compensate for reduced motor function
Solution: You should visit your family doctor at the first sign of any nerve-related symptoms. They will conduct the necessary diagnostic investigations and refer you to the appropriate doctors. There are both surgical and nonsurgical treatments for peroneal nerve injury.
Non-invasive treatments include orthotics, which can correct your gait and better distribute pressure within your feet. Additionally, physical therapy and foot-strengthening exercises to fortify the muscles in your feet can help improve mobility. If you have foot drop, an ankle-foot orthotic may be recommended.
You may require surgical treatment for more severe cases, including decompression surgery or nerve repair.
Other causes of top-of-foot pain
Tarsal tunnel syndrome: Tarsal tunnel syndrome occurs when the nerve inside one of the tunnels within your ankle compresses. Specifically, the posterior tibial nerve (within the tarsal tunnel) is compressed from injury, flat feet, or fallen arches.
Bone spurs: Hallux rigidus, or arthritis of the big toe joint can cause bone spurs, which can lead to pain on the top of the foot. The bony outgrowths can put pressure on your foot or toe when wearing shoes and cause pain when lifting your toes due to the deteriorated joint.
Ganglions: Ganglion cysts are fluid-filled bumps on the tendons or joints in the feet. The cyst itself doesn't cause pain, but if large enough, it can add pressure to the nerves in the same vicinity.
December 5, 2022
Walking is one of the best forms of exercise. Walking is low-impact; it doesn't require fancy or expensive equipment, helps improve blood flow, and can lower blood pressure, amongst other benefits. Fundamentally, walking is how we get around.
Because we rely on this form of movement, we must keep our feet healthy to ensure walking is pain-free. However, the feet are complex, and some foot conditions may make walking painful or uncomfortable. The foot contains more than 25 bones. More broadly, the foot splits into three sections: the toes, the midfoot, and the heel and low ankle. The foot's various bones and muscles need to work in unison. If not, biomechanical abnormalities can cause multiple foot conditions.
This article explores five main reasons why your feet hurt when walking.
Common foot conditions
Plantar fasciitis
If you experience pain in the heel of your foot, it could be plantar fasciitis. The plantar fascia is a band of tissue (called the fascia) that runs along the bottom of the foot. The fascia connects the heel of the foot to your toes. Pain when walking would be felt within the bottom of the foot, specifically the underside of your heel.
Since most people heel strike (I.e., the first body part to touch the ground), much of the impact of walking or running is in the plantar. The band can tear, swell, and inflame when the plantar fascia becomes overloaded or damaged.
Plantar fasciitis develops over time rather than being an acute injury. If recognized early, treatment can be as simple as rest and icing. Early signs and symptoms include a dull pain in the heel of the foot and bottom of the foot pain first thing in the morning.
Metatarsalgia
Pain in the ball of your foot may be metatarsalgia. The ball of your foot lies between your arch and toes. Metatarsalgia is a condition where the ball of the foot becomes inflamed. It is usually a result of overuse or faulty foot mechanics. Inflammation of the bones and soft tissue follows.
Flat feet
You may experience pain in the arch of your foot when walking. A common cause of pain when walking is flat feet. Flat feet are not necessarily a condition but rather a biomechanical abnormality which may cause imbalances in the bones and muscles of your feet. Uneven distribution of weight when walking can put added stress on specific parts of the foot.
A low or collapsed arch characterizes flat feet. Flat foot disrupts the foot's biomechanics by impeding the arch's ability to properly support our body weight and absorb the force of our movement. The load is then displaced onto the toes, ankles, knees, hips and lower back. As a result, pain can develop in these areas and the feet.
Morton's Neuroma
You may suffer from Morton's neuroma if you experience pain in the base of your toes. Morton's neuroma is a foot condition that targets the balls of your feet - most often in the area between your third and fourth toes. The foot condition arises when the toe's tissues thicken and swell, eventually leading to inflammation, pain, and a tingling/numbing sensation. A familiar anecdote for Morton's neuroma is akin to having a pebble in your shoe.
You may experience pain from Morton's neuroma during walking because of your gait. When walking, you typically land on your heel and take off with your toes and forefoot. Thus, if the pain you experience is more on the "up" than the "down" of how you walk, the underlying condition could be Morton's neuroma.
Arthritis
You may experience pain anywhere in your foot as a result of arthritis. Arthritis is a broad term that describes a disease known for inflammation (redness, swelling, and pain) in the body's joints. We can break arthritis more broadly into several specific foot conditions. Types of arthritis that may impact your ability to walk and cause pain include:
Hallux rigidus: Hallux rigidus is arthritis of the big toe. When one suffers from hallux rigidus, the metatarsophalangeal joint (MTP) stiffens. Over time, arthritis can lead to a bone spur.
Osteoarthritis: Osteoarthritis is the most common form of arthritis. Consistent wear and tear over time cause the cartilage between the joints in your body to break down.
Rheumatoid arthritis: Rheumatoid arthritis is an auto-immune disease that causes chronic joint inflammation. It commonly targets the small joints in the feet by attacking the tissue and causing inflammation and calcification. The result is stiff joints, chronic pain, and joint dysfunction.
Foot pain treatment
RICE
RICE stands for rest, ice, compression, and elevation. This essential combination of treatments is highly effective against several chronic foot conditions. RICE allows for proper rest and promotes recovery by reducing inflammation and promoting blood flow.
Orthotics
Custom orthotics are custom-built corrective shoe inserts designed to support the unique structures of our feet. Orthotics act to correct or accommodate biomechanical abnormalities, foot deformities, and a variety of joint and muscle conditions. Orthotics intend to improve your gait, manage pain, and better disperse your body's weight when walking and running.
Proper footwear
The correct footwear is critical for healthy feet. For instance, proper footwear can provide structure, balance, support, and protection when walking. Ill-fitting shoes are the leading cause of foot pain and problems: according to a study published in the Journal of Foot and Ankle Research in 2018, "Between 63 and 72% of participants were wearing shoes that did not accommodate either width or length dimensions of their feet". A study done amongst older adults in 2020 also found that 90% we wearing shoes with worn-out soles.
Visit us at Feet First Clinic for a shoe fitting session and we can help you find footwear perfect for you.
Visit our chiropodists
Our dedicated licensed chiropodists are committed to providing quality care and services for all your foot and ankle needs. Chiropodists can diagnose, treat and help manage various foot conditions, from callus removal to ingrown toenails to bunions.
