Foot Pain in the foot?

The feet carry the full weight of the body when walking and standing. 33 joints in each foot alone allow versatile mobility, but they are also prone to injuries and illnesses …

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Foot pain in everyday life and during sports

Foot pain can be acute or chronic. There are a large number of causes of foot pain. This includes injuries, breaks, tendon disorders, deformities and much more. The pain can occur in the back area, i.e. the heel, in the midfoot or in the forefoot. The foot can hurt on the instep, on the sides or on the sole of the foot.

Causes of foot pain

There are many causes of foot pain. This includes:

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  • splayfoot
  • achillodynia
  • Heel Spurs
  • Haglund's heel
  • stress fracture
  • hallux valgus

By splayed feet, a lowering of the front arch of the foot leads to a change in pressure. The metatarsals diverge and the forefoot is strained. Obesity, unsuitable footwear or weak connective tissue often lead to splayed feet. The permanent incorrect strain can lead to inflammation of the forefoot and the patient often complains of burning or stinging in the front area of the foot. A splayed foot can be completely painless for many years. Over time, however, this incorrect pressure can also lead to further problems and complaints. The metatarsus is involved, which can damage the metatarsal bones. Nerves that serve to supply the toes can also be damaged by the heightened pressure. The result is stinging or burning pain in the nerve territory. This disease is also called Morton's neuroma. Further consequences of the splayfoot can be arthrotic changes and toe misalignments. (Hallux valgus, hammer toes, etc.). The therapy of the spreading foot consists in the treatment of the cause (reduction of excess weight, adaptation of the shoes), the administration of painkillers, foot exercises and the prescription of insoles. If conservative treatment is unsuccessful, surgery can also be carried out.

The Achilles tendon transfers the strength of the calf muscles to the rear foot. In the event of overstraining or as a result of incorrect positioning, the Achilles tendon can become inflamed. Pressure on the foot is, then, hardly possible without pain. Especially, pain-free sports (running, etc.) are no longer possible. If the tendon is still stressed, injuries can occur up until a tendon rupture. Relief and protection of the tendon are very important in Achillodynia. There are various treatment approaches such as physiotherapy, insoles, injection treatments and drug therapy. In our practice, injection treatment with the body's own proteins has proven very successful. Injections of cortisone into the Achilles tendon should be avoided due to the risk of tendon rupture. As with many tendon disorders, the healing process of Achilles tendonitis is very lengthy.

A heel spur is a calcareous spur on the heel. This is where the so-called plantar tendon comes in, which is why a heel spur can sometimes lead to pain in the area of the entire sole of the foot, in addition to the heel pain. Therapeutically, insoles can be prescribed that reduce pressure on the heel. Extracorporeal shock wavetherapy (ESWT) or injection treatments can lead to success. If conservative therapy fails, only surgery remains.

Stinging pain on the rear foot can also be caused by a so-called Haglund heel. It is a bone extension („pump bump“) at the base of the Achilles tendon. A bony bulge on the heel is often seen. The patient complains of symptoms such as pain and swelling in the attachment area of the Achilles tendon. The therapy consists of stress reduction, adaptation of footwear, heel pads or insoles, anti-inflammatory drugs, physiotherapy or, if conservative procedures do not help, surgery.

The stress fracture is also called fatigue fracture. If the foot is overstrained, such as with runners, but also after long, unfamiliar strain like an extensive hiking holiday, the foot may break. Sudden pain in the foot can be caused by overloading the foot. A break can usually be represented well in an X-ray image. Fatigue fractures are usually treated conservatively.

The hallux valgus is a malposition of the big toe. The affected patients,mostly women, have pain in the forefoot area of the big toe joint. A swelling as well as pressure-related redness and somtimes inflammation can often be seen here. In addition, hallux valgus is often an aesthetic problem. The cause is often genetic, but increased pressure conditions, caused by high heels, contribute to a possible change in the big toe. Therapeutically, insoles can be the start of a conservative therapy. However, this often does not help in the long term, so surgery should be recommended in the case of advanced hallux valgus deformity.