Foot Pain: Causes and Remedies for the Sole Pain

Q: Foot Pain: Causes and Remedies for the Sole Pain

Hello Patty： I’m not sure if you have been walking excessively or have recently changed your shoes. <br>Generally speaking, our body weight is primarily distributed between the forefoot and the heel, approximately one-third on the forefoot and two-thirds on the heel. <br>If you h

Plantar pain?

Hello doctor, recently I have been experiencing pain in the area just below the big toe on the sole of my left foot while walking, to the point where I can hardly walk.
Resting doesn't seem to improve the situation.
What could be the cause of this?

patty, 10~19 year old female. Ask Date: 2016/04/22

Dr. He Yujun reply Traditional Chinese Medicine

Hello Patty: I’m not sure if you have been walking excessively or have recently changed your shoes.
Generally speaking, our body weight is primarily distributed between the forefoot and the heel, approximately one-third on the forefoot and two-thirds on the heel.
If you have a habit of wearing high heels, the load on the forefoot (especially the area below the big toe that you mentioned) will be even greater.
If you do not have any of the situations mentioned above, that’s fine.
Objectively speaking, the presence of tenderness indicates that the area is currently in an inflammatory state, which requires adequate rest.
Short-term ice application can also be effective.
Additionally, if there is a history of trauma, it is advisable to get an X-ray for the physician's reference.
If there is no history of trauma, and this is a sudden occurrence, I recommend going to the hospital for further examination.
The Traditional Chinese Medicine department at Xinying Hospital also addresses related musculoskeletal issues, which you may want to consider.

Reply Date: 2016/04/22

More Info

Foot pain, particularly in the area beneath the big toe, can be attributed to several underlying causes. Given your description of pain that prevents you from walking and does not improve with rest, it is essential to consider various potential conditions that could be affecting your foot.

One common cause of pain in the area you described is metatarsalgia, which refers to pain and inflammation in the ball of the foot. This condition can arise from various factors, including improper footwear, excessive physical activity, or structural abnormalities in the foot. If you have been wearing shoes that do not provide adequate support or cushioning, this could lead to increased pressure on the metatarsal bones, resulting in pain.

Another possibility is hallux rigidus, a form of degenerative arthritis that affects the big toe joint. This condition can cause pain, stiffness, and swelling, particularly during movement. If you notice that the pain worsens when you try to flex your big toe, this may be a contributing factor.

Plantar fasciitis is another common cause of foot pain, particularly if you experience discomfort in the heel or arch of your foot. This condition occurs when the plantar fascia, a thick band of tissue that runs across the bottom of your foot, becomes inflamed. While the pain is typically felt in the heel, it can radiate to other areas, including the ball of the foot.

Additionally, bursitis or inflammation of the bursa (small fluid-filled sacs that cushion bones) around the toe joint can lead to localized pain. This condition can be exacerbated by repetitive activities or pressure on the joint.

Given that your pain is severe enough to hinder your ability to walk, it is crucial to seek medical attention. A healthcare professional, such as a podiatrist or orthopedic specialist, can perform a thorough examination, which may include imaging studies like X-rays or MRIs, to determine the exact cause of your pain.

In terms of immediate remedies, consider the following:
1. Rest: Avoid activities that exacerbate the pain. Give your foot time to heal.

2. Ice Therapy: Apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation and numb the pain.

3. Footwear: Ensure you are wearing supportive shoes with adequate cushioning. Avoid high heels or shoes that place excessive pressure on the forefoot.

4. Orthotics: Custom orthotic inserts can help distribute pressure more evenly across your foot and provide additional support.

5. Stretching and Strengthening: Gentle stretching exercises for the foot and calf muscles can help alleviate tension and improve flexibility.

6. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

If your symptoms persist or worsen despite these measures, it is essential to follow up with a healthcare provider for further evaluation and treatment options. Early intervention can help prevent more severe complications and improve your overall foot health.

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