Foot & Ankle Pain
Bob and Brad hope that the following videos can shed some light on this
common area for pain. We are addressing new issues and solutions to pain and discomfort regularly so
check back often!
This video series includes: Foot pain: how to treat with a forefoot pad,
Ankle sprains: treat with the BOSU balance trainer, BOSU: Advanced techniques for ankle rehabilitation,
Banlance / Wobble board: Use for Ankle sprains, Achilles tendon ? heel pain: How to treat (physical Therapy),
Sprained Ankle?: How to wrap ankle sprains - correctly, Footdrop: what is foot drop? How do you treat it?, Chronic
Ankle sprains: How to treat, Foot Pain: Tips from Physical Therapy, Excellent brace for ankle sprains-Physical
Pain At A Glance
The foot is a complex anatomical structure that may be affected
by disease within the body or the foot itself. The arches of foot are the primary structures that control the amount of ground force transmitted into the
body. When pain due to foot pain interferes with your normal activities,
you should seek medical advice. Treatment of foot pain will depend on the
cause of the pain and may involve medication, strengthening, stretching, and possibly
the use of and physical therapy.
Foot pain may be caused by many different diseases, biomechanical
pain and are commonly seen in sports and workplace environments
that require physical activity. Trauma is a result of forces outside of
the body either directly impacting the body or forcing the body into
a position where a single or combination of forces result in damage
lead to foot pain. Wearing shoes that are too tight or high heels can
cause pain around the balls of the feet and the bones in that area.
Shoes that are tied too tightly may cause pain and bruising on the
top of the foot.
Injuries such as ligament sprains, muscle strains, bruises, and
fractures typically occur suddenly (acutely). Sprains, strains,
bruises, and fractures may be the result of a single or combination
of stresses to the foot. A sprain of the foot or ankle occurs when
ligaments that hold the bones together are overstretched and their
fibers tear. The looseness of ligaments in the joints of the foot may
lead to foot pain.
The muscle's bursa and fascia of the foot can be strained by
overstretching, overuse, overloading, bruising, or a cut (such as by
stepping on a sharp object). Achilles tendonitis is a common injury
of the tendon that attaches at the back of the heel.
Injury to the bones and joints of the foot can be caused by a single
blow or twist to the foot, or also by repetitive trauma that can result
in a stress fracture. A blunt-force injury such as someone stepping
on your foot may result not only in a bruise (contusion) injury but
also damage to the muscles and ligaments of the foot. Direct blows
to the foot can cause bruising, breaking of the skin, or even
fracturing of bones. Metarsalgia is the irritation of the joints of the
ball of the foot. The term "stone bruise" is commonly referred to as
a specific localized pain and tenderness of the bottom of the foot.
"Turf toe" is a common athletic injury in which the tendon under
the joint at the base of the big toe is strained. Trauma to the toenail
can cause pooling of blood under the nail and the temporary or
permanent loss of a toenail. Repetitive trauma to the bones,
muscles, and ligaments can result in extra bone growth known as
spurs or exostoses.
Sprains, injuries to the ligaments of the foot, occur when ligaments
are overstretched. The ligaments that attach the foot to the ankle
are also commonly sprained.
Injuries to both the skin covering and the internal structures may
also be caused by multiple small repetitive traumas. Microtrauma
injuries can be caused by running on uneven surfaces or surfaces
that are too hard or too soft, or by wearing shoes that have poor
force-absorption qualities or fit incorrectly. Thickenings of tissue of
the outer foot and toes are commonly known as bunions, corns,
and calluses. These are often caused by poor-fitting shoes. M
orton's neuroma caused by thickening of tissue around a nerve
between the toes can cause toe numbness and pain and may also be
aggravated by poor-fitting shoes. Footwear can be a contributor to
foot pain. Poor-fitting shoes in the short term can cause blisters,
bruising, and be a source of athlete's foot. The long-term effects
may be bunions, corns, irritation of nerves and joints, misalignment
of the toes, and the source of microtrauma injuries to the foot.
Repeated overstressing of the same structure of the foot may cause
stress fractures, tendonitis, plantar fasciitis, and acute and chronic
osteoarthritis. Stress fractures commonly occur in the metatarsal
bones, the long bones of the foot.
The arches of the feet absorb and return force to and from the
body to the outside world when we are standing on our feet. Injury
to the plantar fascia is a common cause of arch pain. The plantar
fascia is a tough fibrous sheath that extends the length of the bottom
of the foot and lends support to the arch. When the plantar fascia is
damaged, the resulting inflammatory response may become a
source of arch pain. High and low arches (flat feet) may cause pain
because of strain to the feet.
Disease, viruses, fungi, and bacteria may also be the sources of foot
pain. Diabetes, Hansen's disease, arthritis, and gout are common
diseases that affect the foot. Disorders of the nerves to the feet may
cause numbness and burning sensation in the feet known as
Plantar warts on the bottom of the foot are caused by a virus and
can cause irritation. Athlete's foot, which is caused by a fungus,
also can lead to foot irritation. A common cause of foot pain is the
ingrown toenail. Ingrown toenails occur when the edges of the nail
grow through or into the skin, resulting in irritation and sometimes
leading to infection.