Foot pain is a very common symptom of the optopedidal spectrum of functional disorders of the musculoskeletal system. Every second person addressing the orthopedist complains about this condition with localization of unpleasant sensations in the foot.
Below are the most common causes of pain in the foot.
- Arthritis. Damage to the blood vessels and pinching of the nerves in the capillary structure of the foot can cause pain in this area.
- Fasciites. The connective tissue on the foot can change its structure, deform and ultimately provoke pain.
- Neuromas. The rapid growth of the structure of the nerve and tissue around it provokes pain at the base of the fingers. An important factor in such a negative process is uncomfortable and narrow shoes.
- Metatalzargii. With age, the structure of the ligaments, as well as the bone tissue, loses biochemical activity and begins to break down - as a result, the normal functioning of the above-mentioned part of the body is disturbed, and severe pain occurs, accompanied by the development of bursitis and arthritis of the rheumatoid type.
- Erythromelalgia. Most often, this disease is a complication of neuroma, polyneuropathy and thrombocytosis of the foot. The disease is accompanied not only by pain, but also by a strong burning sensation in the fingers and high fever.
- Flat feet of all types. Traumatic, acquired or congenital flatfoot violates the natural shape of the foot and when a person moves, causes discomfort, aggravated when wearing shoes.
- Physiological defects. In some cases, ingrown nails in the structure of the finger, plantar warts and other defects can cause pain in the foot. Dislocations and injuries of the ankle and foot as a whole serve as a similar catalyst for the onset of the symptom.
- Damage to the Achilles tendon.
Pain in the toes of the foot
Most often, the cause of acute pain in the toes of the foot is gout - an acute metabolic disorder in which the amount of salts in the blood increases dramatically, which begin to actively deposit in the joints of the legs. Pains in this case most often haunt the patient at night, but in especially neglected cases they are also possible in the daytime. Cause pain in the fingers and arthrosis and arthritis, at least - bursitis and tendonitis.
The first step on the road to recovery is an examination by a professional orthopedist, who, by external signs, can outline the range of possible causes of symptom formation. If necessary, patients are assigned an x-ray of the feet, as well as an MRI / CT scan of bone tissue, tendons and ligaments. Based on the results of this type of analysis based on the initial examination and previous medical history, the doctor can make the correct diagnosis and prescribe the necessary treatment.
Depending on the reason that caused the above symptoms, the orthopedic surgeon prescribes appropriate medical and physiotherapeutic treatment. In particular, corticosteroids, a wide range of antibiotics, antiviral and antifungal drugs are commonly used. In addition, always as an additional therapy, it is recommended to undergo exercise therapy complexes aimed at improving the strength, flexibility and functionality of muscles, vessels and capillaries of the ankle.
An alternative form of treatment is shock wave therapy, as well as magnetic resonance manipulation, aimed at restoring the health of the foot and eliminating symptomatic pain. It is necessary to wear properly selected orthopedic shoes, insoles in the form of insoles-instep supports, special orthoses. In some cases, conservative and alternative medicine is not effective, so then there remains only a direct surgical intervention, especially in cases of severe injuries and acquired diseases.
Diffuse pain in the area of the feet in most cases occurs against the background of over-exertion of the legs. In this case, they are most often observed while running or walking. The appearance of such pain in the feet is associated with calcium deficiency in the body.
Also, often painful symptoms in the foot area can be observed in such diseases as rickets, osteomalation, osteoporosis. The main symptom of these pathologies is pain, which appears when light pressure is applied to the bone.
Pain can also occur due to the fixed state of the legs for a long time. In this case, the appearance of pain is caused by ligament and muscle atrophy. As a rule, such pains quickly disappear, one has only to move.
It is also worth noting that the feet hurt and as a result of rapid weight gain.
It is caused by a sharp and strong load on the musculoskeletal system.
In addition, often pain in the feet is caused by a disease such as osteoporosis, in which the bones, joints and the soft tissues surrounding them are inflamed. With the treatment of this disease should not be delayed, as it can lead to a complete loss of motor function.
In the event that pain is observed in a certain area of the foot, then various diseases are the cause. As a rule, during their diagnosis, the doctor performs palpation of the foot, which helps to determine the nature of the pain (according to the patient's response and description), as well as the exact location.
This disease is accompanied by a sensation of pain in the arch of the foot and heel. It becomes more intense upon waking when a person tries to get out of bed.
Plantar fasciitis occurs as a result of pronation (turning the foot inward), which is formed as a result of stretching the ligaments, wearing uncomfortable shoes, strong physical exertion and running.
If for a long time not to treat this disease, on its background a complication develops - the heel spur, which is characterized by the appearance of a bone protrusion. This protrusion prevents normal movement and is practically not treatable.
Damage to nerve endings
This condition can also cause pain in the foot area. Most often, nerve damage occurs on the background of arthritis, impaired blood circulation and changes in the shape of the metatarsal bones.
This condition can also provoke bursitis and age-related changes in the body, which are characterized by a decrease in the shock-absorbing function of the fat layer in the region of the heads of the metatarsal bones.
Feet may also hurt as a result of the development of a benign tumor of the nervous tissue or neuroma. The latter is most often seen in women and is accompanied by burning, tingling, and pain in the region of the index fingers.
The causes of the development of neuroma are not fully understood. However, experts suggest that its appearance provokes the wearing of high-heeled shoes.
Pain syndrome in the foot area can occur against the background of its traumatic injury. For example, dislocation of the Lisfranc joint or bones of the metatarsus. At the same time, the patient has severe pain, a change in the shape of the foot and its expansion. During external examination of the damaged foot during dislocation, you can see a slight protrusion, which with its appearance resembles a step.
With the dislocation of the joint Chopard there is a sharp pain when trying to turn the foot. There is swelling and deterioration of blood circulation in the tissues. Upon receipt of such an injury, the patient must be urgently hospitalized and an operation to reduce the dislocation.
Often, severe pain in the foot area occurs when subtalar dislocation of the heel. This injury is accompanied by a torn ligament, sharp pain and a change in the shape of the foot.
Also separately it should be noted dislocation of the ankle joint, which in medical practice is most common. With such a dislocation, there is deformity of the foot and swelling of its back side.
This is one of the most common causes of pain in the foot. In case of flat-footedness, the arch of the foot is dropped and it loses its cushioning function. All this leads to aching pain in the legs, which are observed not only when walking or physical exertion, but also in a state of complete rest.
Many people mistakenly assume that flatfoot is a congenital disease. However, as practice shows, this pathology in 90% of cases is acquired and it arises against the background of an uneven distribution of the load on the body, for example, when carrying heavy bags, or when rickets develop.
Most often, the acquired form of pathology is found in people whose professional activity is associated with prolonged standing. In addition, the appearance of flatfoot can provoke overweight.
This disease is especially common among middle-aged men. Unfortunately, scientists have not yet succeeded in establishing the exact reasons for its development. However, they have established some connection between the appearance of erythromelalgia and overheating of the extremities.
The main symptoms of this disease are burning, sharp pain and redness of the foot. All these discomfort can disturb a patient for several years, but sometimes they lead to a sharp deterioration of the condition, which often becomes the cause of disability.
A characteristic sign of erythromelalgia - the pain is eliminated almost immediately, after applying a cold compress to the painful area.
Soft tissue damage
Quite often, patients receive complaints about the appearance of pain in the foot. During an external examination, plantar warts, bursitis, corns, and other growths that interfere with normal walking are found in them.
In this case, a procedure is required to remove skin lesions. Laser therapy is excellent for this. It is painless and gives quick results.
What to do if your feet hurt?
Foot pain can occur for various reasons, among which there are serious diseases of the musculoskeletal system, which we have already seen. Therefore, self-treatment does not make sense, since it simply will not give positive results.
At home, in order to eliminate pain, you can use relaxing baths and treat sore areas of the feet with topical anesthetics. But again, only a doctor should prescribe them. After all, all drugs have their own side effects and contraindications. Some of them even have age restrictions and can cause an allergic reaction.
In addition, during periods of exacerbation of pain, it is recommended to reduce physical activity and be more in a horizontal position so that the legs and muscles “rest”. You should also refuse to wear high-heeled shoes.
It should also be noted that with the appearance of pain in the feet, the nutrition of the patient is important. His diet should be dominated by raw vegetables and fruits, as well as foods rich in calcium and vitamin B12. You can start taking vitamin complexes, but this should be done only after consulting a doctor.
Remember that in most cases the appearance of pain in the feet is associated with the development of serious diseases that require an individual approach to treatment. Inactivity can lead to serious health complications and even disability.
Therefore, if your feet hurt, be sure to visit a doctor. Be sure to tell him about the intensity of pain, their duration, place of localization. If, in addition to pain in the feet, you are also worried about other discomfort (itching, burning, rash, weakness, swelling, etc.), you should also tell your doctor about them. Based on the data from you and the results of the examination, he will be able to make an accurate diagnosis and prescribe the appropriate treatment.
Causes of pain in the feet, ankles
Often the cause of pain is uncomfortable, narrow-toed shoes, too high heels, a flat sole as a result of the forced deformation of the foot. The pressure on the foot increases significantly with overweight, pain is often accompanied by flatfoot. In bedridden patients, the connection of bones, muscles, and tendons in the area of the foot is noted, which is also manifested by pain.
A systemic or chronic disease in history has a definite effect on the patient’s entire body, including the musculoskeletal system. For example, osteoporosis is chronic or developed as a result of injury, is the cause of diffuse pain in the foot, local pain, as a rule, are the result of a number of diseases. Problems with the vascular system are often expressed by unpleasant painful sensations.
Symptoms of pain in the feet, ankles
Pain in the heel and in the area of the arch of the foot are characteristic of plantar fasciitis, which, if left untreated, leads to the displacement of the heel and the appearance of the heel spur. Diseases of rheumatoid or vascular genesis, as well as pinching or inflammation of the nerve, orthopedic problems cause pain in the feet and ankles. Disruption of normal functioning as a result of age or biochemical changes lead to the appearance of pain.
When wearing narrow shoes, as a rule, neuroma develops, which is manifested by the growth of nerve tissue around the nerve itself. Most often, the pain appears at the base of the 3 and 4 toes. Injuries or dislocations deform the feet, lead to rupture of the ligaments, tendons, fracture or flattening of the bones, which is also accompanied by severe pain. At the site of injury appears a tumor, swelling, hematoma, which disrupts motor function. The manifestation of symptoms depends on the extent and nature of the damage.
Another common cause of pain in the feet and ankles is flatfoot, either acquired or traumatic. Patients complain of a burning sensation in the foot, periodically appearing pain when walking and running. Particularly prone to this disease are people in whom work is associated with a sufficiently large and prolonged load on their legs, that is, those who spend most of the day in motion. The situation is aggravated by the presence of excess weight in the patient.
Long walking, sharp turns, bends contribute to pain in the ankles, and the presence of high heels, unstable instep supports, tight shoes with narrow noses increase the risk of various ankle diseases.
Men aged 30-45 years are more likely to develop erythromelgia, which is a consequence of a number of vascular or neurological diseases, allergies to medications, blood diseases or overheating of the foot. Attacks of burning in the foot and pain in the toes are most often a reaction to hyperthermia.
But most often, pain in the legs occurs as a result of corns on the foot, with ingrown nails. The reason for the appearance of all these diseases stop is uncomfortable shoes. Plantar warts have a viral etiology and the appearance resembles blisters with a black speck in the middle, painful when pressed.
Treatment of pain in the feet, ankles
The presence of constant pain suggests that it is time to start changing your lifestyle. Prevention of vascular lesions will be the cessation of smoking, reducing the consumption of fatty foods, which is the cause of the development of atherosclerosis.Regular physical activity and moderate exercise help to improve blood circulation in the legs. Great importance is attached to the choice of shoes with good arch supports and shock absorbing insoles.
Perfectly relax the feet and restore normal blood circulation in the feet massage and foot baths. Elastic bandages and stockings help to relieve tension and reduce the manifestations of pain syndrome in violation of blood circulation. It is recommended to lose weight. In any case, it is necessary to consult a doctor, self-treatment can be dangerous and leads to various kinds of complications.
Education: Diploma in "General Medicine" received in 2009 at the Medical Academy. I.M. Sechenov. In 2012, completed a postgraduate course in the specialty "Traumatology and Orthopedics" in the City Clinical Hospital. Botkin at the Department of Traumatology, Orthopedics and Disaster Surgery.