Foot Pain: Causes and When to Seek Medical Help - Rehabilitation

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Dorsal foot pain?


Hello doctor, I've been experiencing soreness and pain on the dorsum of my right foot for several days now.
It feels like the soreness is connected to the tendons leading up to my thigh.
I previously had an injury to the ligament in my left foot that required surgery.
Could this be due to overuse of my right foot? If I need to seek medical attention, which specialty should I consult? Thank you, doctor.

M6, 30~39 year old female. Ask Date: 2020/02/05

Dr. Wang Zhaomin reply Rehabilitation


There are many causes of lower limb pain, and it is indeed possible that overuse of the right leg may lead to discomfort.
It is advisable to visit an orthopedic or rehabilitation specialist for early diagnosis and treatment.

Reply Date: 2020/02/05

More Info


Foot pain can arise from a variety of causes, and understanding the underlying issues is crucial for effective treatment. Based on your description of pain in the right foot, particularly in the area connecting to the thigh, it is possible that the discomfort may be related to overuse or compensation due to a previous injury in your left foot. When one limb is injured, the body often compensates by shifting weight and altering movement patterns, which can lead to strain and pain in the other limb.


Potential Causes of Foot Pain
1. Overuse Injuries: If you've been using your right foot more than usual to compensate for the left, you may be experiencing overuse injuries. This can manifest as tendonitis, muscle strain, or even stress fractures, especially if you have recently increased your activity level or changed your routine.

2. Tendon Issues: The pain you describe as connecting to the thigh could be related to the tendons that run from the foot up to the leg. Conditions like Achilles tendonitis or posterior tibial tendon dysfunction can cause pain that radiates up the leg.

3. Nerve Compression: Conditions such as tarsal tunnel syndrome can also lead to pain in the foot and may cause sensations that radiate up the leg. This occurs when the posterior tibial nerve is compressed as it passes through the tarsal tunnel near the ankle.

4. Muscle Imbalances: If your left foot has been injured and you have altered your gait, this could lead to muscle imbalances. The muscles and tendons in your right leg may be overworked, leading to pain and discomfort.

5. Previous Injuries: Given your history of surgery on the left foot, it’s essential to consider how that may have affected your biomechanics. Scar tissue, changes in muscle strength, and altered movement patterns can all contribute to pain in the opposite foot.


When to Seek Medical Help
You should consider seeking medical attention if:
- The pain persists for more than a few days without improvement.

- You experience swelling, redness, or warmth in the affected area.

- You have difficulty walking or bearing weight on the foot.

- The pain worsens or changes in nature (e.g., sharp, stabbing pain).

- You notice any changes in sensation, such as numbness or tingling.


Which Specialist to See
For foot pain, the most appropriate specialist to consult would be a podiatrist or an orthopedic surgeon who specializes in foot and ankle issues. They can perform a thorough examination, possibly including imaging studies like X-rays or MRIs, to determine the exact cause of your pain. Additionally, a physiatrist (a specialist in physical medicine and rehabilitation) may also be beneficial, especially if you require a comprehensive rehabilitation plan.


Conclusion
In summary, your right foot pain could be a result of compensatory mechanisms due to your previous left foot injury. It is essential to monitor your symptoms and seek medical advice if the pain persists or worsens. A thorough evaluation by a specialist will help identify the underlying cause and guide you toward appropriate treatment options, which may include physical therapy, medication, or other interventions to alleviate your discomfort and restore normal function. Remember, early intervention can often lead to better outcomes and prevent further complications.

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