Many factors can cause plantar fasciitis to develop. When walking with a normal step, the plantar fascia ligament stretches as the foot strikes the ground. When walking with an abnormal step, or when putting repetitive pressure on the heel, the plantar fascia ligament can stretch irregularly, become stressed, and develop small tears. These small tears can cause the fascia ligament to become inflamed (plantar fasciitis) and also lead to serious pain. Biomechanical factors, such as abnormal inward twisting of the foot (pronation), high arches, flat feet, or tight tendons along the back of the heel (Achilles tendons).
Our feet are an important part of our bodies. Even though they are smaller than the rest of the body baring the hands, our feet take our entire weight. The foot region is made up of 26 bones and 33 joints. There is a layer of 126 intertwining foot muscles, ligaments and nerves. Our feet helps to support our weight, act as a shock absorber, propel us forward and the also maintain our balance on uneven surfaces. There are however times when we get a foot pain. on the ball of the foot. Any of the below can cause or be factors in the development of metatarsalgia.
Diabetic neuropathy is damage to the nerves of the feet and legs, which significantly dulls or eliminates the ability to feel pain, heat, or cold. This is caused by complications from diabetes, particularly for people who have had diabetes for more than 25 years. Hammertoe/Mallet Toe/Claw Toe Hammertoe, claw toe, and mallet toe are deformity conditions that cause the shape of the toes to curve. Hammertoe affects the toe?s middle joint; claw toe affects the toe?s middle and end joints; mallet toe affects the toe?s end joint. These conditions are often caused by improper footwear, but can also be inherited or caused by diseases. Bunion
Another type of feet pain is due to heel spurs Heel spurs are pointed, bony fragments that extend from the heel of the foot and point forwards towards the toes. This fragment can become very painful as it tears through tissue and nerves in the foot and pain usually becomes more severe over time as the spur develops. Another type of pain that can develop around the heel of the foot is Achilles tendonitis Similar to plantar fasciitis, Achilles tendonitis results from tears in the Achilles tendon along the back of the heel and ankle due to repetitive or excessive stress, resulting in inflammation and pain.
Structural deformities such as hammertoes can cause pain under the ball of the foot The hammertoe is a crooked toe which causes retrograde force on the metatarsal head. As the toe cocks up, the head of the metatarsal is pushed down. The metatarsal head is now prominent on the bottom of the forefoot and more susceptible to increased pressure. Many people will complain of the feeling of a lump or nodule under their foot or complain about walking on a bone under the ball of the foot Symptoms usually appear over time. They may, however, appear suddenly if you increase your normal amount of high impact exercise such as running.
A temporary reduction in activity is important in athletes, particularly runners. Cross training with swimming and cycling can help maintain cardiovascular fitness while sparing the plantar fascia from pounding. Runners should avoid hills and make sure that any foot abnormality be corrected with custom orthotics. Shoes with soft heels and inner soles can relieve discomfort. Rigid heel cups and arch supports are generally not recommended. The patient may gradually resume normal activities over an eight week period of time. Rushing rehabilitation is not advised. The major structure here is the Achilles tendon which extends down from the gastrocnemius muscle to attach at the rear of the calcaneus.
If you participate in high-impact sports, you are at high risk of foot injuries. Runners usually experience the most trauma to the feet, but many others who are physically active can also be exposed to foot injuries. References Pain in the bottom of the foot is not uncommon and generally occurs in one foot at a time. According to the Mayo Clinic, most foot pain is due to poorly fitting shoes, injuries and overuse, but structural defects and conditions such as diabetes and arthritis also can lead to foot problems. Treatment is usually conservative and involves activity modification and shoe inserts. Plantar Fasciitis
People with equinus deformity may experience pain in the ball of the foot because they tend to toe walk and overload the front of the foot They may develop pain in the mid foot from compensating by flattening out the foot and overstretching the plantar fascia, the may develop heel pain by the tight Achilles pulling the at its insertion point on the heel. Podiatrists specialize in diagnosing and treating foot and ankle problems. Our education is a four year medical education focused on problems affecting the foot and ankle, followed by a surgical residency. Podiatrists need to have expertise in orthopedics, radiology, general problems of the foot, and surgery.