Is Foot and Lower Back Pain Normal After Long Walks? - Orthopedics

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Doctor: Hello! If you experience soreness, pain, or numbness in the soles of your feet after walking for a long time, and also feel discomfort in the lower back area around the kidneys, is this normal?

Azhong, 20~29 year old female. Ask Date: 2005/08/24

Dr. Shi Guozheng reply Orthopedics


Symptoms may occur due to overexertion, but they should improve after rest.
If they do not improve, there may be an underlying issue, and it is advisable to consult a physician to determine the specific problem.

Reply Date: 2005/08/24

More Info


Experiencing foot and lower back pain after long walks is a common issue, but it is not necessarily "normal" in the sense that it should be expected without any underlying causes. When you walk for extended periods, especially if you are not accustomed to it or if you are wearing inappropriate footwear, several factors can contribute to discomfort in your feet and lower back.


Foot Pain
1. Muscle Fatigue: Prolonged walking can lead to muscle fatigue in the feet. The muscles and tendons in your feet work hard to support your body weight and maintain balance. Over time, this can lead to soreness, especially if you are not used to walking long distances.

2. Footwear: The type of shoes you wear plays a significant role in foot comfort. Flat shoes or those without adequate arch support can lead to conditions like plantar fasciitis, which is characterized by heel pain and discomfort in the arch of the foot. If your shoes lack cushioning or support, they can exacerbate foot pain during and after long walks.

3. Biomechanics: Everyone has a unique foot structure and walking pattern. If you have flat feet, high arches, or other structural issues, you may be more prone to foot pain. Conditions like overpronation (where the foot rolls inward excessively) can lead to strain on the muscles and ligaments of the foot.

4. Fat Pad Syndrome: As mentioned in previous discussions, Fat Pad Syndrome can cause heel pain that feels like a deep bruise. This condition can be aggravated by prolonged standing or walking, especially on hard surfaces.


Lower Back Pain
1. Posture: Walking for long periods can lead to poor posture, especially if you are not mindful of how you carry your body. Slouching or leaning forward can put extra strain on your lower back muscles, leading to discomfort.

2. Muscle Strain: The muscles in your lower back can become strained from the repetitive motion of walking, especially if you are not used to it or if you are carrying a heavy bag or backpack.

3. Lumbar Support: Just as with your feet, the support you have for your lower back is crucial. If you have a weak core or poor lumbar support, you may experience pain after long walks.


Recommendations
1. Footwear: Invest in good quality walking shoes that provide adequate arch support and cushioning. Look for shoes designed for walking or running, as they often have features that help absorb shock and support the foot's natural structure.

2. Stretching and Strengthening: Incorporate stretching and strengthening exercises for your feet, legs, and lower back into your routine. Stretching can help alleviate tightness, while strengthening exercises can improve your overall stability and support.

3. Pacing Yourself: If you are not used to long walks, gradually increase your walking distance. This allows your body to adapt and reduces the risk of overuse injuries.

4. Rest and Recovery: After long walks, give your body time to recover. Rest, elevate your feet, and consider using ice to reduce any swelling or discomfort.

5. Consult a Professional: If your pain persists or worsens, it may be beneficial to consult a healthcare professional, such as a physical therapist or orthopedic specialist. They can assess your condition and provide tailored advice or treatment options.

In conclusion, while some discomfort after long walks can be expected, persistent or severe pain is not normal and should be addressed. By taking proactive steps to care for your feet and back, you can enjoy your walks without the burden of pain.

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