How To Treat Nagging Foot Pain: Relief and Common Conditions
Jared Scott, DO
Orthopedics
Nagging foot pain can make your life miserable, turning even the simple act of going for a walk around your neighborhood into a painful chore.
Fortunately, many of the more common foot ailments can be managed at home, without ever needing to see a doctor. But it’s important to know when the do-it-yourself approach isn’t working and it’s time to seek professional help.
First, let’s look at several injuries or conditions that can take a toll on the health of your feet.
Plantar Fasciitis: Heel Pain and Morning Stiffness
Plantar fasciitis is one of the most common chronic foot ailments, with an estimated 2 million people seeking treatment for it every year. It is marked by pain on the bottom of your heel and involves the plantar fascia, a thin ligament that runs from your heel to the front of your foot. The pain is usually most noticeable when you get out of bed in the morning or if you take a first step after sitting for a while.
Plantar fasciitis can be a degenerative condition that worsens with age. But it is also caused by inflammation to the ligament, which plays a key role in absorbing the stress you place on your body when you walk or run. This makes it vulnerable to sudden (even brief) increases in physical activity. If you live a sedentary lifestyle, for example, a weekend spent walking around a theme park can trigger the condition.
There is both good and bad news about this injury. The good news is that it will likely get better on its own, even if you do very little in the way of injury management. The bad news is that it is likely to get better on its own timeline – regardless of what you do to treat it.
Still, there are some strategies you can try, including using an orthotic shoe insert that supports your heel and arch. Anti-inflammatory medications may also speed your healing, along with physical therapy exercises that can be performed at home. Many of these exercises focus on the foot, but there is also value in stretching and strengthening your calf muscles.
Achilles Tendonitis: Symptoms and Treatment
Tendonitis is a condition in which one of your tendons becomes irritated, usually by overuse. While there are numerous tendons in your foot, the most notable is the Achilles tendon that runs down the back of your lower leg. This key tendon – the strongest in your body – is important for walking, running, jumping and anything else that requires you to rise up on your toes.
Achilles tendonitis is generally divided into two varieties. The first is known as insertional Achilles tendonitis, which affects the tendon where it attaches to the heel bone. The second is noninsertional Achilles tendonitis, which involves the area in the middle of the tendon. In both versions, damage to tendon fibers can lead to hardening (calcification) and a bump on the tendon. The inflammation can cause stiffness and pain along the tendon or the back of your heel. The pain will likely worse during and after exercise.
Treatment usually starts and ends with anti-inflammatory medications, home exercises and physical therapy. In rare cases, surgery may be needed to treat the inflammation or to remove the hard bump, which can create discomfort when wearing a shoe.
Metatarsalgia: Managing Pain in the Ball of Your Foot
Metatarsalgia is a general term for pain and irritation in the small bones (metatarsals) found in the ball of your foot. It causes aching or burning that gets worse when you stand, walk, run or flex your feet. It may even feel like you have a small rock in your shoe.
This condition is not generally serious, though it may be painful. It is usually treated with exercises that focus on stretching and strengthening your calf muscle. Shoe inserts with metatarsal pads can also help relieve the pain.
When To See a Doctor for Foot Pain
If you are dealing with nagging foot pain – regardless of whether you are 20 or 80 – you don’t have to accept it as part of your life. Many of these injuries and discomforts will go away on their own – using little more than a change of shoes, over-the-counter anti-inflammatories, rest and home exercise. Still, there may be times when you need to talk with a doctor. These include:
Severe pain or stiffness that makes it difficult to walk
Pain getting worse
Moderate pain/discomfort that shows no signs of improvement after a few weeks
Minor pain that hasn’t gone away after a few months
Swelling in your foot
This content is not AI generated.