Foot pain
Hello doctor, my brother and I recently had a foot massage, and that night my foot started to hurt.
For the past few days, I have been unable to walk normally (only my left foot).
When walking, I can only use the edges of my foot and cannot put my entire foot on the ground, as it causes severe pain.
When I am not walking, pressing on it does not cause much discomfort, but standing or walking results in excruciating pain, similar to a sprain, and it is limited to the sole of my foot.
Could you please tell me what might be causing this issue? Thank you.
Xiao Chen, 20~29 year old female. Ask Date: 2018/04/24
Dr. Wang Huijun reply Rehabilitation
Hello Mr.
Chen: Based on your description, the pain started after the foot massage and was not present beforehand.
The most likely scenario is that the massage pressure may have been too strong, leading to an injury of the plantar fascia.
In this case, you should observe the situation for 1-2 days.
If the condition gradually improves, it may be a temporary phenomenon due to your feet not being accustomed to such strong pressure.
However, if the situation worsens or does not improve, it may indicate that an injury has already occurred.
I usually recommend the following: 1.
Try to walk less during this time, as we spend a lot of time on our feet daily.
Without adequate rest, the pain is unlikely to improve.
2.
Take oral anti-inflammatory and pain relief medication for 7-14 days to promote recovery as soon as possible; otherwise, it may affect your mobility.
3.
Soak your feet in warm water for 5-10 minutes, 1-2 times a day, and then apply a topical analgesic cream to provide heat.
In my experience, this should lead to a complete recovery.
It is important to address this early to prevent it from becoming a chronic condition.
Reply Date: 2018/04/24
More Info
Foot pain after a massage can be quite concerning, especially when it affects your ability to walk normally. Based on your description, it seems that the pain is localized to the bottom of your left foot, and it intensifies with weight-bearing activities like standing or walking. Here are some potential causes and solutions for your condition.
Possible Causes
1. Overuse or Strain: Foot massages can sometimes lead to soreness, especially if the pressure applied was excessive or if you have underlying foot conditions. The muscles and ligaments in your foot may have been overstretched or strained during the massage, leading to pain.
2. Plantar Fasciitis: This is a common condition that causes heel and foot pain, particularly after periods of inactivity. The plantar fascia, a thick band of tissue that runs across the bottom of your foot, can become inflamed or irritated, leading to pain that is often worse in the morning or after sitting for a while.
3. Tendinitis: Inflammation of the tendons in the foot can occur due to overuse or improper technique during the massage. This can lead to pain during movement but may not be as noticeable when at rest.
4. Nerve Compression: Conditions like tarsal tunnel syndrome can cause pain in the foot due to compression of the nerves. This can lead to symptoms like burning, tingling, or sharp pain, particularly when standing or walking.
5. Foot Structure Issues: If you have flat feet, high arches, or other structural issues, a massage might exacerbate existing problems, leading to pain in the foot.
6. Contusion or Bruising: If the massage was particularly vigorous, it’s possible that you sustained a bruise or contusion in the soft tissues of your foot, which can cause localized pain.
Solutions and Recommendations
1. Rest and Ice: Initially, it’s important to rest your foot and avoid activities that exacerbate the pain. Applying ice to the affected area can help reduce inflammation and numb the pain.
2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation.
3. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching of the foot and calf muscles can help improve flexibility and strength. Exercises like toe curls and calf stretches can be beneficial.
4. Footwear: Ensure that you are wearing supportive footwear that provides adequate cushioning. Avoid walking barefoot or in flip-flops, as these can exacerbate foot pain.
5. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can provide tailored exercises and treatments to address your specific condition.
6. Consult a Specialist: If the pain continues or worsens, it’s advisable to see a podiatrist or orthopedic specialist. They can perform a thorough examination, possibly including imaging studies, to determine the exact cause of your pain and recommend appropriate treatment.
7. Avoid Further Massage: Until you have a better understanding of the cause of your pain, it may be wise to avoid further massages, as they could potentially aggravate the condition.
Conclusion
Foot pain after a massage can arise from various causes, including overuse, inflammation, or structural issues. It’s essential to listen to your body and take appropriate measures to manage the pain. If symptoms persist, seeking professional medical advice is crucial to ensure proper diagnosis and treatment. Remember, taking care of your feet is vital for overall mobility and quality of life.
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