Foot Pain

Understanding Foot Pain: Causes and Conservative Treatments

Foot pain is a common issue that affects people of all ages, often interfering with daily activities and mobility. Whether caused by overuse, injury, or underlying medical conditions, foot pain can significantly impact your quality of life. Understanding its causes and exploring conservative treatment options can help you find relief and prevent further discomfort.

Common Causes of Foot Pain

Foot pain can arise from various factors, including:

• Plantar Fasciitis – Inflammation of the ligament on the bottom of the foot, the most common cause of heel pain.

• Arthritis – Conditions like osteoarthritis or rheumatoid arthritis that lead to joint inflammation and stiffness.

• Bunions – A bony bump forming at the base of the big toe, leading to pain and deformity.

• Flat Feet – A lack of arch support, which may cause strain on the feet and lead to discomfort.

• Neuropathy – Nerve damage that results in tingling, numbness, or burning sensations in the feet.

• Stress Fractures – Small cracks in the bones due to repetitive impact or overuse.

Conservative Treatment Options

Many cases of foot pain can be managed with non-invasive treatments. Here are some of the most effective conservative approaches:

1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs like ibuprofen or naproxen help reduce inflammation and alleviate pain. They can be particularly effective for conditions like plantar fasciitis or arthritis.

2. Topical Voltaren Gel

Voltaren gel (diclofenac) is a topical NSAID that can provide effective pain relief. Since the foot is mostly skin and bones, this topical agent can penetrate deeply into the structures of the foot, alleviating pain without the need for oral medication. Although it is advertised as a treatment for arthritis, we have found that it is effective for any inflammatory condition of the foot and ankle, such as plantar fasciitis and tendonitis. It is a great option for those who experience discomfort but prefer to avoid systemic side effects from oral NSAIDs.

3. Orthotics and Supportive Footwear

Custom or over-the-counter orthotic inserts provide arch support and relieve pressure on painful areas. Wearing well-cushioned, supportive shoes can also help prevent and manage foot pain. The podiatrists at Albuquerque Associated Podiatrists routinely recommend patients visit Heart and Sole Sports in person to get fitted for shoes and orthotics. They carry a variety of products approved by the American Podiatric Medical Association (APMA). In general, we recommend selecting the most comfortable orthotic rather than focusing too much on specific features such as pronation control—comfort is the key to effective support.

4. Activity Modification

Avoiding high-impact activities like running or jumping can reduce strain on the feet. Low-impact exercises such as swimming or cycling can help maintain fitness without worsening foot pain.

Most foot and ankle pain follows a recovery pattern similar to its onset. For example:

• Plantar Fasciitis develops gradually due to overuse rather than a sudden injury. Since it is an overuse condition, activity modification is often beneficial, although some occupations may make this challenging.

• Ankle Sprains usually occur from a sudden and noticeable incident, requiring short-term immobilization to allow for healing. There are various options to aid recovery, including braces, boots, and athletic tapes. Understanding the degree of injury is crucial in determining the most appropriate type of immobilization, ensuring the quickest and safest return to full function.

To ensure an effective recovery plan, it is crucial for the podiatrist to understand the patient's work and sports preferences. This allows for a customized approach that accommodates their specific lifestyle and activity needs.

5. Stretching and Strengthening Exercises

Regular stretching and strengthening exercises can enhance flexibility, reduce foot pain, and improve foot function. For instance, eccentric exercises are particularly beneficial for Achilles tendonitis, while passive stretching and direct massage are effective for plantar fasciitis. A podiatrist can recommend specific conservative exercises tailored to each condition, ensuring an optimal recovery plan that aligns with individual needs.

6. Ice Therapy

Applying ice packs to the affected area for 15–20 minutes several times a day can help reduce swelling and numb the foot pain.

7. Rest and Elevation

Resting your feet and keeping them elevated can help minimize swelling and promote healing, especially in cases of injury or overuse.

When to Seek Medical Help

If foot pain persists despite conservative treatments or worsens over time, it may indicate a more serious underlying condition. If you are limping, that is a definite sign to see a podiatrist. Ignoring a limp or delaying treatment can lead to long-term detrimental effects, such as altered gait mechanics, chronic pain, and additional strain on other joints, including the knees, hips, and lower back. Prolonged compensation due to a painful foot injury may cause secondary issues such as knee pain or lower back discomfort.

To prevent long-term consequences, our podiatrists offer same-day or next day appointments. Call us at 505-247-4164. We believe in providing expedient care to address pain early and reduce the risk of complications associated with prolonged foot pain. Consulting a podiatrist can help determine the best course of action, including physical therapy, corticosteroid injections, or, in some cases, surgical intervention.

By understanding the causes of foot pain and taking proactive steps with conservative treatments, you can maintain better foot health and improve your overall well-being. If you're experiencing persistent discomfort, consider speaking with a medical professional to explore the best options for your needs.