Morning Foot Pain from Heel to Ankle After Pregnancy: Causes and Solutions - Urology

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Waking up in the morning (getting up at night) and experiencing pain from the soles of the feet to the ankles while walking?


Hello Doctor, I am a woman who gave birth three months ago.
Currently, my weight is still about 15 kilograms more than before pregnancy.
Since my pregnancy until now, I have been experiencing pain in my feet from the soles to the ankles when I get up at night or in the morning.
However, after walking a few steps or resting again, the pain disappears.
I have checked for swelling in my feet during the pain, but there is no significant edema.
This situation has been ongoing for several months.
Could this be related to kidney issues? I would appreciate your clarification.
Thank you! I mostly wear flat shoes.
(I also experienced the same pain when getting up during my confinement period.)

Miss Yang, 30~39 year old female. Ask Date: 2006/04/25

Dr. Chen Qiunan reply Urology


Hello Ms.
Yang: Since there is no swelling in your lower limbs and your pain is related to movement, it is likely not related to kidney issues.
Generally, kidney diseases may present with symptoms such as edema, lower back pain, or hematuria.
If you are concerned, it is still advisable to follow up with a nephrologist.
Thank you for reaching out.
Wishing you health and happiness.

Reply Date: 2006/04/25

More Info


Morning foot pain, particularly from the heel to the ankle, can be a common issue for women who have recently given birth. This condition can be attributed to several factors, including hormonal changes, weight fluctuations, and physical stress on the body during and after pregnancy.
During pregnancy, the body undergoes significant changes, including weight gain and hormonal shifts that can affect the musculoskeletal system. The added weight can put extra pressure on the feet, leading to discomfort, especially in the morning when the body has been at rest. The pain you describe, which diminishes after walking a few steps, is often indicative of conditions such as plantar fasciitis or general muscle fatigue.
Plantar fasciitis is a common cause of heel pain and is characterized by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot. This condition is often worse in the morning or after periods of inactivity, as the fascia tightens overnight. When you first get up and put weight on your feet, the sudden stretch can cause pain.
Another potential cause of your symptoms could be related to the changes in your foot structure during pregnancy. The hormonal changes can lead to increased laxity in the ligaments, which may result in flat feet or overpronation (where the foot rolls inward too much). This can lead to pain in the heel and ankle as the body adjusts to these changes.

Additionally, if you have been wearing flat shoes, this could contribute to discomfort. While flat shoes can be comfortable, they often lack arch support, which is crucial for maintaining proper foot alignment and reducing strain on the plantar fascia and other structures in the foot.

Regarding your concern about kidney disease, while it is essential to monitor any symptoms that could indicate kidney issues, such as swelling or changes in urination, your description of foot pain does not directly suggest a kidney problem. However, if you have other symptoms or concerns, it would be prudent to consult with a healthcare provider for a thorough evaluation.

To alleviate your morning foot pain, consider the following strategies:
1. Stretching Exercises: Incorporate gentle stretching of the calf muscles and plantar fascia before getting out of bed. This can help reduce stiffness and pain.

2. Footwear: Invest in supportive footwear that provides adequate arch support and cushioning. Avoid flat shoes without support, especially if you are experiencing pain.

3. Gradual Weight Loss: If possible, aim to gradually lose any excess weight gained during pregnancy. This can help reduce the strain on your feet and joints.

4. Physical Therapy: If the pain persists, consider seeking the help of a physical therapist. They can provide tailored exercises and treatments to strengthen the muscles in your feet and improve flexibility.

5. Rest and Ice: If you experience pain after activity, rest your feet and apply ice to reduce inflammation.

6. Consult a Specialist: If the pain continues or worsens, it may be beneficial to consult a podiatrist or orthopedic specialist who can provide a more detailed assessment and treatment plan.

In summary, while morning foot pain after pregnancy can be concerning, it is often manageable with appropriate care and lifestyle adjustments. If symptoms persist or if you have additional concerns, seeking medical advice is always a wise choice.

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