Foot Pain from Prolonged Standing: When to Seek Help - Orthopedics

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When it comes to foot pain, especially after prolonged standing or walking, it’s essential to understand the underlying causes and when to seek medical help. Your symptoms suggest that you may be experiencing a condition related to muscle or fascia inflammation, commonly known as myofascial pain syndrome, which can occur after extended periods of standing or walking.
The sharp, stabbing pain you described, akin to being stabbed with a knife, is often associated with conditions like plantar fasciitis, which is inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot. This condition is prevalent among individuals who stand for long periods, as the constant pressure can lead to micro-tears in the fascia, resulting in pain, especially with the first steps in the morning or after prolonged periods of rest.

The hard lump you noticed near your ankle could be a muscle knot or trigger point, which is a localized area of muscle that is hyperirritable and can cause pain in the surrounding areas. This can occur due to overuse or strain from your previous job that required prolonged standing. The itching sensation you experienced might indicate irritation or inflammation in the area, which could be related to the muscle or fascia.

Given your symptoms, it is advisable to start with a visit to a primary care physician or a physical therapist who specializes in musculoskeletal issues. They can perform a thorough examination to determine if your symptoms are indeed related to myofascial pain syndrome, plantar fasciitis, or another condition such as tendonitis or a stress fracture.
If the pain persists or worsens, or if you notice any swelling, redness, or warmth in the area, it may be necessary to consult an orthopedic specialist. They can provide further evaluation, which may include imaging studies like X-rays or MRIs to rule out any structural issues or injuries.
In the meantime, there are several self-care measures you can take to alleviate your symptoms. Resting your feet, applying ice to the affected area, and elevating your legs can help reduce inflammation. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can also provide relief from pain and swelling. Additionally, stretching exercises for your calves and feet can help improve flexibility and reduce tension in the fascia and muscles.

Footwear is another critical factor in managing foot pain. Ensure that you wear supportive shoes with adequate cushioning, especially if you are on your feet for extended periods. Avoid high heels or shoes with inadequate support, as they can exacerbate foot pain.

In summary, while your symptoms may be related to muscle or fascia inflammation due to prolonged standing, it is essential to seek medical advice to confirm the diagnosis and receive appropriate treatment. Early intervention can prevent the condition from worsening and help you return to your normal activities without pain.