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Heel Painfulness All The Things It Is Best To Understand Heel Pain


Pain Under The Heel

Heel pain is a very common foot complaint and may involve injury to the bone, fat pad, ligaments, tendons or muscles. Heel Pain can also be referred by a pinched nerve in your lower back. It is important to have your heel pain thoroughly assessed to ensure an accurate diagnosis and subsequent treatment. Anyone can suffer from heel pain, but certain groups seem to be at increased risk, including middle aged men and women, active people eg running sports, people who are very overweight, children aged between 8 and 13 years, pregnant women, people who stand for long periods of time.


Plantar fasciitis: It is the most common cause of heel pain. In this condition, the pain is more severe in the morning but becomes less painful as the day continues. It occurs due to tiny tears in the plantar fascia.The plantar faschia is a tissue band that connects the bottom of the heel bones to the ball of the foot and is involved in walking and running, giving spring to the step. If left untreated, the symptoms usually worsen and can lead to problems with the knee and hip and can cause back pain due to difficulty walking. Those who frequently stand or walk throughout the day or those who run are most likely to develop plantar fasciitis.


Symptoms may also include swelling that is quite tender to the touch. Standing, walking and constrictive shoe wear typically aggravate symptoms. Many patients with this problem are middle-aged and may be slightly overweight. Another group of patients who suffer from this condition are young, active runners.


The diagnosis of heel pain and heel spurs is made by a through history of the course of the condition and by physical exam. Weight bearing x-rays are useful in determining if a heel spur is present and to rule out rare causes of heel pain such as a stress fracture of the heel bone, the presence of bone tumors or evidence of soft tissue damage caused by certain connective tissue disorders.

Non Surgical Treatment

If you still have pain after several weeks, see your foot and ankle surgeon, who may add one or more of these treatment approaches, padding and strapping. Placing pads in the shoe softens the impact of walking. Strapping helps support the foot and reduce strain on the fascia. Orthotic devices. Custom orthotic devices that fit into your shoe help correct the underlying structural abnormalities causing the plantar fasciitis. Injection therapy. In some cases, corticosteroid injections are used to help reduce the inflammation and relieve pain. Removable walking cast. A removable walking cast may be used to keep your foot immobile for a few weeks to allow it to rest and heal. Night splint. Wearing a night splint allows you to maintain an extended stretch of the plantar fascia while sleeping. This may help reduce the morning pain experienced by some patients. Physical therapy. Exercises and other physical therapy measures may be used to help provide relief.

Surgical Treatment

At most 95% of heel pain can be treated without surgery. A very low percentage of people really need to have surgery on the heel. It is a biomechanical problem and it?s very imperative that you not only get evaluated, but receive care immediately. Having heel pain is like having a problem with your eyes; as you would get glasses to correct your eyes, you should look into orthotics to correct your foot. Orthotics are sort of like glasses for the feet. They correct and realign the foot to put them into neutral or normal position to really prevent heel pain, and many other foot issues. Whether it be bunions, hammertoes, neuromas, or even ankle instability, a custom orthotic is something worth considering.


Pain Under The Heel

Flexibility is key when it comes to staving off the pain associated with these heel conditions. The body is designed to work in harmony, so stretching shouldn?t be concentrated solely on the foot itself. The sympathetic tendons and muscles that move the foot should also be stretched and gently exercised to ensure the best results for your heel stretches. Take the time to stretch thighs, calves and ankles to encourage healthy blood flow and relaxed muscle tension that will keep pain to a minimum. If ice is recommended by a doctor, try freezing a half bottle of water and slowly rolling your bare foot back and forth over it for as long as is comfortable. The use of elastic or canvas straps to facilitate stretching of an extended leg can also be helpful when stretching without an assistant handy. Once cleared by a doctor, a daily regimen of over-the-counter anti-inflammatory medication like Naproxen Sodium will keep pain at bay and increase flexibility in those afflicted by heel pain. While this medication is not intended to act as a substitute for medical assessments, orthopedics or stretching, it can nonetheless be helpful in keeping discomfort muted enough to enjoy daily life. When taking any medication for your heel pain, be sure to follow directions regarding food and drink, and ask your pharmacist about possible interactions with existing medications or frequent activities.

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Which are the Chief Causes And Treatments Of Achilles Tendonitis ?


Achilles TendinitisAchilles tendinitis describes an inflammatory change of the Achilles tendon without a tear of the tendon. Achilles tendinitis may be acute or chronic. The onset of pain is usually unilateral but may be found bilaterally. Achilles tendinitis is common in the third or fourth decade of life in patients who are active with sports or in jobs that require physical labor. Pain is described at the insertion of the tendon in the heel bone or in the body of the tendon.


Although a specific incident of overstretching can cause an Achilles tendon disorder, these injuries typically result from a gradually progressive overload of the Achilles tendon or its attachment to bone. The cause of this chronic overload is usually a combination of factors that can put excess stress on the tendon: being overweight, having a tight calf muscle, standing or walking for a long period of time, wearing excessively stiff or flat footwear, or engaging in significant sports activity.


Achilles tendinitis symptoms present as mild to severe pain or swelling near the ankle. The pain may lead to weakness and decreased mobility, symptoms that increase gradually while walking or running. Over time, the pain worsens, and stiffness in the tendon may be noted in the morning. Mild activity may provide relief. Physical exam may reveal an audible cracking sound when the Achilles tendon is palpated. The lower leg may exhibit weakness. A ruptured or torn Achilles tendon is severely painful and warrants immediate medical attention. The signs of a ruptured or torn Achilles tendon include. Acute, excruciating pain. Impaired mobility, unable to point the foot downward or walk on the toes. Weight bearing or walking on the affected side is not possible.


During an examination of the foot and ankle, you doctor will look for the following signs, Achilles tendon swelling or thickening. Bone spurs appearing at the lower part of the tendon at the back of the hell. Pain at the middle or lower area of the Achilles tendon. Limited range of motion of the foot and ankle, and a decreased ability to flex the foot. Your doctor may perform imaging tests, such as X-rays and MRI scans, to make a diagnosis of Achilles tendinitis. X-rays show images of the bones and can help the physician to determine if the Achilles tendon has become hardened, which indicated insertional Achilles tendinitis. MRI scans may not be necessary, but they are important guides if you are recommended to have surgical treatment. An MRI can show the severity of the damage and determine what kind of procedure would be best to address the condition.

Nonsurgical Treatment

Use the R.I.C.E method of treatment when you first notice the pain. Although rest is a key part of treating tendonitis, prolonged inactivity can cause stiffness in your joints. Move the injured ankle through its full range of motion and perform gentle calf and ankle stretches to maintain flexibility. If self-care doesn't work, it's important to get the injury treated because if the tendon continues to sustain small tears through movement, it can rupture under excessive stress. Your doctor may suggest a temporary foot insert that elevates your heel and may relieve strain on the tendon. Other possible treatments include special heel pads or cups to wear in your shoes to cushion and support your heel, or a splint to wear at night. Physical therapy may also help allow the tendon to heal and repair itself over a period of weeks.

Achilles Tendonitis

Surgical Treatment

Your doctor may recommend surgery if, after around six months, other treatments haven?t worked and your symptoms are having an impact on your day-to-day life. Surgery involves removing damaged areas of your tendon and repairing them.


Warm up slowly by running at least one minute per mile slower than your usual pace for the first mile. Running backwards during your first mile is also a very effective way to warm up the Achilles, because doing so produces a gentle eccentric load that acts to strengthen the tendon. Runners should also avoid making sudden changes in mileage, and they should be particularly careful when wearing racing flats, as these shoes produce very rapid rates of pronation that increase the risk of Achilles tendon injury. If you have a tendency to be stiff, spend extra time stretching. If you?re overly flexible, perform eccentric load exercises preventively. Lastly, it is always important to control biomechanical alignment issues, either with proper running shoes and if necessary, stock or custom orthotics.

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What Is Painful Heel

Heel Discomfort


Plantar Fasciitis is a common athletic injury of the foot. While runners are most likely to suffer from plantar fasciitis, any athlete whose sport involves intensive use of the feet may be vulnerable. The risk of plantar fasciitis increases in athletes who have a particularly high arch, or uneven leg length, though improper biomechanics of the athlete’s gait and simple overuse tend to be the primary culprits. If you suffer from plantar fasciitis or are seeking to prevent its occurrence it is important to follow the information in this article. In addition, adding a few simple stretches to your fitness program will also help.


Identified risk factors for plantar fasciitis include excessive running, standing on hard surfaces for prolonged periods of time, high arches of the feet, the presence of a leg length inequality, and flat feet. The tendency of flat feet to excessively roll inward during walking or running makes them more susceptible to plantar fasciitis. Obesity is seen in 70% of individuals who present with plantar fasciitis and is an independent risk factor. Studies have suggested a strong association exists between an increased body mass index and the development of plantar fasciitis. Achilles tendon tightness and inappropriate footwear have also been identified as significant risk factors.


If you are concerned that you may have developed this syndrome, review this list of symptoms to see if they match with your experience. Aching, sharp or burning pain in the sole of your foot, often centering in the heel area. Foot pain that occurs as soon as you step out of bed or get to your feet after prolonged periods of sitting. Pain that may decrease eventually after you've been on your feet for awhile, only to return later in the day. Sudden heel pain or pain that builds gradually. Foot pain that has lasted for more than a few days, or which you experience periodically over the course of months or years. Pain in just one foot, though it is possible to have Plantar Fasciitis affect both feet. Swelling, redness, or feelings of heat in the heel area. Limping.


Physical examination is the best way to determine if you have plantar fasciitis. Your doctor examines the affected area to determine if plantar fasciitis is the cause of your pain. The doctor may also examine you while you are sitting, standing, and walking. It is important to discuss your daily routine with your doctor. An occupation in which you stand for long periods of time may cause plantar fasciitis. An X-ray may reveal a heel spur. The actual heel spur is not painful. The presence of a heel spur suggests that the plantar fascia has been pulled and stretched excessively for a long period of time, sometimes months or years. If you have plantar fasciitis, you may or may not have a heel spur. Even if your plantar fasciitis becomes less bothersome, the heel spur will remain.

Non Surgical Treatment

The following recommendations are appropriate. Wear shoes with adequate arch support and cushioned heels; discard old running shoes and wear new ones; rotate work shoes daily. Avoid long periods of standing. Lose weight. Stretch the plantar fascia and warm up the lower extremity before participating in exercise. For increased flexibility, stretch the plantar fascia and the calf after exercise. Do not exercise on hard surfaces. Avoid walking barefooted on hard surfaces. Avoid high-impact sports that require a great deal of jumping (eg, aerobics and volleyball). Apply ice for 20 minutes after repetitive impact-loading activities and at the end of the day. Limit repetitive impact-loading activities such as running to every other day, and consider rest or cross-training for nonrunning days.

Heel Discomfort

Surgical Treatment

The most common surgical procedure for plantar fasciitis is plantar fascia release. It involves surgical removal of a part from the plantar fascia ligament which will relieve the inflammation and reduce the tension. Plantar fascia release is either an open surgery or endoscopic surgery (insertion of special surgical instruments through small incisions). While both methods are performed under local anesthesia the open procedure may take more time to recover. Other surgical procedures can be used as well but they are rarely an option. Complications of plantar fasciitis surgery are rare but they are not impossible. All types of plantar fasciitis surgery pose a risk of infection, nerve damage, and anesthesia related complications including systemic toxicity, and persistence or worsening of heel pain.

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What Is Plantar Fasciitis

Heel Discomfort


The plantar fascia is a band of connective tissue that runs along the sole from the heel to the ball of the foot. One of its main roles is to keep the bones and joints in position. Bruising or overstretching this ligament can cause inflammation and heel pain. A common cause is flat feet, because the ligament is forced to overstretch as the foot spreads out and the arch flattens. The pain may be worse first thing in the morning or after rest. In many cases, plantar fasciitis is associated with heel spur. The plantar fascia tears and bleeds at the heel and, over time, these injuries calcify and form a bony growth.


Plantar Fasciitis is caused by abnormal pronation of the foot. Contributing factors are obesity, weight gain, jobs that require a lot of walking or standing on hard surfaces, badly worn shoes with little support, and also inactivity. As a result of over-pronation, with every step the Plantar Fascia (band of tissue under the foot) is being stretched, resulting in inflammation, irritation and pain at the attachment of the fascia into the heel bone. In some cases the pain is felt under the foot, in the arch. Continuous pulling of the fascia at the heel bone, eventually may lead to the development of bony growth on the heel. This is called a heel spur. When you’re at rest, such as while sleeping, the Plantar Fascia tightens and shortens. When body weight is rapidly applied to the foot, the Fascia must stretch and quickly lengthen, causing micro-tears in the Fascia. As a result, the foot pain is more severe with your first steps in the morning, or after sitting for a long period. Plantar Fasciitis is more likely to happen if you suffer from over-pronation (flattening of the arch), you stand or walk on hard surfaces, for long periods, you are overweight or pregnant, you have tight calf muscles.


Most people with plantar fasciitis have pain when they take their first steps after they get out of bed or sit for a long time. You may have less stiffness and pain after you take a few steps. But your foot may hurt more as the day goes on. It may hurt the most when you climb stairs or after you stand for a long time. If you have foot pain at night, you may have a different problem, such as arthritis , or a nerve problem such as tarsal tunnel syndrome.


To diagnose plantar fasciitis, your doctor will physically examine your foot by testing your reflexes, balance, coordination, muscle strength, and muscle tone. Your doctor may also advise a magnetic resonance imaging (MRI) or X-ray to rule out other others sources of your pain, such as a pinched nerve, stress fracture, or bone spur.

Non Surgical Treatment

The plantar fascia is a band of tissue, much like a tendon, that starts at your heel and goes along the bottom of your foot. It attaches to each one of the bones that form the ball of your foot. The plantar fascia works like a rubber band between the heel and the ball of your foot to form the arch of your foot. If the band is short, you'll have a high arch, and if it's long, you'll have a low arch, what some people call flatfeet. A pad of fat in your heel covers the plantar fascia to help absorb the shock of walking. Damage to the plantar fascia can be a cause of heel pain.

Pain At The Heel

Surgical Treatment

If treatment hasn't worked and you still have painful symptoms after a year, your GP may refer you to either an orthopaedic surgeon, a surgeon who specialises in surgery that involves bones, muscles and joints, a podiatric surgeon, a podiatrist who specialises in foot surgery. Surgery is sometimes recommended for professional athletes and other sportspeople whose heel pain is adversely affecting their career. Plantar release surgery. Plantar release surgery is the most widely used type of surgery for heel pain. The surgeon will cut the fascia to release it from your heel bone and reduce the tension in your plantar fascia. This should reduce any inflammation and relieve your painful symptoms. Surgery can be performed either as, open surgery, where the section of the plantar fascia is released by making a cut into your heel, endoscopic or minimal incision surgery - where a smaller incision is made and special instruments are inserted through the incision to gain access to the plantar fascia. Endoscopic or minimal incision surgery has a quicker recovery time, so you will be able to walk normally much sooner (almost immediately), compared with two to three weeks for open surgery. A disadvantage of endoscopic surgery is that it requires both a specially trained surgical team and specialised equipment, so you may have to wait longer for treatment than if you were to choose open surgery. Endoscopic surgery also carries a higher risk of damaging nearby nerves, which could result in symptoms such as numbness, tingling or some loss of movement in your foot. As with all surgery, plantar release carries the risk of causing complications such as infection, nerve damage and a worsening of your symptoms after surgery (although this is rare). You should discuss the advantages and disadvantages of both techniques with your surgical team. Extracorporeal shockwave therapy (EST) is a fairly new type of non-invasive treatment. Non-invasive means it does not involve making cuts into your body. EST involves using a device to deliver high-energy soundwaves into your heel. The soundwaves can sometimes cause pain, so a local anaesthetic may be used to numb your heel. It is claimed that EST works in two ways. It is thought to, have a "numbing" effect on the nerves that transmit pain signals to your brain, help stimulate and speed up the healing process. However, these claims have not yet been definitively proven. The National Institute for Health and Care Excellence (NICE) has issued guidance about the use of EST for treating plantar fasciitis. NICE states there are no concerns over the safety of EST, but there are uncertainties about how effective the procedure is for treating heel pain. Some studies have reported that EST is more effective than surgery and other non-surgical treatments, while other studies found the procedure to be no better than a placebo (sham treatment).

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Work Outs For Pigeon-toes

The causes of lip swelling could range from trauma and contact dermatitis to allergic reactions to certain medical conditions. I am a 44 year old Pe teacher who has been experiencing Contracted Toe since October. Vinegar has been used as a condiment for several centuries.

These conditions include different types of arthritis , osteonecrosis , neuromas , tumors, or infections. Lastly, traumatic injuries, including fractures and ligament tears, can cause this type of foot pain. Treatment of foot pain often consists of anti-inflammatory medications , footwear modifications, and inserts for your shoes. When buying footwear, look for shoes with a wide toebox, good support, and avoid high heels. These pads help to take pressure off the ball of the foot. If some simple steps do not alleviate your symptoms, you should see your doctor to ensure you are receiving adequate treatment. In some rare situations, patients don't find relief with shoe modifications, and may require a surgical procedure. Remember that our shoes protect us from injury.

When the tissue of the arch of the foot becomes irritated and inflamed, even simple movements can be quite painful. Plantar fasciitis is the name that describes inflammation of the fibrous band of tissue that connects the heel to the toes. Symptoms of plantar fasciitis include pain early in the morning and pain with long walks or prolonged standing. Arch pain early in the morning is due to the plantar fascia becoming contracted and tight as you sleep through the night. Bunions develop from a weakness in the bone structure of your foot.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Rheumatoid arthritis causes forefoot deformity and often may cause displacement and even dislocation of the metatarsal joints themselves. Morton's Neuroma can also be a source of metarsalgia and is characterized by pain in the forefoot. Sesamoiditis is located on the plantar surface of the foot and will be located near the first metatarsal phalangeal joint.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Bunions are bony lumps that develop on the side of your foot and at the base of your big toe. They're the result of a condition called hallux valgus, which causes your big toe joint to bend towards your other toes and become may also develop a bursa here too, especially if your shoes press against the bunion. Sometimes swellings or bursae on the joints in your feet are also called bunions, but these aren't the same as bunions caused by hallux valgus. Hallux valgus is different to hallux rigidus, which is osteoarthritis of the big toe joint. Hallux rigidus causes your big toe to become stiff and its range of movement is reduced. Symptoms of a bunion can be controlled by choosing shoes with a soft, wide upper to reduce pressure and rubbing on your joint. Toes form hammer or claw shape.

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Remedy And Cure For Hammertoe, Claw Toe, Mallet Toe Prevention And Treatment

In addition, claw toes are often associated with forefoot pain (metatarsalgia) as the MTP joints commonly become subluxed in patients with pronounced claw toes. Scared to walk around in sandals because of unsightly claw toes? Around three million Britons have hammer toes, which can make walking difficult. With this deformity, the toe is bent at the middle joint causing a curling of the toe. Question: How to treat curled toes problem?

This treatment produces reduced level electrical impulses on your foot to increase the blood flow and strengthen muscles by contracting the soft tissues. They will have a flap of excess skin that sort of appearances like a "bat wing" between the 2nd and 3rd toes. If you do, have this webbing of the toes, it is a respectable tip off that you do have a short metatarsal bone and probably have a Morton's Toe. An evening splint holds the foot at 90 degrees throughout your sleep. The aim of the splints is to keep your foot and calf muscles extended throughout the night. Here is more info on feet problems have a look at the website. Generally throughout rest the plantar fascia and calf bones often tighten and shorten. So when you wake up in the morning and take your primary steps, the fascia are being pulled all of an unexpected, causing the acute pain in the heel. Consistent rubbing and friction then causes Corns and Callous to develop. Also called a claw toe or mallet toe.

They found that plantar depression of the MTP joint following the osteotomy altered the dynamic forces of the interossei converting them from plantarflexors to dorsiflexors. Pleimann JH, Ishikawa SN, Sanders M. Lesser toe deformities, intractable plantar keratosis, Freiberg infraction, and bunionette. In: Pinzur MS, ed. Orthopaedic Knowledge Update: Foot and Ankle 4. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2008:257-270. If your cat has a habit of scratching things, it might be appropriate to buy and install 1 or more scratching posts wherever it is. Otherwise you will have problems seeing your furniture, books and other stuff littered with its claw marks. Swelling of foot or wound may persist for several months.

Foot care is an essential routine activity that should be done by all individuals to achieve optimum wellness. Foot is a significant part of your physique therefore, you should value it. You must be mindful that there are lots of approaches to protect yourself from foot ailments. Reflexology is an ancient art of applying pressure and massage to reflex points on the foot. Reflexology treatment is aimed to give complete relaxation and overall benefits through foot reflex manipulation and general foot and lower leg massage. Hammer toe is more likely to simultaneously occur with bunions.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Pads will relieve skin pressure, taping and splints will temporarily hold the toe down while they are applied, and inserts will do....well, nothing. An exception is the use of a prescription insert made of a mold of one's foot while that foot is held in a very specific anatomic neutral position.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

You may need to wear a surgical shoe with an open toe for several weeks following your operation. You may need to use crutches to help you avoid putting weight on your toes. This deformity occurs when the joint of the little toe becomes permanently contracted.

The surgeon may also remove a small section of bone, and repair tendons and ligaments if necessary. In this procedure, the surgeon inserts a silicone rubber or metal implant specially designed for the toe to replace the gliding surfaces of the joint and act as a joint spacer. Patients usually consult a doctor about toe deformities because of pain or discomfort in the foot when walking or running. The physician takes several factors into consideration when examining a patient who may require surgery to correct a toe deformity. American College of Foot and Ankle Surgeons.

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Causes For Foot Pain On Ball Of Foot | Plantar Fasciitis Tips

Causes For Foot Pain On Ball Of Foot | Plantar Fasciitis Tips
Cure plantar fasciitis.
Discover how to cure plantar fasciitis using 5 simple steps from home! Read more here...

Any somewhat active person can commonly develop pain in the ball of the foot. This area, usually described as the part of the foot just before where the toes begin, sees a lot of pressure during the walking cycle. When combined with problems with ones foot structure and foot shape, this pressure can cause pain and other issues. This article will discuss some of these problems, as well as the treatment options available to provide relief from the pain.

Pain in the ball of the foot can be caused by many conditions. The most common condition seen in this part of the foot is a neuroma. A neuroma is defined as an inflammation of the tissue that surrounds one of the nerves that travel between the long bones of the foot towards the toes. It usually affects the nerve in between the third and fourth toe, or less commonly between the second and third toe (with the big toe being considered the first toe for comparisons sake). Due to a variety of reasons, but especially seen in people with either flat feet or very high arches, this nerve inflammation can cause the sensation of a hard or hot pebble in the ball of the foot, as well as burning, tingling, and numbness in the toes immediately beyond the area of pain in the ball of the foot. Rubbing often relieves some of the symptoms. The pain generally worsens with activity, but is especially irritated when tighter shoes are worn as the shoe material squeezes down on the ball of the foot. Treatment can consist of steroid (cortisone-like) injections to shrink the nerve tissue swelling, as well as anti-inflammatory medications and icing. Custom foot inserts called orthotics can help to relieve the pressure under the foot, and wider shoes reduce squeezing on the nerve. Sometimes surgery is necessary to remove the painful nerve segment.

Other causes of pain in the ball of the foot can include too much pressure to the bones as seen in people with flat feet and in people with very high arches, although there are two very different reasons for this based on these different foot types. In a person with flat feet, as the foot becomes over-flexible and one finishes the part of the walking cycle where foot begins to push off the ground, an increased amount of pressure is present in the ball of the foot over a person with a more normal foot type. In a person with high arches, the pressure to the ball of the foot comes in the form of too much shock from striking the ground, as a higher arched foot is not as flexible and will not flatten enough to absorb this shock. Regardless of the cause, the abnormal pressure to the ball of the foot eventually overwhelms the bodys natural fat pad, and inflammation develops. The bones at this site (the heads of the metatarsal bones) feel more prominent on the ground, and any deformity of the toe (like a hammertoe) also present at the same time can increase this pressure by pushing down on the bone in the ball of the foot even further. Eventually, the tissue that surrounds the joint at the base of the toe will become inflamed (capsulitis), and in more severe cases a tearing of the tissue that supports the bones in the ball of the foot can occur, especially under the second toe. Treated with well padded custom inserts and supportive shoes specific for one's foot type (stiff shoes for flat feet, soft well-cushioned shoes for high arches), the pain usually can be controlled without surgery and a quick return to activity is possible. At times, surgery is needed to fix the problem. Procedures to lift up or move back the heads of one or more of the metatarsals are usually favored over reconstructing a flat or high arched foot as they are easier to recover from and do a good job at relieving the symptoms. Sometimes the toes need to be surgically straightened as well to reduce the pressure on the metatarsal heads.

Stress fractures (microscopic cracks) of the metatarsal bones can also occur here due to repetitive pressure, and if one has a strong enough injury to the foot a full fracture can occur, where the bone breaks completely. Unless the fully fractured piece has moved out of position, both these types of injuries can be treated with a protective walking boot until healing has taken place. Bones that move out of position too far need surgery to place them back into position and need hardware to keep them stable until healing has occurred, unless they can be moved back into position with external manipulation of the foot and there is enough stability for them to stay in place.

If the pain is under the big toe joint, the cause may be due to inflammation of two small bones called sesamoids instead of the toe joint itself. These egg shaped bones are found in every foot, and can be injured if repetitive stress is applied to them, such as in running or other impact activities. Repeated stress as well as injuries from landing on the foot from a fall can cause a stress fracture or even a full out fracture of one or both of the sesamoids. These bones need a moderate period of rest and de-weighting of the big toe joint, along with icing and anti-inflammatory medications, in order for them to heal properly. Reoccurring cases need specialized inserts to reduce pressure and stress to the bones themselves. At times, when they are resistant to healing, surgery can be considered to remove them. This is often reserved as a last option, as the sesamoids do provide some stability to the big toe and removal of one of them can change the stability to a slight degree.

Finally, it is not uncommon for pain in the ball of the foot to be simply from a painful callus. Calluses are formed when the skin has too much pressure from the ground below it and the bone above inside the foot. The top layer of the skin thickens up to form a sort of armor to protect the skin from this squeezing pressure. When this layer is too thick, or when this tissue grows inward into the skin and not outward away from it, pain can result. Treatment simply involves regular shaving of the skin build-up, either with a pumice stone or emery board at home or with sharp treatment by a podiatrist. Custom inserts to decrease the pressure to the ball of the foot also helps greatly, as well as the selection of properly supportive and properly sized shoes. Surgery to lift the bone up underneath the callus can also be considered if nothing else helps.

As one can seen above and although due to a variety of reasons, pain the ball of the foot is almost always treatable, and simple measures like proper shoe selection and shoe inserts can keep these conditions from returning. Some conditions do require surgery ultimately to relieve the pain, but this is not always the case as non-surgical treatment is quite successful in many cases at this part of the foot.

Frequently Asked Questions
What causes foot pain? I get this horrible ache on the ball of my feet that radiates to my toes?
It happens when I wear shoes for even a couple hours. When I wear flip flops I get some relief for a while but the pain comes after a few hours of being on my feet. It is agonizing and my feet are throbbing and heat radiates off them like they have been beat up.

I ma not sure but perhaps you should be consulting your physician . You may have poor blood circulation and who knows .

what causes pain under left foot just under the baby toe joint?
Hi, for two days I have been experiencing this pain in my left foot on the left side just under the joint of the baby toe on the ball of the foot, the ball of the foot is swollen and a heat seems to be emanating from it. Please help!

It might be a bone spur.You can visit to help you determine this.

Foot pain with weight bearing, on ball of foot under little toe?
For almost a week now I've experienced foot pain, only occuring with weight-bearing (and causing me to limp!). It hurts at the ball of the foot under the little toe, sometimes the pain spreads across the ball or down the outside of the foot. There's no swelling and its not tender, and I've had no significant change to physical activity. The nurse at a walk-in centre could only suggest that it was 'general foot pain' and suggested ibuprofen. Any ideas as to what it might, more specifically, be - and how to treat it?
Now I'm also experiencing some pain at the ankle, possibly in the tendon that runs to the big toe - is this possibly just a subsequent strain injury, as I've been walking/limping funny to take the pressure off the other side of my foot?
Any help would be greatly appreciated.

Ahh..General foot pain. Yep, you have a cheap a$$doctor.When I was in my 20's...(que the 80's music)I woked in spike and platform heels every day.I'm only 35 but I have some messed up feet.So!Get some serious footwear!I found doc mrten waitressing shoes on ebay.They do not look cool but my back feels so much better.

Pain near ball of foot?
When I stand on my left foot after waking up or resting for a while I have a strong pain in my left foot.It's located just below the ball of my foot, where it goes in - not as low as my arch, though.The pain starts there and shoots to the top and outer side as I walk on it.This has been going on for a while - maybe 6 months.(I know I should see a doctor, but it seems like all they ever want to do is put you on pain medication instead of figuring out the root problem.)

I'd love to know what is causing this, if there's anyone who can give me any ideas!Thanks!

sounds like you need to check out this great website,, that offers educational descriptions of foot/ankle conditions and OTC products that may help you avoid the doctor.If you continue to have discomfort and the suggestions on the site do not help i would try going to a podiatrist.Good luck!

ive been having a serious foot pain in my left foot under my toes toward the middle.?
under the ball of the foot. walking standing and curling toes down ward cause alot of pain. i do not have flat foot. does any one have any idea on what it is? the pain has been there for about 2 days.

You may have a pinched nerve, but call your doctor just to be sure. If you do not have the time for that, go to a walk-in clinic and they should be able to help you. Good luck!

Bunion Surgery 2 years ago, Now pain in Ball of Foot?
In July of 2007 I had my bunion removed on my left foot. I had a screw placed in my bone so that my bone would not move out of place. I have not have any problems with it until here lately. Recently the ball of my foot has been causing me severe pain. I usually wear boots and flats which do not have much arch so I was wondering if it could be caused from an arch problem. I also sit on my foot a lot (i.e. indian style) but lately it has been causing my pain so I can not sit like that for long.


What might be causing the foot pain on the balls of my feet and my toes?
I get this foot pain that comes and goes. I had it for approx. 2 months, and it effects me everyday. It's only with my left foot, and it effects only the two toes to the left of my big toe, and part of the ball of my foot. Sometimes I almost can't walk on it, but I can relieve the pain if I curl my toes while walking. I had a concussion a long time ago that has caused a tingling sensation in my feet. I wonder if it worsened. Anyway I'm going to see a doctor about it, but I'm wondering if anybody has an idea of what could be causing it. I've had no injury to that foot for years. Nothing is broken. I had a doctor exam in August and I was completely healthy, except my sugar level was kind of high (90 something).

G'day Waldo,

Thank you for your question.

It could be Morton's neuroma. If you have problems with diabetes, you should have your feet looked at as that can be a problem for diabetics.


I am trying to figure out what is causing my foot pain?
Before reading, if you answer is to go to the doctor or other medical professional, please don't bother.If I could go, I would not be asking here.I have had severe foot pain for about two months in my left foot.The pain is localized in the front of the ball of my foot, but it spreads backwards towards my heal.There is no discoloration and I can stand on it for short periods of time but I constantly walk with a limp.After I sit down or rest, the pain is worst when I try to walk again.After researching the matter on WEBMD, I took the following steps with no success.I bought a sleeping foot brace which holds my foot at a 90 degree angle while I sleep.It keeps my foot from moving but causes my toes to go numb.I have tried adjusting the straps with no effect.But even with the brace, the pain in my foot is unchanged.I use Aspirin based creams to sooth my foot daily but can't find a long term solution.Please help, I'm living daily with this pain and it's effecting my ability to work.

Thank you
The pain is at the bottom of my foot which is facing flat against the ground, near where the arch connects with the ball of the heal.


What is the fastest and cheapest solution to a painful neuroma located in the middle of the right foot ball?
For about six months I've been suffering this deep pain coming from the middle of the ball on my right foot. The podiatrist says that I've developed a neuroma, which is caused by a pinched nerve that passes in between two metatarsal bones.
I want to get rid of the pain especially because I am walking six miles a day for exercise, and it really bothers me, but I am affray I can't afford to pay for a surgery.

consider an injection

Walkers/Runners--newbie with foot pain question?
This summer when I went to my doctor to see what could possibly be causing my recent numerous migraines, the answer turned out to be my blood sugar.I am not a diabetic, but if I can't learn to behave myself, there are needles in my future.I don't want that!

So I started watching my diet and walking daily, early in the morning to avoid the heat.Usually my friend walks, too, and we go at a pretty good clip.I wear several different pairs of athletic shoes for walking, because I wear them almost exclusively, flats only occasionally, and heels maybe a few times a year.I have also been "jogging" with the Wii Fit from time to time, doing the Free Run and doing the actual jogging on a jogging trampoline.

I have had a minor, nagging pain in the ball of my left foot off and on for several months now, even before I started exercising.It seems to date from when I had to wear my chorus shoes (character shoes, if you know what those are) for several hours for chorus competition in the spring.They are heels about and inch and a half high, and they are the highest shoes I own.

When I am standing, walking, or jogging, the pain feels like I have a lump in the ball of the foot, but when I sit down to examine it, there is no lump there.I actually have had a foot x-ray, because my regular doctor didn't know what it is, either.Nothing showed up on the x-ray.As far as I can tell, it seems to make no difference which shoes I wear, or whether I walk or jog.In fact, I can't tell that anything I do makes a difference.(Just for the record, I have lost about 25 pounds since I started, but there's plenty of weight left.)I have only missed doing at least SOME exercise on two days in over two months, but I don't recall a difference then either.It comes and goes as it pleases.

We haven't been able to afford for me to see a foot doctor, but I may be able to do that in a few weeks.Until then, any advice?Do you have any idea what this is?I have no hope of continuing to lose weight without the exercise, and would probably start piling it right back on.I can't stay off my feet anyway, because I am a stay-at-home mom with a two-year-old.

Any words of wisdom would be appreciated.I will also be posting a couple of related questions shortly.Thanks!

(I will also be posting this in the health category.)

well the ball in your foot is probably calcification. you havent specified where it is so i cant really help you there. but if i were you i would massage it so that it goes away. try to feel around and put pressure there with your fingers and see. xrays will not show calcification and only show bone problems. regular doctors arent very good at foot and overuse type problems like yours. see if your school has a trainer which is like a physical therapist that can help you. most schools do. stay off of running or any hard exercise because it will make it worse and it will be harder to get rid of. you might even need surgery. see a physical therapist as soon as possible. insurance usually covers most of it. ask your regular doctor to refer you to one. im surprised they havent yet. good luck. and if you have any more questions add me and ill answer them

Severe foot pain. Im flat footed and I have a bad habit?
Hi everyone im in college so all day I walk campus. I also work full time so I am on my feet an additional 40 hrs a week . I have flat feet but only.the right one bothers me EVERY DAY . in my inner right foot I have an accessory navicular bone(extra bone) and it hurts like h3ll . ive consideredhaving it removed but my schedule is too busy to be down right now.i massage my right arch every night but it doesnt seem to help.ive purchased 4different insoles within the last year and they dont help. I have a bad habit ofbanging the bone in my arch with a hammer occasionally.some would think I was insane but it causes a good kind of pain .i smile at the thought of it actually breaking right there one day because I think it would release some pain from.that accessory bone.because nothing helps.i roll a rubber ball to massage my foot even a frozen bottle. It feels good but never takes pain away.not even anti inflammatory drugs.any remedies or similarities anyone ?btw sorry for all the typos I am using a touchscreen lol.

Well, first of all, you need to stop harming yourself with that hammer.Do you have flexible flat feet? If you do, there are exercises which, if done consistently, will correct your condition.Contact me to learn how these are done.

What is the cause of my foot pain?
I've been noticing foot pain on and off for almost around a year now. I did some resarch and i belive it is in the location of the "Adductor Hallucis" in the sole of my right foot. Location-wise, the pain is centered underneath the ball of my big toe, if that makes sense. (sort of in the crease of the ball of my foot). the pain feels more like pain in the bone, rather than muscle strain. I can really feel it when i flex my foot, as well as when i massage that area. Any ideas about whats going on with my foot would be really appreciated. thanks!

My mom had pain there and it turned out to be a "morton's neuroma" which she had to have removed because of the pain. Somehow a nerve becomes enlarged and her's got to the point where it was like a marble. This is just one possibility though, I suggest seeing a doctor if this is affecting your day to day life. Check out this site for info on the neuroma:

What can help my severe foot pain?
I am a waitress and just 21 years old. I weigh about 150 pounds.. not too fat but im definitely not the skinniest thing out there, either.. so im pretty sure my weight is not the main cause of my foot pain.

At work, my feet kill me, only just halfway into the shift! And I dont mean, "ow my feet hurt" from walking all day, I am talking about severe foot pain to where I am almost in tears.. its on the heel of my foot and sometimes the ball of my foot where my sesamoid bones are, but mainly the heel. This occurs in both feet, but the worst is in my left foot.

I cashier sometimes too and just standing in one place for hours worsens it. When I waitress it doesnt get as bad, but yesterday i worked a double, from 11:30am to 10:30 pm and by 4:30 my feet were killin me again.. and let me mention, i just bought the custom orthotics from walmart for 50 dollars two weeks ago.

I noticed that when I get off work and rest... when i get up i cant even walk because it hurts to put the pressure on my feet... especially when I wake up too! I cant even walk.. i have to limp or walk on my tip toes. It hurts so bad.

Well, my question is.. today, at work, my knee just started killing me. I could not bend down to pick up a fork and get back up without pain.

As I lay in the bed, my knee feels stiff and I cant even stretch it all the way without pain..

Does anyone have any ideas on what could be the cause of this (other than walking on cement floors for hours and hours).. and if so, any remedies? I am thinking about seeing a podiatrist if all else fails!!!!

You might be suffering from bone spurs in your feet (heel spurs).These are common.Heel spur pain is often most intense after long periods of rest from being on your feet. Morning heel spur pain is often the most severe type of heel spur pain. The reason for this is: As you move during the day, the nerves surrounding the heel spur adjust around the spur so that the heel spur is not digging into them. After long periods of rest, such as when sleeping, the nerves relax back into their normal position. Thus, when you get out of bed in the morning, pain can become intense as you are putting weight on the heel for the first time causing the heel spur to be pushed into the sensitive nerves and tissues.You might want to visit the source material website below to help you determine if this might be the cause of your pain.

Do Calluses on the bottom of your foot cause pain?
i've had some thing under the ball of my foot adjacent with the big toe.

and for about 3-4 weeks or so i've just dealt with it and it messed up foot print when i walk.

and i google up corn/callus/plantarwart blah blah eveyrthing diabeites/infection. i tried to figure it out myself. It seemed most likely a plantar wart. So i got the sacrylic acid and all, so i been putting on the acid. And i get impatient with things so i would just start picking at it and eveutnally a big white chunk of skin layering over the whole thing would peel off and i even burned the damn thing with a lighter cuz it was pissing me off.

Of course it would start heating up n wuld cause pain n i would pussy out from going any further.

Anyways i went to the doctor today cuz nothing was changing with the damn thing.
And he shaved away at it and it HURT so bad. he would squeeze it like a zit and it hurt so freaking bad.

And he was intrigued because if it was callus it wouldn't hurt. he was amazing and how much pain it caused me. So he thought maybe there is something int here. like a splinter or glass. So he kept shaving at it and he stopped and said by there i shoulda hit something, so there was no splinter.

So his last conclusion was it doesnt look like a plantar wart and its not a callus cuz the pain. So it must be a infection.

So im relived its not HPV on my foot. PHEW. but now i got a damn infection? forreal... i dun even look bad. And he wants me to take pain killers +antibiotics. he's not a foot doctor and my foot doctor appointment is in like 5 days

but after re googling and stuff anda fter what the doctor said.

I still think this just might be a Foot Callus.

Now i gotta know if whether a Foot callus causes pain or not. Cuz when u squeeze mine like its a zit, it fucing hurts. But i can walk on it, now that the doc shaved it, it hurts more when i walk, but before it was fine when i had shoes on. Barefeet on wood at home was uncomfortable.

Thanks guys!

Your doctor sounds like a moron. He's not a foot doctor. He shouldn't have just started digging into and squeezing your foot. Do not burn it with a lighter! If you scar your foot it can leave a callus and having a callus on your foot is permanent and extremely painful. You will feel it every time you take a step. This is what my foot doctor told me. Please try to be patient before you make the situation worse.

Why does the ball of my foot hurt?
For the past few weeks I have been experiencing some pain on the ball of my left foot and I don't have any clue why. I do play volleyball and we run quite a bit but that wasn't the cause of my pain. The pain showed up before our season began. I was just wondering if anyone knew what this pain is and how I can prevent it from hurting while I play.

I think you need to stop standing on that part of your body (if thats what you do) but I also think that you should get someone to rub it for a while to see if it gets any better

What could be the cause of my foot pain!?
I dont remember damaging it in any way but the ball of my right foot is quite painful, its fine to touch, but when i walk, i have to walk on the side or the back of my foot. Its been going on for over a week now, there is no visible swelling or bruising so i have no idea what could be causing this or what brought it on. Any clues?

A bruise or sprain of the foot can be slight to begin with, but get aggravated by continued walking on it; with the pressure resulting in further irritation. Various foot pains can be traced to breaking in new shoes or unsuitable shoes. High heels can produce pain, especially in the front of the foot. Chronic inflammation of the soft tissue in the foot can result from stretched tendons or gout (caused by a high concentration of uric acid and most common in the joint at the base of the big toe). Try to avoid walking too much until it has a chance to heal- soaking your foot in warm water might also help. If the pain does not start to subside soon, consult a podiatrist (foot doctor) or other healer.

Pain in foot after removal of short leg cast?
I broke my ankle 6 weeks ago and was placed in a short leg cast for 5 weeks. I was able to walk on the cast with a walking booth with no pain at all, except for the cast rubbing my toe and causing blisters. I had the cast removed on Wednesday and the doctor told me i can talk but just to avoid heavy use, such as jogging. However I have started to get pain under the ball of my foot underneath the toes. I only get this pain when i walk and if i press all around the toes i can feel no pain. Is this normal?


Severe foot pain? Whats the cause?
The Bottom of my foot has been killing me the last few days. Its hot itchy and painful type pain. I have to stand on my feet all day nearly everyday as I work a very big work schedule. Its really hard to undertake my work as i cant wait to get off so i can get home and just put my feet in cold water and not walk on them for the rest of the day. The pain is located along the side of my foot, the inside of my foot the heel and the ball basically its all over. What can be causing this? and what Can i do to stop it happening as I cannot Take another week of work with this pain.
also I have flat feet and inserts. They don't seem to make any difference they just aggravate me more.

Dr. Scholls shoes work best for me. keep Dr Schollspowder in your shoes to keep them dry and use 100 % cotton socks..,you could get 1/2 size larger shoe and add a gel insert,when you get home soak your feet in warm Epsom salts water it works wonders.

FOOT PAIN HELP!!!!!!!!!!!!!?
Ok so my foot hurts really bad. on the ball of my foot on the outside.. like exactly where a bunion would be but its not a bunion. what else could it be. has anyone else had this problem what did u do for it what caused it any help would be great. ( on the big toe side)
no it has nothing to do with my skin

Idk is it dead hard skin I say soak in hot water maybe even put Salt in it

Mysterious foot pain? What could be causing it?
Pain: The pain is located on that 'ball' spot below my big toe. When I press on the ball spot directly from the bottom of my foot, it doesn't hurt at all. Instead, if I press on the side of the ball spot (the side of my foot) it feels like something inside hurts really bad with a sharp pain. If I pull my big toe out and away from the other toes (again to the side, not up or down), the pain can be felt easier when pressed upon that side part of the ball. Any ideas on how this started or what could be causing it??

History: It first started about 6 months ago when I used to go for walks around the block (occasionally I'd jog lightly). I stopped immediately the same day that the pain started. I'm not sure if the walks caused it but I think it's worth mentioning. I haven't had it checked by a doc yet. It occasionally will randomly start hurting without being touched, but that happens off and on.

firstly you need to see a foot doctor and get an x-ray. my suspicion is that you have a bone chip or spur that causing the pain. a foot doctor will take an x-ray and if it is you can have it removed

Foot Pain Problem?
I need to be on my feet constantly and I am having trouble.I wear Easy Spirit shoes with the Level 2-3 comfort, very thick gel under my heel and so forth.I spend big money on shoes made for comfort and find none.If I stand for 10 minutes or less, my heels and the balls of my feet hurt like I'm standing on bruises!It's so intense sometimes that I have to tiptoe because of the pain.It is a constant pain, like someone pushing on a bruise and not letting up.It once got so bad just from walking around my house barefoot, I had tears coming down my face while I began to crawl on my hands and knees.I'm an EMT, but I'm no doctor...I have, like, no arch in my foot either.Might that be the cause of the problem?Any help will be appreciated.

It sounds like you have Equinus, which causes Plantar Fasciitis.Never go barefoot around the house. The pain is caused by inflammation of the plantar fasciia.
There is a way to tape your feet to bring immediate relief.
Use 1/2 inch sport tape. You are going to place the tape around your foot from your arch on the instep go around the back of your heel and stop at the arch of your outer step.Tear it off, and take another piece to wrap around your foot starting at the top of your foot (toenail side) and wrap that piece so that it goes around your foot, through your arch and it holds the first tape in place. When it is done right, you will have tape going around the back of your foot(heel) and around the bottom of your foot (arches) with the piece around your arches connecting to the piece and holding in place the one around your heel.
This relieves the pain and takes the strain off of the arch, or in our case where the arch should be and this creates one.
Get some heel lifts(1/4 inch) as well to place in your shoes, not just the gel supports but lifts.Equinus means that your tendon in your calves is too short causing the strain on the rest of your foot and it's tendons.I bet the back of your legs feel tight and ache as well, just not as bad as your heels.The lifts help to support that short tendon.
Go see a podiatrist, there is a surgical proceedure that can sometimes successfully lengthen the tendon causing the Equinus. Take an anti-inflammatory like ibuprofen (I have a prescription for 800 mg) to help reduce the inflammatory process. You can also use ice,freeze a water bottle and then put it on the floor and roll it back and forth with your foot.

I know exactly how much it hurts and I hope this has helped.Again, Never go barefoot for that puts strain on the arch,I wear Isotoner arch support slippers around the house.

Pain on the top of my foot?
I'm a college basketball player, and about 5 days ago I started noticing some pain on the superior lateral portion of my foot, over the 4th and 5th metatarsals. The pain wasn't too bad at fist, and I had felt similar pain before, so I didn't think anything of it, assuming it would go away the next day like it had in the past.It's been progressively getting worse each day, with the pain spreading to the entire top of my foot, and some pain referring to the lateral side of my ankle.I've noticed that if I stay in the half court, the pain isn't too bad unless I step on my foot a certain way.But following any type of running (even just once up and down the court) the pain becomes so severe that I can't run without a limp, and it continues to hurt severely until I rest it for an extended amount of time.The pain occurs when I shift my weight to the ball of my foot (and the foot bends to push off forwards), it's a sharp stabbing pain (feels like someone is crushing my foot with a hammer).I talked to our Athletic Trainer about it, and she initially diagnosed it as a mid-foot sprain, but said it could possibly be stress fractures.There is no swelling, and no tenderness to touch (unless the foot is caused to bend).I'm hesitant to go to the doctor, because if it turns out to be fractured, my basketball career is over.I'm planning on getting some custom orthotics, as recommended by one of my teammates. (we are currently on a 1 week break for Christmas, so I'm waiting to see if it heals during that time)

Has anyone had experience with this, or have any ideas of what it could be?I'm also looking for ways to control the pain enough to continue playing through it if it doesn't go away. (I've tried a few different taping methods, but those seem to cause pressure on other parts of my foot causing more pain). With the position I'm at with this team, I can't afford to be injured (I'm the new walk-on player trying to secure a spot... I don't play much in games or practice scrimmages, so even if it is something more serious like a fracture, I could make it through the season with some pain management techniques, and then get it taken care of afterwards) Any advice?

I have this as well, I think the orthotics might help i am flat footed very little arch that is my problem, your arch might be dropping as well, the orthotics will help if so, good luck.

What is this wierd pain in base of my little toe on my right foot?
For a few weeks not when i walk i get a sharp pain at the base of my little toe kind of on the ball off my foot.

I havn't done anything that would cause pain that i know of.

Any ideas what it is?
There's no pain if i don't put weight on it, and i don't alway have pain when i touch the area
If it helps i'm 16 , i run 10 miles most days i've been running for about 5 or 6 months now

get it checked by a doctor

Cause of knee and foot pain?
OK.I have this bad pain that keeps moving on me it seems like every 2-3 days.It was in my left knee for a couple of weeks.Then it moved over to the back and side of my right knee and ligaments around the knee.Now it is centered on the top of my right foot and the pain is especially bad in the heel of my right foot.I no longer have insurance so I haven't been to the doctor.I've been diagnosed with gout in the past, but it usually remains in the ball and big toe of my foot.Does anyone know what could possibly be causing this weird movement of pain in my knees and feet?

My guess would be that you are walking strangely to reduce the pain in your knee, which is causing the pain to "move" to other areas as you damage those places with your changed gait. As to what caused or is causing the initial pain, you really need to see a doctor for that.

Is my foot pain plantar fasciitis? How should I treat it?
Late last week, my left foot started to hurt on the outside edge. I thought it would go away shortly, but it didn't. My foot still hurts, but the pain has migrated to the back of my arch. I'm not in pain all the time. It goes away when I sit (no surprise there) and often when I go barefoot. How should I treat myself? The pain seems to decrease when I press something against my arch. Right now, I have a nerf ball taped to the bottom of my foot. Is that a wise treatment, or would it harm me?
My everyday shoes were an old pair of running shoes or an old pair of slip-ons. I think that my continued wearing of them has caused my pain. What should I do for footwear? What kind of exercise is good? I like to run, and the lack of vigorous aerobic activity is maddening.
I have normal to high arches.

Go barefoot as much as you can on natural surfaces.

Pain in ball of feet?
Hi, for the past four days I've been experiencing pain in the ball of my left foot, it hurts a lot when walking and it sometimes aches and stings a little when resting it on the floor. I do have flat feet so I think that this may be the cause, does anybody know what I could possibly do to get rid of the pain when I walk? Thanks =)

Try lifts in your shoes to help the tendons. Otherwise go to a podiatrist and have a professional look at it.

i've had a foot callus for 5 yrs no matter how i try i cant get rid of it. it causes me pain in the morning?
for a few minutes,i cant walk barefoot without scrunching up my toes to protect it its on the ball of my foot. if i walk on uneven ground i limp a little to protect my foot from hurting more i have tried everything to get rid of it, a callus blade has been the best to shave it off but it comes back in days. i'm wondering if its actually protecting something like a wart and thats why it comes bk stronger than ever its driving me mad .any sugestions pleeeease

It's caused by wearing shoes. If you went barefoot it would probably go away.

foot pain and cycling?
I started getting into cycling (both on and off road) a few years back.At one point I was going pretty hard on road, maybe doing 30 miles a trip x 3 per week in hill country (not Lance, but good for a beginner).I was also walking a bit on my off days and my left foot got to hurting pretty bad and was getting numb on the outside ball.I didn't think about the cycling causing it, but winter came and it bothered me all winter even though I wasn't cycling.Next spring I didn't get back into cycling and by summer my feet were pretty much OK.Fast forward 3 years and I got back into cycling (or at least serious enough to clip in).Immediately the numbness and pain returned and I realized what had caused my problems a few years back.My feet are pretty dry and cracking a bit so now I am treating that, but I wonder if there is some nerve I am pinching.It only really seems to be a problem clipped in, if using freeride pedals it doesn't bother me, or at least not as bad because I can put my arch more on the pedals instead of my ball.I spoke to my family doc about it and he wasn't much help.Anyone have any ideas or similar problems?I am hoping its dry skin being aggravated by the pressure as I love to cycle.Maybe better shoes or custom make a mount over the heels?

I had the same problem as do many riders when they first start riding with clip-less pedals, certain parts of the feet start getting numb and 9 time out of 10 your cleats are out of adjustment or alignment. While it is too broad a subject to cover all the important aspects and individual variations you can check these sites for the tips and tricks associated with cleat alignment. Misaligned cleats cannot only cause numbness in the feet but eventually cause ankle, knee and hip problems as well. Without proper cleat alignment, the leg wants to rotate to it's natural position, but the cleat-pedal mechanism will prevent it, causing rotational stresses on the knee, hip or ankle.

If you have any questions when setting your cleats in new shoes I suggest taking a trip to your local bike shop and having them help you. They will most likely set up your alignment using the Rad System and you shouldn't have any further problems.

Hardwood Floors = Horrible Foot Pain? Slipper Recommendation?
We recently moved to a old house with 100% hardwood floors and 3 stories.The first couple of weeks I noticed my feet ached at night but I just figured it was all the running around getting moved in.It's now been a month and I've developed painful hard bumps under a couple of toes as well as tender placed on the balls of my feet.

I'm fairly certain it has to do with being on my feet on these hardwood floors all day.I don't have insurance at the moment so I'm putting off a doc visit for a few more weeks.In the mean time I'd like to get some really good house slippers to cushion things as I'm convinced this is what's causing it (never had anything like this before).

Can anyone recommend a good pair of slippers that have some real cushioning (like a dense memory foam) not just the cheapy ones where the foam breaks downs after a week or two?


Why does the ball of my foot hurt when I walk?
For the last 2 months, the ball of my foot has been hurting. When I walk, I cant totally bend my toe because of the pain. It is also sore to touch. It seems to just linger, even though I rest it very much, most of the day but it won't go away. I am wondering what caused this. I have been working out but only on an eliptical machine, which is just a gliding motion (no movement with my feet at all). I have been wearing shoes that were a tad too small, could that have caused the pain in the ball of my foot? Is there any relief I can get from this? I miss being able to just walk, let alone any type of quicker movement.


PLEASE HELP! Major foot pain.?
I just recently began my first job and unfortunately, I am on my feet all day long except for a 30 minute break. Anyways, I have bone spurs and tendinitis, horribly in both my feet which cause me so much pain while work and is unbearable. If anyone knows of a way to decrease this pain while I work, PLEASE HELP ME! I do not want to give up my job because I cannot stand to be on my feet for that many hours a day with excruciating pain. I am tired of coming home at night and curled up in a ball crying because they hurt so bad. No one understands and they just tell me I am being a wuss and to quit crying over it. If they knew how bad it hurt, how horrible it felt, I wonder if they would still think the same way.


What is causing the pain that I have in my right foot?
-The pain is on the ball of my foot and it hurts when I stand on it or when I apply pressure to it.
-It sits mostly right under my 2nd and 3rd toes.
-I do NOT wear high heels and I wear shoes that are good for my feet so I know it's not that.
-I am slightly overweight but far from obese and this condition is brand new so it is not weight related.

This is really hurting me and I wanna get back to working out. What is this and how can I treat it?
The pain is only in a small spot on the ball of my foot. The rest of my foot has no effect from it at all.

The pain on your foot can be caused by your tendon for your leg muscle tightening up which makes it pull on the end where it's attached, your foot.That can be goten rid of by releasing the tendon for your foot and here's how to do that:
Achilles tendon:
While sitting and your leg on your lap, take both thumbs and place them side by side at about ankle height on the tendon on the back of your leg and apply pressure hard and hold.After 30 seconds slowly raise your toes up as far as you can, release the pressure but hold your foot there for another 30 seconds.
If the pain for your toes is happening because of the muscle under your foot tightening up I'm not sure but here's how to release that muscle in case it is the problem:
Foot Muscle:
With your foot in your lap place your fingers side by side at the back of the arch right in front of the heel and press in hard and hold.After 30 seconds slowly raise your toes up as far as you can, release the pressure but hold your toes there for another 30 seconds.
for both, for best results relax your body first by taking a deep breath and exhaling then remain this relaxed.

What should I do about pain in my upper foot that hurts when any pressure is applied to it?
I had had a callus on the ball of my foot for about 2 weeks, and yesterday morning I woke up with an intense pain on the upper portion of that same foot. It hurts to walk on, bend the toes, and basically put any pressure on it.The only thing I can think of that may have caused it is this: the day before this happened, I was walking on this foot putting little pressure on the ball of it since it had the callus...this led to most of the pressure being put on the other side of this foot.
Does anyone know what this might be? What to do? I feel like I need crutches asap...walking is an ordeal!
Also...I have just noticed the whole upper half of my foot is slightly swollen as well.


Numbness In Ball Of Foot and Toes?
Five years ago I hada serious injury to the big toe of my left foot.I couldn't walk normally for almost three years.This causedproblems with my knees and hips which lasted for a year.Now the balls and toes of both feet often feel numb, burning, and tingly, especially when I lie down.Sometimes I have also have pain on the left side that goes from my hip to the calf.Anyone know what's causing this or how I can treat it?

This condition is generally caused by a pinched nerve in the lower feels like the pain / numbness is in the leg or foot, but really it is the pinching of the nerve in the back that goes to the leg and foot, so it feels like the pain is there.sometimes it can be treated with anti-inflammatories, because if the nerve is inflamed or if the muscles around the nerve are inflamed, it causes the nerve to not have enough room coming off the spine and it gets a little pinched.At other times, the spine is a little shifted so that the nerve is this case, the anti-inflammatories are not going to may need to have your back worked on by a chiropractor because it is just out of alignment, or you need surgery to correct the spinal problem.... a laminectomy... to give the nerve more room.The problem is that the longer you wait to fix the problem, the more damage is done to the nerve.If you correct it soon enough, feeling will return and pain will cease, but if the nerve is damaged, even after you fix the problem, you may still have the same symptoms.So, don't could startby taking Advil or ibuprophen to see if that helps, but I would suggest going to your dr. and requesting an MRI or a lumbar myelogram to see what is causing the problem.

I heard when your running you should land on the ball of your foot. Should you do this while you jog as well?
I been running heel to toe for the longest time and just started running ball to toe i guess and feeling wierd pains probably cause I not used to it.I just want to know even when I jog should I be landing on the ball of my foot

Your foot plant depends on your speed, so if you are running fast then you should land on the mid foot, or the ball of your foot. However, if you are running easy then landing mostly flat footed, which might be considered heel is the way to run.
Casual runners should land mostly flat footed and roll off the front of the foot.

pain in arch, ball of feet. high arch?
For years now I have known that I have had high arches (more in my right foot causing me to put weight on the outside of my foot) and it is starting to become a bigger issue. I have been more active lately and have really felt the pain. I have had orthotics for some time now and I feel they have done nothing except cause a burning sensation after wearing them all day especially at the balls of my feet. I actually feel slightly less pain when I DONT wear them.

I am curious to know if anyone may some some suggestions on what to do to besides surgery (since I know it isn't an extreme case of high arches). Does anyone recommend a certain type of shoe? Are there exercises/stretches that I can do?

What has worked for those who suffer the same as me?

could be plantar fasciitis. i used to have a minor case of it, cured it by stretching before i ran.worst case requires surgery.see a podiatrist.

Could being pregnant make my foot hurt?
I was walking my dog this morning when half way up the outside of my right foot began to hurt. The pain got worse and spread right under the arch. By the time i got to end of my walk i had to walk on the ball of the foot and it was too sore to put all my weight on it. I am six months pregnant and have put on over a stone so was wondering if the extra weight my have caused it as i haven't injured it in any way. I was also looking for a quick fix as my job involves being on my feet all day. Any suggestions?

it can be that the muscle under your foot needs some help.Like other muscles with tendons, the tendon to this one can shorten itself up, as tendons will do from time to time, and that means it will pull in the bottom of your foot.Here is how you can release that muscle:
With that foot in your lap take both your thumbs and place them side by side at the back of the arch right in front of your heel.Press in fairly hard and hold that pressure there.Relax.After 30 seconds slowly raise your toes up as far as you can.Then release the pressure but hold your toes like that for another 30 seconds.
If the pain persists let me know there is one other thing it could be, just not as likely.

Has anyone ever experienced debilitating feet pain during the whole pregnancy?
My wife is 7 months pregnant and since the beginning of her pregnancy she has this severe pain which started on the ball of her right foot and her big toe.As she went further into her pregnancy her left foot started to have the same kind of pain that she feels on her right foot and she ended up having to use a wheel chair.She had to stop working and has to stay either in bed or on the sofa the whole day for the last 7 months.She describes the pain as shooting/stabbing pain on the balls of her feet and her big toes even when she's at rest.They are sensitive to the touch and she could barely move her toes without experiencing the pain.We went to so many doctors and they gave us so many different possibilities of what she may have.Strangely all the exams (i.e. X-ray, MRI, ENMG, etc.) didn't show any serious problem.The MRI showed an irritation on the nerve of her feet but the doctors said that it was not enough to cause her so much pain. Has anyone ever experienced this?

Nope...that is a new one to me.

Anyone experience pain in the leg/ foot while rollerblading?
Does anyone experience pain while rollerblading on the left foot?
Ok, so I just got these badass inline skates. They cost me 160 bucks. I bought them online, so I saw that online, they had a way to determine my inline skate size, and it said that for this company (rollerblade), I should get it the same size as my shoe size, but i got it a half size bigger (9.5) just to be sure they would fit good. So they finally shipped to my house, im excited, put them on, and after about 5 mins, only my left foot and leg start to hurt. towards the left of my calf, I kinda feel the external hard shell of the skates press against my left, which causes some discomfort, and after about 15 mins, the little ball-like bone in the right side of my left foot hurts. I then took them off, and a bit higher than my achilles tendon, it was red on both feet, but this didnt hurt. So my question is: Why does it only hurt me on my left foot? Any help in this topic would be greatly appreciaed.

i had an old injury, that was inflamed by use doing it..........................

I am Type 2 Diabetic. I have been suffering Severe Feet pain and Swelling..burning pain..Probable Cause?
The pain is a burning pain that originates in the ball area of my foot and raises to The calf muscle area. The tops of my feet swell, so much so they will no longer fit in my shoes. This has been going on for about a month, and now it is so sever I had to come home from work early tonight. My doctor said elevate my feet, if pain or swelling does not go away go to the emergency room. I've checked web md....they have way too many probable causes from bad arches to a blod clot...Any type 2 diabtics out there have something similar happen to them...if so what is the cause, and what can I do to alleviate it.

***Blood sugar isn't elevated or too low, I've been watching my diet like a hawk...nothing out of ordinary food wise....Tried changing my shoes, didnt make things better or worse.

You have diabetic Neuropathy.

Diabetes is the leading known* cause of neuropathy in developed countries, and neuropathy is the most common complication and greatest source of morbidity and mortality in diabetes patients. It is estimated that the prevalence of neuropathy in diabetes patients is approximately 20%. Diabetic neuropathy is implicated in 50-75% of nontraumatic amputations.

The main risk factor for diabetic neuropathy is hyperglycemia. It is important to note that people with diabetes are more likely to develop symptoms relating to peripheral neuropathy as the excess glucose in the blood results in a condition known as Glucojasinogen. This condition is affiliated with erectile dysfunction and epigastric tenderness which in turn results in lack of blood flow to the peripheral intrapectine nerves which govern the movement of the arms and legs. In the DCCT (Diabetes Control and Complications Trial, 1995) study, the annual incidence of neuropathy was 2% per year, but dropped to 0.56% with intensive treatment of Type 1 diabetics. The progression of neuropathy is dependent on the degree of glycemic control in both Type 1 and Type 2 diabetes. Duration of diabetes, age, cigarette smoking, hypertension, height and hyperlipidemia are also risk factors for diabetic neuropathy.

*The largest group of patients are of unknown cause, referred to as idiopathic in origin. Of the roughly 100 known causes, diabetes is by far the largest. Other known causes include genetic factors, damaging chemical agents such as chemotherapy drugs, and HIV.

[edit] Treatment
Despite advances in the understanding of the metabolic causes of neuropathy, treatments aimed at interrupting these pathological processes have been limited by side effects and lack of efficacy. Thus, with the exception of tight glucose control, treatments are for reducing pain and other symptoms and do not address the underlying problems.

Agents for pain control include tricyclic antidepressants (TCAs), serotonin reuptake inhibitors (SSRIs) and antiepileptic drugs (AEDs). A systematic review concluded that "tricyclic antidepressants and traditional anticonvulsants are better for short term pain relief than newer generation anticonvulsants."[1]

In addition to pharmacological treatment there are several other modalities that help some cases. These have shown to reduce pain and improve patient quality of life particularly for chronic neuropathic pain: Interferential Stimulation; Acupuncture; Meditation; Cognitive Therapy; and prescribed exercise. In more recent years, Photo Energy Therapy devices are becoming more widely used to treat neuropathic symptoms. Photo Energy Therapy devices emit near infrared light (NIR Therapy) typically at a wavelength of 880 nm. This wavelength is believed to stimulate the release of Nitric Oxide, an Endothelium-derived relaxing factor into the bloodstream, thus vasodilating the capilaries and venuoles in the microcirculatory system. This increase in circulation has been shown effective in various clinical studies to decrease pain in diabetic and non-diabetic patients. [2] Photo Energy Therapy devices seem to address the underlying problem of neuropathies, poor microcirculation, which leads to pain and numbness in the extremities[3], [4].

So get the sugar under control. I take a anti-depressant, 500 mcg. Mecobalamin and of course a pain reliever Tramadol. Force the doctor to prescribe a pain reliever.They usually let you suffer.

Why do I have pain in the arch of my foot when I am running?
Lately, whenever I run (be it outside, or on the treadmill), the arch of my foot gives me a lot of pain - enough for me to stop before I am tired.Specifically, the pain is on the bottom of my foot, in the area between the heel and the ball.It's almost as if there is a smooth rock between my insole and the arch of my foot that's causing pressure, and eventually a painful burning sensation.

My first thought was that my shoes were simply not designed for running, so I drove over to my local footwear store and bought a pair of running shoes.Although the rest of my foot is comfortable, the pain is still there.I spoke to a doctor about my problem, and he seemed puzzled as well.He made no mention of, "Flat-feet", which I had a hunch might be the problem, and he simply suggested that I run at a slower pace (thanks, doc...).

Has anyone had this problem before?If so, how did you overcome the pain?Thanks in advance for your answers!

Find out if you are a pronator or supinator or if you are flat footed, then get shoes that fit your foot.

I have a FOOT question :o )?
Has anyone experience pain in the bottom of your foot where the heel is (ball part of your foot) but the pain is on the inside and might shift to the side of your foot? If so, does anyone know what it is and what is causing the pain? I do not wear heels, only flats and all my shoes and sneakers are very comfortable. I never sprained or broke my foot either....Thank you for your help :o )

yes i get that to!! but i dance a lot so maybe that has something to do with it! maybe you are putting too much pressure on your heels causing pain? maybe get it checked out.

Something's been wrong with my foot for a while now. What could it be?
It doesn't happen very often, but often comes and goes without warning. For instance; the other night, when I was lying down on my stomach, I was suddenly hit with a stabbing pain in my foot. It's hard to explain the pain or what even causes it (because I haven't a clue), but it truly, truly hurts and I wish to get to the bottom of it.
That night, when I was lying down, I was minding my own business and typing on my laptop when BOOM. I was struck with a pain in my foot like a freight train had just barreled into me. It feels sort of like someone has taken the proverbial 'pulley thing' on the bus (the one that runs across the ceiling, to signal that you need to stop?) and yanked it without any thought that it might be hurting the big brute. As if someone has taken the tendon (or whatever you can call that thick string that I feel there) that arches between the heel and balls of my feet and pulled the ever-living daylights out of it. I, of course, scramble to silence a scream and struggle to reposition myself (as it seems moving certain ways only makes it worse) and rub/attempt to soothe the thing. It happens sporadically and without cause, so I'm curious as to what it could be? I've had cramps and a Charley Horse, but neither can compare to whatever the heck this is.
I've not told my doctor about this because I can't recreate it. I don't know when it will happen or what I'm doing when it happens. It seems to be at random.
It's in both feet, by the way. And every once in a while, if I'm stretching or tip-toeing (or some other form of using my feet), I get this sinking feeling. My feet give me this little buzz/sting that tells me, "hey, you. Feel that? Yeah. We can make it a whole lot worse if you don't cut that out." I'm scared to do a lot of strenuous work or even wear heels (small or big, though I've never liked them to begin with).

You need to see your doctor, who will refer you to possibly A podiatrist first

. Your problem could be fallen arches/flat feet or a ligament problem. This also could be secondary pain, which is coming from a back problem. This could be quite nasty, meaning at its worse a herniated disk, sciatica or even a pinched nerve in your back. Seek help asap, as this could be the start of something slightly more than just sore feet.

suffered as you and now awaiting results about possible herniated disk.

Is my foot fractured? Or just sprained?
I have had multiple problems with my left foot before this due to sports and just being stupid. But after my lacrosse game i started to get striking pains in my foot, under the ball of my ankle. Now this was almost over a week ago and it still kills. I can't even put pressure on it so i've been limping on it for the past 6 days. I've been icing and elevating it but its still not getting better. Do you think it is a sprain or a fracture? cause i really want to get back on the field and play as soon as possible. And if it's either of them will i get a boot or crutches??

Go to the Dr.

What is wrong with my foot?
Aug 16th & 17th: I went up and down a mountain- usually pain after a hard hike, no biggie.
18th: Relaxed, felt fine feet doing alright.
19th: did a light 30 min workout at the gym. No problems.
20th.Right foot in pain 8-9/10 somewhere on the bottom between the ball of my big toe and ankle.Can barely walk.Foot looks fine (no discoloration or swelling), and doesn't hurt when I apply pressure.

From then it took most of a week for the pain to go down to a steady 1-2 where I didn't have to limp when I walked. I try to put cold presses on and kept it elevated when I can.I also frequent the hot baths at my gym. Riding a bike and using the elliptical machine doesn't cause any pain.I went swimming last night and that hurt.

Now the pain is dull and fairly consent when standing, walking, and sometimes when I sit.It doesn't feel like the whole bottom of my foot anymore either. Now it feels like it is about an inch from my ankle towards the big toe (inside).

Any thoughts?


Shoe Insert Pain for Overpronation?
For the last week and a half I've had sudden pain around the ball of the third and fifth toes on my left foot.I could make it worse my either pressing the spot on the top of my foot or the ball on the bottom.Sometimes it would be a shooting pain or an throbbing ache radiating from the stem of my toes towards my leg. It would hurt whether I was barefoot or wearing shoes, mostly when I was up and about but also would hurt for no reason when I sat, had my feet up, even in bed for the evening.I was giving my child a bath and had to switch from kneeling to sitting because the pain suddenly became too much - and most of my body weight was on my knees, not the top of my feet!

Today I saw a podiatrist and they x-rayed my foot.He said looking at my x-ray he could see I was standing with too much pressure inward and said I was an overpronator; bones looked fine.I've always thought I had okay arches and never had foot problems before.Since the pain is from the middle of my foot outwards to the pinky toe I have been walking with more pressure on

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Achilles Tendon

Achilles Tendon
Achilles tendonitis is a painful and often debilitating inflammation of the Achilles tendon, also called the heel cord. The Achilles tendon is the largest and strongest tendon in the body. It is located in the back of the lower leg, attaches to the heel bone (calcaneus), and connects the leg muscles to the foot. The Achilles tendon gives us the ability to rise up on our toes, facilitating the act of walking, and Achilles tendonitis can make walking almost impossible.
There are three stages of tendon inflammation:
Peritenonitis with tendinosis

Peritenonitis is characterized by localized pain during or following activity. As this condition progresses, pain often develops earlier on during activity, with decreased activity, or while at rest.
Tendinosis is a degenerative condition that usually does not produce symptoms (i.e., is asymptomatic). It may cause swelling or a hard knot of tissue (nodule) on the back of the leg.
Peritenonitis with tendinosis results in pain and swelling with activity. As this condition progresses, partial or complete tendon rupture may occur.
Incidence and Prevalence
Achilles tendonitis is more common in athletes and overall incidence of the condition is unknown. It occurs in approximately 6-18% of runners.
Risk Factors and Causes
Poorly conditioned athletes are at the highest risk for developing Achilles tendonitis. Participating in activities that involve sudden stops and starts and repetitive jumping (e.g., baseball, basketball, football, tennis, running, dancing) increases the risk for the condition. It often develops following sudden changes in activity level, training on poor surfaces, or wearing inappropriate footwear.
Achilles tendonitis may be caused by a single incident of overstressing the tendon, or it may result from a series of stresses that produce small tears over time.
The condition also develops in people who exercise infrequently and those who are just beginning an exercise program, because inactive muscles and tendons have little flexibility because of inactivity. It is important for people who are just starting to exercise to stretch properly, start slowly, and increase gradually.
In some cases, a congenital (i.e., present at birth) condition causes Achilles tendonitis. Typically, this is due to abnormal rotation of the foot and leg (pronation), which causes the arch of the foot to flatten and the leg to twist more than normal.
This condition causes the lower leg muscles (e.g., gastrocnemius, soleus) to stretch more than normal. Like a rubber band, the further the muscles stretch, the tighter they become. The force on the Achilles tendon and the heel bone increases, resulting in Achilles tendonitis. Because the arch of the foot naturally flattens over time, especially in athletes, Achilles tendonitis often develops later in life.
Women who wear high-heeled shoes often and switch to sneakers for exercise also can develop Achilles tendonitis. The Achilles tendon and lower leg muscles gradually adapt to a shortened position because the shoes prevent the heel from stretching all the way to the ground. When this occurs, wearing sneakers or flat shoes forces the Achilles tendon to stretch further than it is accustomed to, causing inflammation. If high heels are worn everyday, stretching should be done every morning and night to keep the Achilles tendon lengthened.
Signs and Symptoms
In most cases, symptoms of Achilles tendonitis develop gradually. Pain may be mild at first and worsen with continued activity. Repeated or continued stress on the Achilles tendon increases inflammation and may cause it to rupture. Partial or complete rupture results in traumatic damage and severe pain, making walking virtually impossible and requiring a long recovery period. Patients with tendinosis may experience a sensation of fullness in the back of the lower leg or develop a hard knot of tissue (nodule).

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