Foot Pain After Reflexology: When to Seek Medical Help

Experiencing significant pain during and after a foot massage?

Hello, doctor.
Recently, I went for a foot massage, but during the session, I informed the therapist that my feet were very painful.
However, the therapist ignored my feedback and continued to apply pressure, which resulted in significant pain in both feet after the massage.
Now, I am having great difficulty walking due to the pain.
Today, I visited an orthopedic specialist who diagnosed me with bilateral plantar fasciitis.
I would like to ask whether I should see a traditional Chinese medicine practitioner or which specialty I should consult.
Currently, the ball of my feet is very painful, and the third to fifth toes on both feet are also extremely painful.
Almost the entire sole of my feet experiences severe pain and numbness when I walk.
Could you please provide some guidance, doctor? Thank you very much.

Jiafeng, 20~29 year old female. Ask Date: 2023/02/16

Dr. Lü Bingcheng reply Traditional Chinese Medicine

It is recommended that you follow the orthopedic physician's instructions and complete the prescribed medication.
If the pain and numbness symptoms do not show significant improvement, please visit the orthopedic or rehabilitation outpatient clinic for further examination.
Once the examination results are available, you can seek treatment from qualified professionals in both Western and traditional medicine as needed.

Reply Date: 2023/02/16

More Info

Foot pain after reflexology or any form of massage can be a concerning issue, especially when the pain persists and affects your ability to walk. Based on your description, it seems that you are experiencing significant discomfort in your feet, particularly in the forefoot and toes, which has been diagnosed as plantar fasciitis (inflammation of the plantar fascia). This condition can arise from various factors, including overuse, improper footwear, or trauma, and it can be exacerbated by aggressive massage techniques.

When to Seek Medical Help
If you experience persistent pain after a massage, especially if it worsens or is accompanied by other symptoms such as swelling, numbness, or tingling, it is essential to seek medical attention. In your case, since you have already seen an orthopedic specialist who diagnosed you with plantar fasciitis, it is advisable to follow their recommendations and consider further evaluation if your symptoms do not improve.

Choosing the Right Specialist
Given your current condition, you have a few options for further treatment:
1. Podiatrist: A podiatrist specializes in foot and ankle disorders and can provide targeted treatment for conditions like plantar fasciitis. They can offer a comprehensive evaluation, recommend appropriate footwear, and provide treatments such as custom orthotics, physical therapy, or injections if necessary.

2. Physical Therapist: A physical therapist can help you with rehabilitation exercises to strengthen the muscles in your feet and improve flexibility. They can also teach you proper stretching techniques and provide modalities such as ultrasound or electrical stimulation to alleviate pain.

3. Orthopedic Specialist: If your symptoms persist despite conservative treatment, returning to your orthopedic specialist for further evaluation may be necessary. They can assess for any underlying structural issues or recommend imaging studies like X-rays or MRIs to rule out other conditions.

4. Traditional Chinese Medicine (TCM): If you are interested in exploring alternative treatments, consulting with a TCM practitioner could be beneficial. Acupuncture and herbal remedies may help alleviate pain and inflammation, although it is essential to ensure that the practitioner is licensed and experienced in treating foot conditions.

Treatment Options
In the meantime, here are some general treatment strategies you can consider:
- Rest and Ice: Avoid activities that exacerbate your pain. Applying ice to the affected areas for 15-20 minutes several times a day can help reduce inflammation.

- Stretching and Strengthening Exercises: Gentle stretching of the plantar fascia and calf muscles can relieve tension. Strengthening exercises for the foot and ankle can also be beneficial.

- Footwear: Ensure that you wear supportive shoes with adequate cushioning. Avoid high heels or shoes with inadequate support.

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

- Orthotics: Consider using over-the-counter arch supports or custom orthotics to provide additional support to your feet.

Conclusion
In summary, if you are experiencing significant pain after reflexology, it is crucial to seek medical help. A podiatrist or physical therapist can provide specialized care tailored to your needs. Additionally, consider exploring various treatment options, including traditional Chinese medicine, if you are open to alternative therapies. Remember to listen to your body and avoid activities that exacerbate your pain until you have received appropriate treatment.

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