Foot pain near the arch can be a real downer, disrupting your daily routine and making each step feel like a hurdle. But here’s the good news – you’re not alone, and there are strategies to tackle this discomfort and get back to pain-free walking.
We will be examining ways to treat orthopaedic issues, how to manage discomfort, and providing useful tips to help you become active again and enjoy life without having to struggle with arch pain. So, let’s embark on this path toward foot comfort together.
Pain in the foot arches is a frequent issue, likely related to the pressure experienced in the feet, especially if you are standing for extended periods. The foot arches are supported by muscles and tendons, which can become tense if they are put under too much pressure when providing stability, resulting in soreness in the feet. Additionally, a lack of strength or tightness in the foot muscles can affect the way pressure is distributed through the feet and up the legs, potentially causing back or knee pain. In addition, there may be lumps and bumps underneath the foot. Athletes may experience discomfort in their foot arches, especially those who exercise strenuously.
Plantar Fasciitis – By far, the most frequent source of arch pain in the foot is plantar fasciitis, which is caused by injury to the thick ligament underneath the foot. Normally, this is caused by changes to the foot’s biomechanics, bone spurs, and tight muscles, and is common among people who spend a lot of time standing or who suddenly increase their level of physical activity.
Foot Cramps – Cramps in the foot arch are characterized by sudden, strong muscle spasms that may last anywhere from a few seconds to a few hours. The calf, toes, or arch of the foot can experience significant discomfort due to spasms, which may also lead to muscle tightening and toes curling.
Tarsal Tunnel Syndrome – Inner foot arch pain can be caused by tarsal tunnel syndrome, which is a less common condition. The tibial nerve is compressed due to something taking up space in the tarsal tunnel such as bone spurs, swelling, or cysts. Symptoms of this condition include arch pain, pins & needles, and numbness.
Plantar Fibromatosis – It is conceivable that discomfort in the arch of the foot could be caused by plantar fibromatosis, which is identifiable by nodules in the plantar fascia, usually positioned in the center of the arch. This ailment may be the result of foot trauma, genetic factors, or other health problems.
A doctor may suggest the use of special medical devices to be worn in the shoes to help with biomechanical problems associated with activities like walking, standing, and running. These orthotics can be utilized as a means of reducing aches and pains caused by illnesses such as diabetes, plantar fasciitis, bursitis, and arthritis. In some cases, orthotics can even help prevent the need for surgery to treat flat feet. However, it is possible that a non-prescription shoe insert may work just as well in some cases. Consulting a doctor would likely be beneficial.
It is important that both prefabricated insoles and tailored orthotics are the right size for your shoes. If the insert you bought in a store is uncomfortable when you try it on, it is unlikely that it will become any more comfortable when you get home. It is important to check that prescription orthotics fit correctly as they are made to fit the shape of your feet. These can be more expensive than inserts, however, they offer a medical assessment for your foot issue, a custom fit, and materials that can last for a few years if you take care of them. Furthermore, your health insurance may cover some of the cost. It is also important to make a follow-up appointment with your doctor to check that the orthotics are working as intended. Hopefully, you will find that your feet feel better, but if not, be sure to let your doctor know.
Before we dive into the exercises, let’s understand what’s causing the pain in the first place. Arch pain can stem from various sources, like overuse, flat feet, or ill-fitting shoes. It’s like a signal from your feet that something’s amiss. Physical therapists are like detectives; they assess your condition, pinpoint the cause, and tailor a treatment plan just for you.
Stretching is like a sigh of relief for your arches. Here are a couple of gentle stretches to get you started:
Calf Stretch: Stand facing a wall, place one foot behind the other, and press your heel into the floor. You’ll feel the stretch in your calf and arch. Hold for 30 seconds, and switch sides.
Towel Curl: Sit on a chair with your feet flat on the floor. Place a towel under your toes and scrunch it up, using only your toes. It’s like a mini-workout for your arches.
Building strength in your foot muscles can do wonders for arch pain. Here are a couple of exercises to try:
Marble Pickup: Scatter some marbles on the floor and pick them up with your toes, placing them in a bowl. It’s like a game that doubles as a workout.
Toe Tapping: While sitting, tap your toes on the floor as fast as you can for 30 seconds. It’s like a quick burst of exercise.
Your arches play a crucial role in maintaining balance. Strengthening them can improve your overall stability. Try this:
Single Leg Balance: Stand on one foot for as long as you can, aiming for 30 seconds. It’s like a balancing act that tones your arch muscles.
Before we delve into the details, it’s essential to know that medications and injections aren’t one-size-fits-all solutions. What works for one person may not work for another. That’s why it’s crucial to consult with a healthcare professional who can tailor the treatment to your specific needs.
Over-the-Counter Pain Relievers – Think of these as your first line of defense. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation in your arches. They’re like a comforting hug for your sore feet, providing temporary relief.
Prescription Medications – When the pain is persistent and severe, your healthcare provider might prescribe stronger medications. These could include prescription NSAIDs or other pain relievers. It’s like calling in the cavalry to battle your arch pain.
Corticosteroid Injections – For some individuals, corticosteroid injections are the game-changers. It’s like delivering targeted relief directly to the source of your pain. A healthcare provider injects a corticosteroid medication into the affected area, providing significant relief from inflammation and pain.
Platelet-Rich Plasma (PRP) Injections – PRP injections are like nature’s way of healing. In this procedure, a small amount of your blood is drawn, processed to concentrate the platelets, and then injected into the painful area. These platelets are like little repair crews, helping to speed up the healing process.
Before we delve into the specifics, it’s crucial to understand that surgery isn’t the go-to solution. It’s considered when more conservative treatments have been explored and the pain remains a formidable foe. Your healthcare provider will carefully evaluate your situation and recommend surgery only if it’s the best course of action for your unique condition.
Plantar Fascia Release – Picture the plantar fascia as a tight, overworked rubber band at the bottom of your foot. In conditions like plantar fasciitis, this band becomes inflamed and painful. Plantar fascia release surgery is akin to snipping that stretched-out rubber band, relieving tension and discomfort.
Arthroscopy – This minimally invasive procedure involves a tiny camera exploring the inside of a joint, such as the ankle or big toe.
Tendon Repair – When a tendon in your foot is damaged or torn, surgery may be necessary for repair. Think of it as stitching up a torn fabric to restore strength and function.
Osteotomy – In cases where bone alignment needs correction, osteotomy comes into play. It ensures your bones are aligned for pain relief.
Fusion – Severe joint damage might require fusion surgery, where two bones are fused together.
Surgery enters the picture when other avenues like physical therapy, medications, and injections haven’t provided the desired relief. Your healthcare provider will discuss your condition, the potential benefits, and the risks associated with surgery. They’ll ensure it aligns with your overall health and lifestyle.
When it comes to your feet, prevention is often the best medicine. Arch pain can be a persistent companion, but there are steps you can take to safeguard your foot health for the long run. It’s like tending to a cherished garden, nurturing your arches to thrive pain-free.
Choose the Right Footwear – Invest in shoes that love your feet as much as you do. Opt for footwear with proper arch support and cushioning. It’s like finding the perfect pillow for a good night’s sleep – your arches deserve nothing less.
Avoid High Heels (or Use Sparingly) – High heels may be fashionable, but they’re not your arches’ best friend. Limit their use and opt for lower, more comfortable options for daily wear. Think of it as giving your arches a break from the high-pressure fashion scene.
Maintain a Healthy Weight – Extra weight puts added stress on your feet, including your arches. Strive to maintain a healthy weight through a balanced diet and regular exercise. Your arches will thank you for the reduced load.
Stretch Regularly – Incorporate gentle stretching exercises into your daily routine. It’s like yoga for your feet. Stretching helps maintain flexibility and reduce the risk of arch pain.
In the journey to overcome arch pain, these orthopedic and pain management strategies are like trusted allies, offering relief and hope. Remember, your feet are unique, and so is your path to healing. Consult with a compassionate doctor who can tailor these strategies to your individual needs. Whether it’s custom orthotics, targeted medications, injections, or physical therapy, your well-being is the ultimate goal. With this, you’re on the road to a future where every step is a reminder of your strength and resilience. So, step forward with confidence, knowing that you have the support you need to conquer arch pain and embrace a life of comfort and mobility.
Foot pain near the arch can stem from various factors like plantar fasciitis, flat feet, overuse, or even ill-fitting shoes. It is important to pinpoint the exact reason in order to provide effective treatment.
Orthopaedic inserts are pre-made, while custom orthotics are tailored to your feet for precise support. Custom orthotics offer personalized relief.
Medication may be able to help with controlling pain, but it may not be a long-term solution. Everyone reacts differently to medications, so it is important to speak to a healthcare professional to decide the best approach.
A corticosteroid injection involves a healthcare provider injecting medication directly into the painful area. It is important to talk with your doctor about the potential pros and cons before deciding on this form of treatment as it can offer great relief, but there may be risks involved.
The timeline varies, but many individuals experience improvements within a few weeks of consistent therapy. It depends on your condition and the recommended treatment plan.
It is advisable to keep some physical activity, but one should be careful to avoid activities that worsen any pain. It is best to talk to your healthcare provider to find out what activities may be modified in order to be safe.
Yes, untreated arch pain can potentially lead to issues like gait problems or compensatory changes in your posture. It is important to act quickly in order to avoid any potential issues.
Yes, gentle stretches, proper footwear, and over-the-counter pain relievers can offer relief. It is important to speak with a doctor in order to develop a complete treatment plan.
Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern.
He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital.
Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group.
Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery.