Foot Archives - Pain Treatment Specialist Singapore | Pain Doc https://paindoctor.sg/pain_category/foot-pain/ Thu, 18 Aug 2022 04:24:12 +0000 en-US hourly 1 210530268 Foot pain https://paindoctor.sg/pain_conditions/foot-pain/ Wed, 20 Apr 2022 06:20:03 +0000 https://paindoctor.sg/?post_type=pain_conditions&p=183 Foot pain from plantar fasciitis and arthritis can be treated with physiotherapy and injections, avoiding the need for surgery.

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]]> Pain in one or both feet can be severe, and affect your ability to walk.

What are some of the cause of pain in the foot?

  • Causes of pain at the back of the foot:

    • Plantar fasciitis
      • Inflammation of the tough tissue covering at the bottom of your feet
    • Bony spurs
      • Abnormal bone growths
      • More common in people who are flat-footed or have a high arch
      • Can be due to wrong footwear, or an abnormal gait
    • Fat pad inflammation
      • It is a ‘bruise’ that is felt deep to the heel or the ball of the foot
      • Usually caused by the impact of jumping
      • Feels like you are walking on a pebble
    • Bone fracture
      • Usually more painful and disabling, unless it is just a ‘hairline’ fracture

  • Causes of pain over the ball of the foot:

    • Morton’s neuroma
      • Abnormal thickening of the tissue surround the nerves to the toes
      • Can have pain and numbness
      • More common in women, and can be a result of wearing ill-fitted shoes and high heels
    • Sesamoiditis
      • Inflammation of the sesamoid bones which are 2 small bones attached only by tendons near the big toe
      • Common in runners and ballet dancers
    • Metatarsalgia
      • Inflammation of the bones called ‘metatarsal’
      • Usually as a result from strenuous activities

  • Causes of pain over the arch of your foot

    • Plantar fasciitis is the most common cause
    • Flat foot aka fallen arch

  • Causes of pain in the toes

    • Bunions
      • Bony prominence typically over edge of the big toe
    • Hammer-toe
      • Usually from muscle imbalance or ill-fitted footwear
      • Middle joint of the 2/3/4th toe buckles upwards
    • Gout
      • Deposition of uric acid crystals at weight-bearing joints commonly lead to pain
      • Typically over the big toe
    • Claw-toe
      • Toe flexes downwards and is unable to extend or straighten
      • Usually due to diabetes or nerve damage
    • Turf-toe
      • A form of sesamoiditis
      • Pain felt beneath the big toe
    • Arthritis
      • Can affect any toe, but usually over the big toe
      • Pain and stiffness 
      • Due to wear and tear of the joint
    • Others
      • Corns and calluses

  • Pain in the whole foot:

    • Diabetes or other conditions that cause nerve damage
    • Chemotherapy
      • Unfortunately, chemotherapy can affect nerves anywhere in the body
      • Typically, the smaller nerves in the hands and feet are affected
    • Rheumatoid arthritis
    • Osteoarthritis
    • Tendinitis: 
      • inflammation of multiple tendons
      • usually related to injury or activity

What are the treatment options for plantar fasciitis?

  • Rest
  • Stretching exercises
  • Simple medications
  • Steroid injections 
  • PRP injections
  • Pulse radiofrequency of the irritated nerves 
  • Surgery

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