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17 Mar 2014 



The Ultimate Runner's Guide to Achilles Tendon Injuries : Runners Connect

achilles tendonitis runningThe Achilles tendon is the thickest and strongest tendon in your body, connecting your calf muscles to the back of your heel.

Virtually all of the force generated when you "toe off" the ground during running is transmitted by the Achilles, and this force can be as much as three times your body weight. And the faster you run, the more strain you put on the Achilles tendon.

As such, it's prone to injury in many runners, but particularly those who do a lot of fast training, uphill running, or use a forefoot-striking style. Achilles tendon injuries account for 5-12% of all running injuries, and occur disproportionately in men. This may be because of the faster absolute speeds men tend to train at, or may be due to other biomechanical factors.

Achilles tendonitis typically starts off as a dull stiffness in the tendon, which gradually goes away as the area gets warmed up. It may get worse with faster running, uphill running, or when wearing spikes and other low-heeled running shoes. If you continue to train on it, the tendon will hurt more sharply and more often, eventually impeding your ability even to jog lightly.

About two-thirds of Achilles tendonitis cases occur at the "midpoint" of the tendon, a few inches above the heel. The rest are mostly cases of "insertional" Achilles tendonitis, which occurs within an inch or so of the heelbone. Insertional Achilles tendonitis tends to be more difficult to get rid of, often because the bursa, a small fluid-filled sac right behind the tendon, can become irritated as well.

The common causes of Achilles tendonitis in runners
The causes of Achilles tendonitis all appear to be related to excessive stress being transmitted through the tendon. Weak calf muscles, poor ankle range of motion, and excessive pronation have all been connected with the development of Achilles problems.The upshot is that all of these factors, plus training volume and so on, result in damage to the tendon.

While the term "tendonitis" implies that inflammation (-itis) is the root cause of the problem, in fact, the true cause is real, physical damage to the fibers of the Achilles tendon itself.

Much like a bungee cord is made up of tiny strands of rubber aligned together, tendons are comprised of small fiber-like proteins called collagen. Pain in the Achilles tendon is a result of damage to the collagen. Because of this, treatment options should start with ways to address this.

Research-backed treatment for Achilles tendonitis
For a long time, researchers and doctors muddled about trying to address factors like calf strength & tightness, ankle range of motion, and pronation, assuming that the Achilles tendon would heal itself once these factors were corrected. Unfortunately, it seems that the thick tendons of the body do not heal as rapidly or completely as we'd like.

The cause of this seems to be the collagen fibers: when a tendon is damaged, collagen fibers are ruptured. The body is able to lay down new fibers to replace the damaged ones, but it does so in a rather disorganized way. The new collagen fibers look much like a mess of spaghetti when viewed on a microscope, in contrast to the smooth, aligned appearance that healthy tendon fibers have.

So, while we might propose that runners do calf stretching to loosen up their calf muscles and increase their ankle range of motion, this often does more harm than good--tugging aggressively on the damaged tendon fibers is much like pulling on either end of a knotted rope.

Instead, the main objective in treating Achilles tendon injuries should be healing the damaged tendon. The exercise of choice is the eccentric heel drop, which has an impressive research pedigree backing its use.

Eccentric heel drop protocol for Achilles tendonitis
The strength protocol consists of two exercises: a straight-kneed and a bent-kneed eccentric heel drop. The protocol calls for three sets of fifteen heel drops, both bent-kneed and straight-kneed, twice a day for twelve weeks.

Standing on a step with your ankles plantarflexed (at the top of a "calf raise"), shift all of your weight onto the injured leg. Slowly use your calf muscles to lower your body down, dropping your heel beneath your forefoot. Use your uninjured leg to return to the "up" position. Do not use the injured side to get back to the "up" position! The exercise is designed to cause some pain, and you are encouraged to continue doing it even with moderate discomfort. You should stop if the pain is excruciating, however.

Once you are able to do the heel drops without any pain, progressively add weight using a backpack. If you are unlucky enough to have Achilles tendon problems on both sides, use a step to help you get back to the "up" position, using your quads instead of your calves to return up.

The eccentric exercises are thought to selectively damage the Achilles tendon, stripping away the misaligned tendon fibers and allowing the body to lay down new fibers that are closer in alignment to the healthy collagen in the tendon. This is why moderate pain during the exercises is a good thing, and why adding weight over time is necessary to progressively strengthen the tendon.

Exercise 1: The straight-knee eccentric heel drop.


eccentric heel drops achilles tendonitis

In this picture, the injured side is the left leg. Note that the right leg is used to return to the "up" position. This exercise is one of two used in cases of midpoint Achilles tendonitis. Once you can perform this exercise pain-free, add resistance using weights in a backpack.

Exercise 2: The bent knee eccentric heel drop.


eccentric heel drops bent leg achilles tendonitis

As with exercise 1, the opposite leg is used to return to the "up" position. This time, bend your leg at the knee and slowly lower yourself down. This is the second exercise for midpoint Achilles tendonitis. Add weight when you can do it pain free.

Exercise 3: Modifications for insertional Achilles tendonitis


eccentric heel drops insertional achilles tendonitis

Exercise 3: the flat-ground eccentric heel drop. This exercise is used for cases of insertional Achilles tendonitis, replacing exercises 1 & 2. Like the exercises for midpoint Achilles tendonitis, use the opposite leg to return to the "up" position and add weight once you can do it pain-free.

In the case of insertional Achilles tendonitis, the protocol is modified a bit: the exercise is done on flat ground, and only the straight-legged variant is done. All other aspects are identical (3x15 twice daily, adding weight, and so on).

Other possible treatment options
While you are addressing the damage to the tendon fibers through eccentric heel drops, there are some steps you can take to help ameliorate some of the other contributing factors to your injury.
While calf tightness and ankle range of motion are legitimate concerns, I still don't think that aggressive calf stretching is an ideal solution, because of the tugging action on the tendon. Instead, try foam rolling your calves and applying a warm water bag to the muscle (but avoid heating the tendon!). Foam rolling your calf muscles can loosen them up without tugging too much on the Achilles tendon.You can also stretch out your shins by leaning back in a kneeling stance to aid ankle range of motion.Footwear concerns should also be addressed at this point. If you have been wearing low-heeled "minimal" shoes, racing flats, or spikes, you ought to stick to more traditional shoes with a higher heel until your tendon is healthy again. Once you've healed up, you can gradually do some running in low-heeled shoes or even barefoot (on grass) to help accustom your Achilles to moving through its full range of motion. Poor casual footwear choices should not be overlooked too, especially for women. Some shoes can also put pressure on the back of your heel, irritating the insertion of the tendon. Generally, the closer a shoe is to looking and feeling like a "running shoe," the better it is for your foot.Doctors and podiatrist may be keen to have you try out a custom orthotic to treat your Achilles problems. While it might be worth a shot, there isn't a whole lot of scientific evidence backing their use in this case. Orthotics don't reliably alter pronation, and even if they do, it's uncertain as to whether this will increase or decrease stress on the Achilles.
Outline of treatment
Conservative treatments
These are cheap, easy to perform treatments that you can do it home in your own time. You should try to do as many of these as possible each day.
Eccentric heel drops - 3 sets of 15 reps, twice per day for 12 weeks (if you only do one thing, do this!)Icing after each runHeating before each run with warm water or heating packContrast bath during the day - take two small buckets/trash cans and fill one with hot (hot bath temp) water and the other with ice water (cold enough so some ice still doesn't melt) and put your whole leg (up to the calf) in the cold. Hold for 5 minutes and then switch to the hot for 5 minutes. Repeat 2 or 3 times, ending with cold. This helps rush blood in and out of the area, which facilitates healingDon't take anti-inflammatory like Advil or ibuprofen. These stop the body's natural healing agents and we want as much natural healing to occur as possible.Avoid excessive stretching - only very light, easy stretching until healedMassage your calves with a foam roller or The Stick.Heel lifts are a possible temporary solution. They restrict the Achilles' range of motion, so can be helpful to get over the initial hump of the injury, but should be taken out after you are recovering.Switch to more supportive or traditional running shoes (higher heels) during your runs and while walking around until your pain is completely gone, and avoid flats and high heels!Ankle strengthening and mobility exercises.Sleep in a Strassburg sock or nightsplint to gently stretch the Achilles while sleeping.
Aggressive treatments
These treatments are a little more expensive or time consuming and are only suggested for if you suffer from chronic Achilles pain or the conservative treatments are not working for you.
A custom orthotic might help alleviate the pain from excessive pronation. This is not a proven treatment, but for those runners who respond to orthotics, it can help.Iontophoresis with dexamathasone. This is a treatment offered by physical therapists that involves propelling anti-inflammatory steroids into the tendon. You need a prescription and a physical therapist to administer the treatment, but research has shown the potential to have a positive effect on the treatment of Achilles issues.
Strengthening and preventionEccentric heel dropsAnkle strengthening and mobility exercisesAchilles rehab exercises
Returning and continuing to run
You can still run during this twelve-week period, but only if your Achilles does not flare up while doing so.

Use warm water to heat up the tendon before you run, and apply ice afterwards, even once you've started feeling better. Using a foam roller and hot water packs to loosen up your calves in the morning and at night is also not a bad idea, and don't forget to take a look at what you're wearing in your daily life.

If you have insertional Achilles tendonitis, use the modified flat eccentric heel drop exercise instead of the two variants off a step.

A custom orthotic or heel lift may be helpful, but should not be a first-line treatment option.

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15 Mar 2014 



Pain In The Balls Of Feet | Plantar Fasciitis Tips
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Discover how to cure plantar fasciitis using 5 simple steps from home! Read more here...

This article sheds some light on a common type of foot pain called Metatarsalgia, more commonly known as Ball of Foot Pain.

Metatarsalgia - Ball of Foot Pain

Pain in the balls of the feet (Latin: Metatarsalgia) is a very common foot complaint, in particular for women. Most women who wear high heels or tight fashion shoes (or who have done so in the past) are likely to suffer from Metatarsalgia. Men can also suffer from this condition, especially if they have to wear hard shoes or boots without any cushioning inside, and their job requires standing or walking for prolonged periods. For example workboots or military/police boots can easily cause ball of foot pain.

What are the symptoms of Ball of Foot Painc

People suffering from Metatarsalgia often experience a burning sensation under the ball of the foot. Sometimes combined with a sharp, tingling sensation near the toes (this condition is called Morton's Neuroma, see further below). The pain can also be stabbing pain that comes and goes throughout the day. In some cases people experience a feeling similar to having a pebble sitting under the forefoot.

Ball of Foot pain worsens when wearing high heels/fashion shoes for a longer periods of time or, for men after walking long distances in hard shoes. Typically people with Ball of Foot pain also display excessive callous formation under the balls of their feet.

What causes Metatarsalgiac

Typically, the two main causes for ball of foot pain are:

- wearing high heels/fashion shoes

- over-pronation (fallen arches)

Most (young) women like to look stylish and wear a shoe with a medium to high heel. The problem with high heels is that your bodyweight is not evenly distributed across the underside of the foot, but rather 80% of your weight pushes down on only one area of the foot, the forefoot area. i.e. the balls of your feet. This is totally unnatural and before long the entire forefoot structure collapses, leading to constant pressure and friction in the ball of the foot. The body reacts and builds up thick layers of callous in this area which in turn leads to a burning sensation under the foot.
Also, as part of the ageing process women tend to lose the bulk of the shock-absorbing 'fibro-fatty' pad under the ball of the foot. Without this natural padding pain develops due to the pressure on skin over bone.

Another cause of Ball of Foot Pain is over-pronation. Over-pronation (or excess pronation) occurs in a lot of people, especially as they get older. The arches drop and feet and ankles tend to roll inwards. Excessive pronation is a major contributing cause to heel pain and heel spurs, but it also can lead to Metatarsalgia. As the longitidunal arch collapses so does the transverse arch. The transverse arch is the arch that runs across the forefoot and is formed by the 5 metatarsal bones. The bones in the foot drop and the structure of the foot is severely weakened. When we wear shoes that do not provide enough support and cushioning excess pressure is placed on the ball of the foot and often pain is experienced.

Over-pronation, combined with wearing hard, flat shoes and walking on hard surfaces such as concrete, pavements, tiled floors etc often leads to ball of foot pain, but also other common complaints including aching legs, knee pain and lower back pain.

Treatment of Ball of Foot Pain (Metatarsalgia)

For ladies' high heel and fashion shoes there is a new, unique solution to ball of foot pain: Footlogics 'Catwalk.' New from Spain these specially designed insoles restore our natural body balance by supporting the longitundinal arch, as well as the metatarsal bones and they shift bodyweight away from the forefoot towards the arch and heel. The result is that your bodyweight is more evenly distributed over the entire surface of the feet, and not just pushing into the balls of the feet. Thus, the insole prevents excessive pressure and friction in the ball of the foot are, and greatly reduces/eliminates the pain and burning sensation under the feet - especially with longer periods of standing or walking.

In case of regular flat footwear - whereby Metatarsalgia is caused by over-pronation - a full-length orthotic insoles with arch support as well as metatarsal support is recommended to prevent and relieve pain the ball of the foot.

Removal of excess callous by a Pedicurist, Chiropodist or Podiatrist is highly recommended to relieve ball of foot pain. You can also remove hard skin and callous yourself by means of daily light abrasion (using a pumice stone or fine grit foot file).

Choose the right footwear..

Shoes that are very narrow in the forefoot force the metatarsal bones together, pinching nerves and blood vessels that run between the bones. Continued use of shoes that are too narrow can cause one or more of the metatarsal bones to either shift up or down within the transverse arch, causing the arch to completely collapse.

On the other hand, shoes that are too wide can cause shearing stress under the foot as it slides around, causing callus to build up under the ball of the foot and under the toes. A narrow foot in a wide shoe will slide forwards, causing compression and curling of the toes. By allowing your toes to curl inside a shoe, you disturb the resting positions of your extensor and flexor muscles. Over time, this can result in fatigue and even cramp.

Thin soled shoes or shoes without any innersole cushioning will transfer all the hard impact with man-made surfaces directly into the bones of your feet, stimulating callous formation. So always buy shoes with plenty of cushioning and support, or wear orthotics inside your shoes.

Ill-fitting footwear should be replaced by anatomically correct, well-balanced and cushioned shoes. Avoid the use of high-heeled shoes or only wear high heeled shoes for no more than a few hours per day.

If problems persist, please consult a podiatrist.

Frequently Asked Questions
QUESTION:
I Have A Knot Like Pain In The Balls Of My Feet?
The balls of my feet have a pain like a knot when you push or put pressure on them. It's only in one spot on my feet kind of on the side but the pain feels like a knot. It started about a year ago and it hurts I thought it may be caused from being on the dance team but them I realized it did start happening before then. I haven't been able to figure out what it is.

ANSWER:

QUESTION:
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).

ANSWER:
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.

Regards

QUESTION:
How can I stop the pain in the balls of my feet after running?
This spring, I have been doing lacrosse. And as you know, lax is a running sport! I play center, which means that its non-stop running. But after awhile of running, the balls of my feet start to hurt. Its not like I have blisters on the balls of my feet, they are just like red and sore and sensitive.
My cleats are like six months old, and I wore them for soccer season, so they are pretty broken in.
Also, I wear thick socks to prevent the pain, but it seems to do nothing....

Any tips?

ANSWER:
i would maybe get inserts for your shoes and maybe ice the bottoms of your feet after you play lacrosse!

QUESTION:
Wearing 4-5 inch heels + long periods of standing = OUCH! How do you ignore/reduce the ball of the feet pain?
I'm on the smaller size and love to wear high heels, the higher the better but the higher the more painful of course. 3 inch no problem, 4 inch is still ok and bearable and 5 inches kill me after an half our of standing, even with the gelpads. So for now I stick to 4 inch heels, they still become painful at the balls of my feet after let's say 2 hours of standing. My goal is to master the 5 inch heels for almost daily use, I love to be taller and I also love the heels so why not. I'm wearing them around the house the last weeks as much as I can, even when they start to hurt until I reach a certain limit. I must say I feel a little difference compared to the first week, the ball-feet-pain is very slowly reducing in intensiveness but still there of course.It takes time for my feet to adjust I guess?

So how do some girls do it without that particular pain? Do they just ignore it? Maybe they have a higher pain tolerance then me? Or their feet just don't hurt after maybe years of practise? Please let me know!

Thanks!

ANSWER:
Believe me I know exactly what you mean... girls with bigger feet have it so much easier. I have size 5 feet so highheels are really hard on me.

Anyway, if you tried gel pads there's really nothing you can do. Nobody ever said highheels were comfy. They aren't supposed to be. You just have to suck it up - sucks but it's what we all do.

QUESTION:
Child with pain in ball of both feet?
Son has pain in ball of both feet that are sharp. He can't stand on feet. The pains come & go all day long worse during evening & late night.

ANSWER:
the bone disks in his feet might be growing (growing pains) but it could be something else. take him to a doctor as soon as possible.

QUESTION:
SPD Cleats: Pain behind Balls of Feet?
Hi there. When I am cycling, I get pain/severe discomfort behind the balls of my feet, on the side nearest the bike (i.e the inside)

I have read that to relieve pain in the balls of feet, it is common practice to move the cleat back towards the heel. However, wouldn't this assist in placing the cleat underneath my sore spot, thus making it worse?

The pain occurs in both feet. I can get relief from it if I loosen the velcro straps, although I like to keep them tight to get more power. It really only happens in standing climbs - when I sit down the pain lessens

Which way should I adjust my cleats?

ANSWER:
Here is a link to an article on cleat placement.

Hope this helps.

QUESTION:
How can I prevent soreness and pain in the balls of my feet?
I started a beginner's running routine 2 weeks ago to prepare for my first amateur boxing fight. The daily roadwork I need to do is 3-5 miles a day. I'm running 3 days a week on one of those "couch to 5k" plans. Its working out for me and I get better every week. The only problem is that the balls of my feet get sore when I run, and ONLY when I run. Originally when I started running I felt pain in the arches that was almost unbearable so I adjusted my posture to keep some pressure off of my arches. Without minding my posture much, I tend to land heel-first on the front foot, so now I've changed my running posture to put more emphasis on the balls of the feet. The pain makes it uncomfortable and doesn't really interfere with running that much, but I'd like to know if its something I will need to get used to or if its something I'm actually doing wrong. I might also add that I feel more pain in my right foot than I do my left. What do you think?

ANSWER:
You need a metatarsal pad to cushion the ball of the foot. It is fairly common to get pain at the ball of your feet. You can try the Lynco L405 arch support if you have medium to high arches or the Lynco 425 if you have flat feet / low arches.

Both models feature metatarsal pads which cushion the ball of the feet.Another option is the redi-thotic Flex Plus:



I currently run with the Redi-Thotic Control and lots of people are happy with the Lynco's.

Good luck!

QUESTION:
What could be the cause of severe pain in my feet while walking?
When I go for a walk that lasts between 1:00 - 2:00 hours, I experience severe pain in the balls of my feet and the underside of my toes. It is excruciating and very frustrating.
I have a very good pair of walking shoes. Any advice at all would be welcome.

ANSWER:
if you enjoy walking and you do it alot then you probably have planter fasciitis. this happens in the arches of your feet but you could also have metatarsalgia which is on the balls of your feet when there is alot of impact. this is what it sounds like you have. i can almost be positive thats what it is because I have it and it sounds like you do with the symptoms and it occurs alot in runners and walkers. hope this helps

QUESTION:
get rid of pain in balls of my feet?
I ahve a pain in the balls of my feet that hurts the most when I walk or try running. I am only 13 so i dont beluev it could be arthritis. It is located right underneath my big toe and also hurts when i try to bend it upwards or down. is there a possible reason for why i have gotten this pain since i have not had a medical history with my foot. i also want to know how this happened and what is the quickest way to get rid of the pain. any help is appreciated

ANSWER:
I get that a lot too from dance.I think its from being on them for too long.It goes away in time (usually the next day).You could try to stretch your feet/arches before you run too.

QUESTION:
My husband has pain in the balls and toes of his feet - often 10 of 10 pain level. Any ideas what he has?
The pain is a buzzing stinging pain - sometimes sharp pain.There is some swelling - no numbnessHe is highly insulin resistent, - sugars average 120-140.The pain is worse when he walks on his feet and increases with the length of time he is on them.Sometimes the pain will subside to a 5.Any ideas as to what is causing this?

ANSWER:
PLEASE get your husband to a Physician asap! His diabetes is just exacerbating the issue with his feet. OUCH! So sorry to hear this.

A good Podiatrist would be a great idea, as they specialize with the feet.

His sugar levels are within normal limits. Perhaps I misunderstood what you said about the "highly insulin resistant" statement.

Sounds like he needs some GOOD shoes. Soaking his feet in Epsom Salt will help a bit. Getting him to the Dr. is the thing to do.
Good Luck and Take Care!

QUESTION:
ball of feet severe pain when walking PLEASE HELP!!?
am pretty flat footed, over last few months when walking even when just shopping i have severe pain in ball of feet. Feels like when i step my heels and toes are 2nd to tread, its as if i am just walking on the bones/joints of ball of my feet only. My back and my knees now starting to hurt. need something to give me an arch but for ball of foot too. Someone please help, hurting so much now x

ANSWER:
I too, am very flat footed. But my whole foot would hurt when I was on them for a lengthy period of time. Arch supports would worsen my pain. I was told to buy a pair of New Balance cross training shoes. I will tell you they are the best shoes in the world. I wear them everyday!! I bought a pair of white ones i wear most of the time. And I have a black pair for when I have to dress up a little more. Try them if you haven't already. Get the wider size. It will give your feet more room and comfort, and might lessen the pain. I really feel for you!!

QUESTION:
pain in the balls of my feet?
I recently started a walking regimen.I walk about 4 miles every other day. Since, I have started this I have been experiencing pains in the balls of my feet.I feel as if I am walking on a rock.I wear a new pair of Nike cross training shoes when I am out walking. So, I don't believe that it has anything to do with the shoes.

ANSWER:
Sounds like it could be Plantar Fasciitis (which is essentially a type of tendonitis that affects the tendon that is on the bottom of your foot).

Link below to the Mayo clinic website about Plantar Fasciitis

QUESTION:
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?

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

QUESTION:
will vibram five fingers shoes hurt my feet?
I currently have foot pain in the balls of of my feet. A scan of my feet shows that I have very high arches and carry my weight on both my heels and the balls of my feet. These shoes are interesting. If it will help or correct my feet than I'll get a pair.
I do not have a weight problem. 5'10 and 185lbs.

ANSWER:
I actually just got a pair.For me, the Vibrams feel great.I used to get foot pain after running, and at times, it would progress into plantar fasciitis (foot inflammation).Anyways, the only problem I have is that my left pinky toe gets really hurt.My right immediately hurts, but goes away. I have a few theories for this.

The Vibram force your toes to be spread open.If you look at anthropological evidence, barefoot societies have "spread opened" toes.I think it will go away after I run in them a few more times.

Or, it could be a blister.I have Morton's toe, so I had to get them one size larger so my "second" toe didn't get crunched.The solution to this would be Injinji toe socks.Since all my toes have some room, except for the second toe, these could work.Usually, you want the shoes to have a perfect fit.

I'm going to see a podiatrist and let him look at my toes.Of course, your question won't be up.So send me a e-mail and I'll let you know what the podiatrist says.

And, finally, to answer your question.The Vibrams will most likely hurt your feet at first.I found myself to heel-strike at first until my feet said NO!So after my run, my heel still hurt.Also, listen to the advice of others online.When they say, don't do more than half a mile your first run.Trust me, don't!My feet felt great, but my calves were in so much pain.I just felt so good running in these shoes that I couldn't stop running.I only did two miles and ouch!!!!

QUESTION:
Pain in ball of foot and toe. What should I do to eliminate pain?
After developing a lot of pain in both feet (all the toes and the balls of my feet), I discovered that I was setting my feet on end crunching my toes at an angle while surfing the net.I've been diligent at keeping my feet flat since. I've replaced my insoles with gel insoles. My left foot was fine within a week of these practices.I still have pain in the right foot in the ball and the big and 2nd toes.I will be replacing my 1 year old New Balance sneakers (main footwear) next month.

ANSWER:
Wear wide footwear with lots of toe space so your toes aren't cramped.You don't want to get a Morton's Neuroma.Change your insoles and shoes at least once a year.

QUESTION:
Pain in hands/Balls of feet?
I just recently started noticing tenderness/pain in the balls of my feet, and also in my hands, mainly the fingertips. It's kind of like the pain felt after your hand "falls asleep", but worse. Anyone have any idea as to what this could be?
Oh and I also have had a sore throat for about 4 days now if that's related.

Thanks

ANSWER:
I don't know how old you are or how your health is outside of these symptoms, but I will tell you that tingling or numbness of the extremities (hands/feet) is a sign of stroke and could be serious. Then again it could be absolutely nothing. Especially if you're thirteen years old and active...

The sore throat may or may not have anything to do with it. Any virus or bacterial infection in your throat could likely cause all kinds of stuff throughout your whole body. Mono is known to do that, and even the flu comes with aches and pains. Strokes are only really a risk for you if you possibly have high blood pressure or you're old enough to legitimately have to worry about it. Either way, a sore throat for 4 days could mean a need for antibiotics, and I'd see a doctor for all of this, just to be safe.

QUESTION:
Are toe shoes good for people with flat feet and knee pain?
I have low arches, ball of foot pain and ankles pronating. I have had weak knees since I was 15, but flat feet were diagnosed about 2 years ago. My feet hurt when I walk/dance and after zumba classes i also experience knee pain (usually my knees don't hurt as i have learnt to not to over do my workouts).
I have been trying to find the perfect pair of shoes for my workouts. The cross training nike shoes I have help with ball of the foot pain but my arch still hurts in them.

I walk a lot, I try to do zumba and I do use eliptical for cardio. I am planning to add more intensity to my workouts as they are not challenging enough anymore but because of my arch pain and sometimes knee pain(for about 2 days especially after zumba classes) I dont know what to do anymore.
Are toe shoes good for me?

Thank you!
I would like to add that I am only 24 years old and I weigh 180 lbs. I wonder if my weight has a big impact on my arches pain or is it more a result of flat feet consequences.
Also, if your answer is yes or no, do you mind explaining why you believe toe shoes are good or bad. Let me know if you have any other suggestions on my condition/ shoes/ workout. I would really appreciate that!

ANSWER:
hey,
yea keep away from those shoes
lol

QUESTION:
I have a high arch and when I am walking I get pain in the balls and heels of my feet any ideas?
Or should I get orthodicts? I do ballet and strengthen my feet doing tendus and releves and foot exercises everyday and my feet dont hurt when i am dancing or running only when walking and standing for long periods and I have good posture.

ANSWER:
Definitely see a podiatrist. ESPECIALLY important for ballerinas.

QUESTION:
Excruciating pain in feet while walking.?
When I go for a walk that lasts between 1:00 - 2:00 hours, I experience severe pain in the balls of my feet and the underside of my toes. It is excruciating and very frustrating.
I have a very good pair of walking shoes. Any advice at all would be welcome.

ANSWER:
you may have plantar faciaitis, after walking then sitting down, is the pain worse when you get back up?If so, that is a sign of plantar faciatis.I had cortisone shots in my feet to ease the pain, this was a very temporary solution.I quit the job I had, and now the pain has gone away.

QUESTION:
While running on the balls of my feet, I am getting a sharp pain on the bottoms of my feet, any ideas?
I recently started running with vibram five fingers on the balls of my feet and my calves have started getting used to my new form and I am running faster but from time to time I get a sudden intense pain on the bottom of my foot in the very center, like a needle, any ideas>?

ANSWER:
planter wart. look at the bottom of your feet and look for a lump of hard skin. it may be hard to find, but i bet it's there. then go to the drs to have it frozen off.

QUESTION:
Why does my balls of my feet and toes throb with pain?
Hi, well i have a problem by walking on my toes. And ever since ive been running alot lately ive had constant throbbing in my toesand around the joints of my feet and i can barely walk. Im almost positive i have tendonitis in my joints and how long does it take for tendinits to recover?

ANSWER:
You should definitely make an appointment to see your local podiatrist to get your feet evaluated. Being that you're a runner and running with pain, you'll need some type of custom orthotic (inserts) which will help balance our your feet while running. This will help prevent injuries. Until you are able to see a podiatrist, back off on running, ice, rest, and Advil/Aleve for the pain. If it is tendonitis, it usually takes several weeks to recover. Hope this helps!

QUESTION:
I have severe pain in my feet, especially at the ball of the foot. Any suggestions for relief?
I've been suffering from pain and fatigue for many months now. As soon as i get up and take a few steps my feet really hurt, especially at the ball of the foot. was told i have a mild form of plantar fascitis. Doctors recommended stretching, special shoe inserts and nothing helps.They constantly feel as if they're swollen, tired and no amount of massage helps.

ANSWER:
well...for track whenever our feet hurts, we would either ice it, or get a big bucket of really hot water and put our feet in it. if this helps...

QUESTION:
Why are my toes and feet in pain during different times of the day?
Last night, by toes, and the balls of my feet hurt so bad I couldn't sleep. But when I got up in the morning, the pain went away. However, around 1pm, the pain started to come back. When I got home at 5pm, I soaked my feet in warm water, and the pain eventually went away, but came back around 7pm with the same intensity as the night before.
Last winter was the first time I had ever experienced it. It seemed to go away by itself.

ANSWER:
Could it have something to do with the shoes you are wearing?maybe they don't fit right or provide enough support.If this is the case it might be worth it to invest in a pair of comfort shoes.http://www.drewshoe.com has a nice selection of comfort shoes that provide addition ventilation, support, and comfort.

QUESTION:
38 weeks and uncomfortable pians in the balls of my feet"
I am currently 38 weeks along. I know pain in your feet is common from the extra weight your body is carrying, however mine is different. I get SEVERE pain the the balls of my feet and toes but usually in the morning after i've been off my feet for so many hours. It gets to the point i cant hardly walk on them in the morning. I was just wondering, if you've ever had this problem. This isnt my first pregnancy but I didnt have it with my son. I am just curious, looking for some advice. Thanks!!!

ANSWER:
It sounds like a mix of edema (swelling) and possible nerve pains. If the baby is laying in just the "right" position it can be on a nerve that can run all the way down your legs to your feet. Sometimes you just have to wait to deliver until the pain goes away, but I would mention it to your Dr at your next visit.

QUESTION:
Whats causing the pain at the ball of my feet?
I have callus on the ball of my feet, but even after removal I'm still in excruciating pain.It hurts when I walk all the time. It feels like I'm walking on a nail. Could this be deeper than dead skin?Could this be the bone?

ANSWER:

QUESTION:
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 =)

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

QUESTION:
Foot pain, from ball of foot to end of one toe..what is that?!!?
It's always the same toe but I don't think it's an issue with the toe, I think it's really in the ball of my foot! I believe its due to wearing cheap sneakers or going barefoot all year on hardwood floors. What is it?I know it's not plantars...

ANSWER:
It could be one or more bone spurs.You can visit to help you determine this.

QUESTION:
How to manage the pain on the balls of your feet while wearing high heels?
All women know that high heels forces the body weight on the balls of the feet, the pressure on that spot is so enormous that it causes a burning sensation. We all know that there are some gel pads that take away that specific pain but for me personally it doesn't help enough. I mean it sure helps but it's not taking all the pain away. I don't have a problem with that in 3 inch heels, it only happens with 4 inch heels and all above. Switching the pressure from one leg to another every 30 seconds is what I do in a standing situation. Can someone come up with more tips like that? Thank you!

ANSWER:

QUESTION:
What running sneakers would be good for someone with foot pain?
I like to run a few miles 5x a week but im noticing i cant find a shoe that is comfortable. I think i suffer from heel spurs because i start off with pain in my heel and ball of my foot and then it goes into the arch. It hurts to the point i limp when i walk. Is there a particular sneaker that may help with this? Especially when i work out and run?

ANSWER:
Plantar Fasciitis
Advice: Don't walk barefoot, even around the house! You need to stay in shoes with EXTRA arch support at all times. I wear the New Balance Arch Support in my shoes.My plantar fasciitis has gone away but the Arch Supports also keep it from coming back.The extra arch support takes pressure off the inflamed tissue and allows it to heal properly. Better yet, they're only .95!They can be put in any running shoe but I highly recommend trying the New Balance MR1064.It's a high level neutral cushion running shoe that should work great with the Arch Supports and it's designed for the higher mileage.You might but shouldn't need custom orthotics, surgery etc. First try upgraded arch supports in all of your footwear. Also, stretch several times a day. Anything that stretches the calf muscles will also help lengthen the plantar fascia. It's the connection of the plantar fascia at the heel bone that get's inflamed from constant tugging.The idea is to lengthen the fascia through stretching and reduce the tightness. You can also get a night splint that you sleep in.Most people don't need to go there.Check out the URL sources for more info.

QUESTION:
severe foot pain any ideas what could be causing it?
Last week I broke a plate.When I was cleaning up I go a small sliver of it stuck in my foot - I removed it - ever since then I have been having severe pain the ball of my foot.There is nothing stuck in it and its not bruised but it is incredibly painful so much so Im considering an x ray - anyone else had anything similar?Many thanks xxxx

ANSWER:
might be gout

QUESTION:
i have recently started walking and only in my joggers am i experiencing pain in the balls of my feet,help?

ANSWER:

QUESTION:
swelling pain in "balls" of feet below big toe?
during football today i felt a great pain in the pad of the foot that touches the ground... its under the big toe only on both feet, its not as bad in the right foot. when observing it later, it looks like a whole new layer of skin, is swelling, and i cant walk directly on it.

im pretty sure what caused it... the soles in my cleat are worn down and the way your on your feet when blocking just adds to it. but what can i do to heal it
how long does it take for swelling to go down? will it get worse overnight? i have practice everyday this week and its not an option to miss....
that was to rock, by the way. or anyone else that knows about it.

ANSWER:
I Have the same problem the only difference is that I do not play football, I work in a shop wearing work boots If the souls of my boots are worn too thin and I am standing od the edge of a machine casting where there is too much pressure on a certain part of my foot It will swell and I cant walk on it it feels like a ball has been implanted in the sole of my foot. some times it itches like an allergic reaction. I found that my System is toxic. If this is happening to you. you must first soak your feet in a bath of vinigar and water. 2 oz. Viniger to 1 gal. warm water. 30 minutes and then switch to a warm water and 1/2 cup of Epson Salt 30 min. and then try MUDOKU Detox foot pads. this will detox your system. and you will sleep well and feel alot better. Please reply.

QUESTION:
Why is there numbness and pain in the balls of my feet?
I haven't been very active lately, i am not overweight and i am 16 years old and do not smoke
I have recently (today) just noticed that when i stand on my feet or walk that the balls of my feet hurt A LOT!
and when i flex my feet they feel numb
also when i walk it feels like the balls of my feet are walking on pillows or something like theres a big cushion underneath them
i have recently just started on yaz (birth control) for my period stopping (for three months) and i was wondering if it was a blood clot? or something else?
my older sister has polycystic ovarian syndrome so i am not "fooling" with mother nature i am trying to prevent worse symptoms
and i have the biggest symptom of having that so thats another reason for me to be on birth control
and as for the other answer thank you and i will try that

ANSWER:

QUESTION:
Strange Foot Pain below ball of foot?
Okay, it's a little annoying to describe foot pain, but I'll give it a shot.So, you have the ball of your foot (the pad below your toes, and the larger pad below your big toe) and there's an indent right in the middle a little below the pad, but a little before your arch begins, right in the middle of the width of your foot.That's where it's aching/cramping up.

There's also a circle of pain at the back of the arch, right before it turns into the heel below the knob of your ankle bone.It hurts like crazy in there too.

It feels okay when I'm not standing on it, and gets much worse if I'm putting any weight on it.It feels the best when it's pressed on.Any ideas what this is or how to help it?

Thanks!

ANSWER:
hmm ask a foot doctor or atleast try excersizes. sit down and pretend you are writing from 1 to 50 with your foot or do the alphabet. thats what i did for my seavers desaese other than the cast. seavers is from wearing good shoes and then switching to stupid skatershoes and it messed up my growth plate in my heel. good luck

QUESTION:
Pain in the ball of my foot, by big toe?
I've been having foot pain for a couple of months now, it doesn't hurt every day, but it does hurt at least 3 days out of the week.I haven't hurt my foot in any kind of way, so i don't understand why it would hurt like this.My big toe is swollen now and when i walk i notice my foot turns inward, the pain in the ball of my foot really does hurt but not my big toe.Could someone help me please?

ANSWER:
Metatarsalgia could be due to varying reasons from the footwear to ligament tear, plantar fascitis, gout and the like.If the ligaments are affected and the legs turning in, one single dose of Causticum 30 should cure that, particularly if it is on left leg. Other reasons of arthritic origin would be cured with Ledum Pal 30 three doses a day for as long as required.Medicines should be taken in consultation with homeopathic doctor. with best wishes.

QUESTION:
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.

ANSWER:
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.
TIN

QUESTION:
What type of insoles for heel and ball of foot pain?
I started a new job in a motor manufacturing company and im working 12 hour shifts and im on my feet for at least 11 of those hours .

I am experiencing severe foot pain in the balls of my feet and the heel of my foot . The pain is that severe that i cant concentrate and im making stupid mistakes and as the days go on im getting slower and slower and if things continue i can see me losing this job , The pain stays for at least 6 hours after my shifts even though im off my feet altogether.

Im hoping that there are some sort of insoles that i could put into my work boots to stop this happening or offer some relief .and dont know which ones would take pressure off those parts of my feet .

Any sensible advice greatly appreciated

ANSWER:
Pretty much any pain in your feet is going to make you grumpy and uncomfortable all day long. You may want to invest in a nice pair of insoles or if possible, even custom insoles. Sounds like you're definitely looking for full length insoles though. Hope this helps!

QUESTION:
How can I treat the pain in my feet?
It's been getting worse the past two years.It used to be just the arthritis in my right foot just above the big toe that hurt when I walked for very long.Now it's my right toe & my left heel - not my achilles tendon or the tendon that runs from my heel to the ball of my foot ... but my heel burns now when I walk.

I used to only have excrutiating pain in winter when I walked & loved it when summer came because I could wear flip flops & the pain was minimal.Every doctor or podiatrist I've been to has prescribed orthotics like they are earning commission for pushing them!My orthotics don't ease the pain!

This summer I've been wearing my rubber flip flops & was really looking forward to walking more for my health but, if I go out shopping for longer than an hour, I can hardly make it back home, my feet hurt so badly.The pain makes me hobble & I'm a very proud woman who does not like to hobble in public!

Please tell me how to end this pain.I'm allergic to Ibuprophin.

ANSWER:
Walking is not the best exercise with your feet problem.You need to be doing water exercises especially swimming.This takes all the pressure off of your joints.I know how it feels about doctors with their obsession for orthotics.Is not the miraculous cure they claim.I have severe Foot problems so I understand.

Dehydration can cause severe pain throughout the body . I recommend you drink purified water mixed with mineral water 50/50. This will replace the minerals that are exiting your body continuously. drink even when you're not thirsty.You will be surprised at the difference this makes.

I suggest that adults and children drink 40 ounces of water per 100 pounds of body weight every day.

every evening take a hot bath with 2c. of dissolved Epsom salts.This will help relax the muscles and remove toxins that form in the feet.

A good massage therapist is worth their weight in gold.I find the only real relief I get is from getting deed tissue massage therapy.If you could start getting massages on a regular basis I think you would have a tremendous change in your pain level.

I've enclosed a link that lists herbs you can take for your condition.I hope this helps.

QUESTION:
I have foot pain in top of foot and arch?
Im a 14 year old basketball player and I have sore pain right behind the ball of my foot in my arch and along the big toe's bone ( not on the toe its self but along the top of my foot). It seems to be re occurring as I can heal it for a couple of days and then when I play again the pain comes back. Any ideas what it is, and possible treatments?

ANSWER:
You might want to visit to help you determine if it could be a bone spur.

QUESTION:
Can you describe the pain in your feet that comes with wearing (too) high heels?
As a guy I have no idea how it feels like to wear high heels and I wondered what all that girls complain about. And no I don't want to wear them to see for myself, that would be awkward. But it's obvious to me that the more height the heels have how more difficult it must be, because all the body weight is there on the balls of the feet.

Can you describe the feeling that torture the balls of your feet when you wear your heels for a while standing straight?

ANSWER:
Its like a burning sensation in the balls of the feet.

QUESTION:
HELP !!! Foot pain ? After about 2 weeks of dancing .?
Well , I'm really worried ... My audition is coming in less than a week and I have pain in my leg . Where ? At Ball of foot . Oh by the way , this pain was created after dancing for a week and 4 days ... So when I jump , I feel a pain at ball of my foot , on the center of my tibia bone and my leg muscles I guess ... So what can I do to make the pain disappear ?
But , aren't the ice treatments just temporary ? What can I do so that I could dance the next day again ?
Well , yes I know it's normal , but what can I do so that I can dance again the next day ?

ANSWER:
It could be Metatarsalgia which is characterized by pain over the balls of the feet. It could be something else. Here is a link to the Harkness Center for Dance Injuries in NYC. (common dance injury page.) You can match your symptoms.It will tell you what to do for it now and what to avoid in the future.


If you have a dance physical therapist I suggest you have them take a look. If none are available, perhaps a sports physical therapist who works with dancers.

*Additional- Ice reduces swelling, and that isn't temporary. The numbing affect however is temporary. Icing whould be once an hour for 15 to 20 mins.

QUESTION:
Foot pain in ball area after stepping on something.?
While wearing some thin slipperer over jagged rocks last month I felt a sharp pain like a tender bruise on the ball of my foot...it has not compleatly gone away yet. I thought it was a bruise that would fade away after the few days of tender limping. I do feel better but, how long should this take and what is going on with this mostly pain free/popping lump on my ball? Did I break it or is this something more common.

33 male,tennis shoes most of the time,light jogging and lots of standing. Only other foot problem was once every few years I get a shot of electric pain in my little tow if I bend it to far, since I was a kid."
Thanks

ANSWER:
If someone hasn't already told you, It sounds like a "stone bruise!" This type can stay with you for a long while.
Check it out on the net. You may find something there you have in common.

QUESTION:
What causes severe pain in the ball of your foot?
i hve just developed severe pain in my foot (just under the big toe).What is causing this pain? im worried?If i put pressure on it it kills!

ANSWER:
Pain under the ball of the foot (Metatarsalgia) is a common complaint with women wearing high heels and fashion shoes. Pain in this area of the foot may also occur when wearing hard shoes without any cushioning inside, such as work boots. Metatarsalgia is often described as a burning sensation in the ball of the foot, often combined with excess callous forming. The pain worsens when wearing high heels or tight fashion shoes for longer periods of time.

Metatarsalgia occurs when the metatarsals (forefoot bones) drop and the surrounding ligaments weaken. The entire forefoot structure collapses, in turn leading to excess pressure and friction under the ball of the foot. The key reason for this problem is that when wearing high heels most of our body weight is resting on the forefoot area.

However, ball of foot pain is not just limited to women wearing high heels. It can also occur when wearing normal footwear, especially during long walks or standing or longer periods of time. This type of ball-of-foot pain is usually caused by excessive pronation and can be treated with full-length orthotic insoles with a metatarsal raise to help alleviate the pressure and friction in the ball of the foot.

For more information please refer to links below:

QUESTION:
foot pain?
i currently ride my road bike approx. 100 miles a week. lately i have been experiencing pain in the balls of my feet. i wear tennis shoes while riding and put alot of pressure on the balls of my feet. (sometimes causing my feet to fall asleep) i was wondering if i was to switch to clipless peddles, would that solve the problem.

ANSWER:
Cycling shoes have very stiff soles that keep the pressure from being isolated to one area of the foot. If you are riding 100 per week, you would really benefit by changing to clipless. I occasionally ride my mtn bike with regular shoes and really miss the clips that I use on my road bike.

QUESTION:
Small toe and ball of foot pain. What can I take to stop he pain.?
I have a opium patch on my leg for pain for something else.I take pain killers but this pain killer doesn.t have any effect at alland pain is unbearable.Its a burning sensation in he ball of the footand tiny toelI have been to the doctors and they dont say a word but thepain persists.
The patchis fo arthritis which is all over my body.This pain has started in June and defies all mediucines.I have spoken to a rheumaltoloist about it and also my Gp butthey hav offered no help on his.

ANSWER:
Ask an osteopath (bone doctor) if a toe splint would relieve the pain. I had swelling in the ball of my foot that was forcing my toes out of line and it felt like sewing needles being jabbed into my toes all the time. He showed me how to tape down one toe and it brought all the others into line. That and hard sole shoes got rid of the pain in about 2 weeks.
.

QUESTION:
I have severe foot pain what can I do?
I have severe pain in both of my feet, sometimes it is sharp and sometimes it is dull.It hurts most in my arch and in the ball of my feet it feel like there is something in there.My big toe has some sharp pain and it usally hurts so bad it keeps me from falling asleep.The weird thing is that I feel like there is a ball in the ball of my foot not my heel.My arch hurts alot and when the pain gets intense it goes to my ankle.I have looked up gout and spurs, but gout sound different than what I feel, and spurs are in the heel.If anyone has any suggestions please, help me.I can't take this anymore.

ANSWER:
sounds maybe like your arch is breaking down...you need to get a good pair of shoes that have a good arch support in them.....and go see a podiatrist.

QUESTION:
Foot pain getting me down has anyone else had similar pain.?
10 weeks of foot pain, had xray, not a stress fracture. Blood test showing slight raised inflammation levels. Gripping pain in the ball of my foot, with sharp pain radiating into middle toes. Now having to wear trainers almost permanently. Doctor has booked another blood test but cannot tell me what it is. Arthritis has been ruled out.

ANSWER:
If you have not yet, see a podiarist.There are so many things it could be ranging from your metatarsals to the arch of your foot or so many many other things.You may just need a good set of orthotics.I cantbelieve your doc didnt send you to a podiatrist.

Good Luck

QUESTION:
What are the best sandals if I have a neuroma ?
I have foot pain in the balls of my feet and it was explained that I have Morton's Neuroma by my podiatrist. Looking to replace my Reef sandals.

ANSWER:

QUESTION:
Severe foot pain under toes- ball of foot?
Hi, I wore my work shoe for one day - it had a hole in it.NOW I have a excuciating painful foot, it "clicks" like snapple bottle cap.I guess it is bone, so painful what can I do and id this going to create problems for me in the future.I have since gotten a new comfortbale shoe and have been staying off of it, so I know that is an obvous remedy anything else you can add i'd be grateful.Thanks so much!!

ANSWER:
soak it in warm water
and take alieve or something on this order
however it prb going to be sore for awhile

QUESTION:
ball of foot pain?
I recently starting walking on the treadmill again. I have found thatI have severe pain in the ball of my foot.
It is primarly located behind the 2nd.toe. The pain increases when I walk or bear weight on it. Has anyone else had this. What have you done to fix it. I do have well fitting shoes and I don't want to give up walking on the treadmill.
Thanks

ANSWER:
You might have morton's neuroma. I would check out this site called www.footsmart.com. It has information and products to help treat any foot condition.




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Admin · 2545 views · Leave a comment
11 Mar 2014 

So what causes the Plantar Fascia to become inflamed? There are a number of various reasons for this to occur. For example, you are more likely to develop Plantar Fasciitis , if you are over 50 years old, if you're overweight, or pregnant, or if you have a job that requires a lot of walking or standing on hard surfaces. You're also at risk if you do a lot of walking or running for exercise (overuse injury). And if you have tight calf muscles (which a lot of people have) you're also more likely to develop Plantar Fasciitis

The pain from plantar fasciitis is described as being dull, aching or sharp (all three for me) and can usually be reproduced by flexing the toes upwards and tensing the fascia. Plantar fasciitis also tends to worsen after standing or exercising for prolonged periods or after getting out of bed in the morning. Morning heel pain from plantar fasciitis is one of the most common symptoms and occurs because the fascia becomes tense after a protracted rest. As the person walks, the fascia "warms up" and lengthens slightly, reducing the tension on the ligament and lessening pain.

Tight calf muscles is a major contributing factor to Plantar Fasciitis. Therefore this particular heel pain exercise is very important. Stand facing a wall with your hands on the wall at about eye level. Put one leg about a step behind your other leg, keeping your back heel flat on the floor. Make sure this leg stays straight at all times. Now bend the knee of the front leg slowly, lowering your body until you feel a stretch in the calf of the back leg. Hold the stretch for 15 to 20 seconds. Repeat 4 times. Do the same for the other leg.

The option of surgery for treatment of plantar fasciitis is prescribed only, if the pain is very severe and if natural treatments do not cure the condition. The most common type of surgical treatment is the plantar fascia release or which is medically known as, endoscopic plantar fasciotomy. This involves the release or removal of the fascia, by preparing a small incision on the inside of the heel. Further, the inflamed tissue is either released or removed. Other commonly followed treatment is the heel spur removal. Heel spur removal aims at removing the heel spur and repairing the plantar fascia region.

The main question I get from runners is "can I run with plantar fasciitis?" The answer is yes, provided it has been diagnosed as plantar fasciitis. As I said earlier, plantar fasciitis is by far the most common form of heel pain, however there are other causes. Certain things can mimic the symptoms of plantar fasciitis, such as stress fractures on the heel bone, bone tumors, and bone cysts, or weak areas. The difference is that they are usually more painful when you run and will not subside (but instead get worse) while you are walking or running. A fractured heel bone will definitely interrupt your training schedule.plantar fasciitis shoes

Foot Orthotics, is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months.

It is the diagnosis of symptoms It is not the diagnosis of the problem The pain may be in your foot– but the problem is not What you will not often find in definitions or explanations of plantar fasciitis on the web is that there is a deeper issue at play The pain in your foot diagnosed as plantar fasciitis can often be traced back up to your gluteus maximus–your butt. These days, we sit too much and our butts muscles wind up not doing much. So they basically shut down or go to sleep–they become inhibited. This is not a good thing.

A change to properly fitting, appropriate shoes may be useful in some patients. Some individuals wear shoes that are too small, which can exacerbate many types of foot pain. 7 Patients often find that wearing shoes with thicker, well-cushioned midsoles, usually made of a material like high-density ethylene vinyl acetate (such as is found in many running shoes), decreases the pain associated with long periods of walking or standing. Studies 5 have shown that with age, running shoes lose a significant portion of their shock absorption. Thus, simply getting a new pair of shoes may be helpful in decreasing pain.

When your plantar fascia gets inflamed because of its overuse, age, or excess weight, you have a condition called plantar fasciitis. You have to then find out the treatment of plantar fasciitis. This consists of different healing remedies combined together to achieve the best results. The most important is getting sufficient rest for the inflammation to subside. Ice packs will lessen the swelling and pain significantly and control the inflammation. PF taping relieves stress as well as the pressure on the ligament as movement is restricted. Anti-inflammatory medicines will reduce both pain and swelling. Heel pads that have excellent shock absorption features will help in healing.

While a well designed athletic shoe can prevent foot damage that leads to plantar fasciitis, treatment of the problem requires special help. Once the problem has been diagnosed by a podiatrist, special inserts or orthopedic shoes will probably be prescribed until healing is completed. Regardless of this form of treatment, it is still always a good idea to look for the best shoes for plantar fasciitis in order to get the maximum benefit of your therapeutic regimen, as getting the right pair of shoes is essential if you to foster a healing environment around your foot.plantar fasciitis exercises
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23 Feb 2014 
Knee pain comes in as many types of conditions as the foot pain that we have thus far discussed. The causes of knee pain are also vastly different. Arthritis is one of those causes, but there are several others, such as bursitis, gout, or ligament injuries. In some cases, knee pain can be the result of improperly aligned feet. When this is the case, inadequate arch support provided by footwear can be a contributor. High-heeled footwear can also lead to knee pain because this type of footwear does not provide adequate balance of your body weight, thus contributing to an improper posture.

Ingrown Toenails. Ingrown toenails can occur in any toe but are most common in the big toes. They usually develop when tight fitting or narrow shoes put too much pressure on the toenail and force the nail to grow down into the flesh of the toe. Incorrect toenail trimming can also contribute to the risk of developing an ingrown toenail ( see How Is Foot Pain Prevented, in this report) Fungal infections, injuries, abnormalities in the structure of the foot, and repeated pressure to the toenail from high impact aerobic exercise can also produce ingrown toenails.

RICE The acronym RICE (rest, ice, compression, elevation) is used to remind people of the four basic elements of immediate treatment for an injured foot. People should get off injured feet as soon as possible (Rest). Ice is particularly important to reduce swelling and promote recovery during the first forty-eight hours. A bag or towel containing ice should be wrapped around the injured area on a repetitive cycle of 20 minutes on, 40 minutes off (Ice). An ace bandage should be lightly wrapped around the area (Compression). The foot should be elevated on several pillows (Elevation).foot pain relief

Foot pain is also caused by wearing the wrong type of shoes for the wrong type of activity. Really, there's a reason why athletic shoe makers sell billions of dollars of footwear each year. These shoes were designed to protect the feet while the user competes in his preferred sport. Sports or activities that Hallux Valgus are high-impact require more padding or support in certain areas. For instance, a marathon runner absorbs an incredible amount of force on his hindfoot, which is why professional running shoes are designed to absorb force. Wearing the wrong type of shoes can cause or even aggravate an existing injury.

First off, get shoes that fit better. Very likely, the shoes you have are either too short, too narrow or both. Take some of the pressure off the corn by putting a doughnut pad on it. You can find doughnut pads at most drugstores; they're small pads with a hole in them that eases friction when fitted over the corn. With the right shoes and the pressure relieved, the corn will disappear in a few weeks. You can speed this process by giving the corn a few strokes with an emery board a couple times a week.

There are also many running and sports shoes on the market and quite often people choose the wrong style for their foot type. It is always a good idea to get your shoes fitted correctly and most professional sports stores are able to do this for you. A more serious cause of side of foot pain can be arthritis or even diabetes. There are also infections that can cause side of food pain such as Septic arthritis, osteomyelitis or cellulitis. This is why you should seek medical attention if your pain gets significantly worse doesn't go away.

An ideal way of relieving tired and achy feet is to massage them. The mild movement of the muscle fibers opens up the flow of blood to the region. Massage also carries healing, oxygen-rich blood into the whole foot. Once muscles are relaxed, nerve endings can begin to decrease how often they are firing and pain relief results. If muscles and nerve endings are particularly irritated by a certain pair of shoes or an activity, swelling will be present. In that case, it is advised to use ice packs or frozen vegetables to decrease inflammation.
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21 Feb 2014 
The soles of our feet must withstand all the pressure placed upon them during our lifetime by walking, running and standing. According to Foot Pain Info, there are 26 bones and associated ligaments in the foot, structured to allow the foot to function as a shock absorber and a lever. Foot pain can affect any part of the foot. Pain on the sole of the foot can be felt under the heel, in the middle of the foot under the arch and under the ball of the foot due to a variety of conditions. Plantar Fasciitis and Heels Spurs

Toenails should be trimmed short and straight across. Filing should be straight across as well using a single movement, lifting the file before the next stroke. The file should not saw back and forth. A cuticle stick can be used to clean under the nail. Skin creams can help maintain skin softness and pliability. Taking a warm foot bath for 10 minutes two or three times a week will keep the feet relaxed and help prevent mild foot pain from fatigue. Adding 1/2 cup of Epson salts increases circulation and adds other benefits. Taking foot baths only when feet are painful is not as helpful.

Although people believe that foot-binding is a problem limited to Chinese women of the past, it should be noted that fashionable high-heels are designed to constrict the foot by up to an inch. High heels are the major cause of foot problems in women and one study suggests that wearing high-heels may even lead to arthritis of the knee. Fortunately, according to a recent survey, nearly half of working women now wears flats; about one quarter wears pumps less than 2 1/4 inches in height and another quarter wears athletic shoes. Only 3% reported wearing shoes with heels higher than 2 1/4 inches. foot pain icd 9

The sharp pain in foot when walking can be very frustrating as it limits your mobility and your weight carrying capacity. Feet, which are small as compared to the rest of the body, take an extraordinary amount of stress during walking. This stress is 50% greater than the stress while you are standing Toe Pain stationary. It has been calculated that on an average, a person takes approximately 10,000 steps during the course of a day. It is a wonder that everyone doesn't suffer sharp pain in foot every day in his or her life. The pain can be because of a number of causes which are presented below.

The problem can further be avoided in the future by padding around the ball of your foot to take pressure off of it. Get a piece of felt or foam rubber (try using a Dr. Scholl's heel pad, for example). It should be 1/4" thick and about 2" square. Cut a shallow "U" out of the pad so that it fits snugly behind (not over) the ball of your foot. Behind, incidentally, means on the heel side, not the toe side. The pad should fit right behind the painful area. Tape the padding to your foot and wear it in your daytime shoes as well as your running shoes.

For this you need to go to a podiatrist a podiatrist is a foot specialist who gets the knowledge and experience after years of studies. A podiatrist can tell you about the problem of and the type of pain you are suffering from by checking your foot. The most common questions a podiatrist can ask you could be; what type of shoes you normally wear and what type of physical activities you perform that might be resulting in foot pain It is not necessary that the podiatrist can tell you about the problem just by looking at your foot sometimes several equipments utilize for this job to be done.

A human foot is a complex formation of 26 bones. Generally the feet are the basis of mainly all physical movements and activities. When a person suffers from foot pain , it maybe a sign that there is could be wrong with any of the inside structure of the foot or with the condition of the foot as it interacts to outside factors, like shoes and walking grounds. On the other hand an injury to the bones and joints of the foot can also be factors that caused this kind of pain. Commonly slight foot pain can react to simple home medication causing pain to drop.
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