Common Ankle Injuries and Foot Pain in Athletes - Rehabilitation

Share to:

Sports injuries


Hello, Dr.
Chen! According to a report from the China Times, Dr.
Yuan Li-Ren from Chang Gung Memorial Hospital's orthopedic department stated that the most common sports injuries in the ankle are ankle sprains, particularly with a higher incidence of lateral ankle sprains.
Achilles tendinitis frequently occurs in long-distance runners and is primarily caused by overuse.
The main symptom is pain around the Achilles tendon near the heel, and in severe cases, surgical removal of the necrotic tendon may be necessary.
Dr.
Yuan emphasized that common foot nerve compression issues are often due to inappropriate footwear, which causes prolonged pressure on the nerves.
The primary treatment is to switch to properly fitting shoes.
When purchasing shoes, it is essential to measure the foot shape using a foot measuring device to assess three dimensions: the length from heel to toe, the height of the arch, and the width of the foot, and to choose the appropriate size and style based on these three indicators.
It is advisable to leave a thumb's width of space between the big toe and the shoe's toe box.
Additionally, selecting the correct footwear based on the type of activity is crucial, with attention to shock absorption, flexibility, and stability being key factors.

Now, I have a question: I exercise daily, walking at least one hour, and I follow Dr.
Yuan's recommended guidelines, choosing high-quality Nike shoes.
However, I have recently experienced a dull pain in the arch of my left foot, and sometimes my right big toe feels odd.
After many years of walking, could it be that my foot pressure points are incorrect, or is there a hidden issue? Should I first consult a rehabilitation specialist? Can physical therapy help resolve these concerns? Please advise! Thank you!

Willow, 30~39 year old female. Ask Date: 2006/08/26

Dr. Chen Xianchang reply Rehabilitation


1.
Pain in the arch of the foot is mostly due to muscle or ligament strains.

2.
Physical therapy focuses on pain relief and increasing strength.

3.
It is necessary to use shoes with insoles for support.

Reply Date: 2006/08/26

More Info


Understanding common ankle injuries and foot pain in athletes is crucial for both prevention and effective management. As highlighted by Dr. Yuan from Chang Gung Memorial Hospital, ankle sprains are among the most prevalent injuries in sports, particularly involving the lateral ankle ligaments. These injuries often occur during activities that involve sudden changes in direction, jumping, or landing awkwardly, which can lead to pain, swelling, and instability in the ankle joint.

In your case, experiencing pain in the left arch and discomfort in the right big toe could indicate several underlying issues. The arch pain may be related to overuse, improper footwear, or biomechanical imbalances. It’s essential to consider that even with well-fitted shoes, factors such as foot structure, gait mechanics, and the type of activities performed can contribute to discomfort. For instance, if your foot has a high arch or flat feet, it may require specific support that standard athletic shoes do not provide.

The discomfort in your right big toe could be a sign of a condition known as sesamoiditis, which is inflammation of the sesamoid bones located beneath the big toe joint. This condition often arises from repetitive stress or pressure on the toe, particularly in activities that involve running or jumping. Another possibility is a neuroma, which can occur when nerves in the foot become compressed, leading to pain and discomfort.

Given your active lifestyle and the symptoms you are experiencing, it would be prudent to consult with a sports medicine physician or a physical therapist. A thorough evaluation can help identify the specific cause of your pain. Physical therapy can be highly beneficial in addressing musculoskeletal issues. A physical therapist can assess your foot mechanics, provide tailored exercises to strengthen the muscles supporting your arch, and recommend stretches to improve flexibility. They can also guide you in selecting appropriate footwear that accommodates your foot structure and activity level.

In addition to seeking professional help, there are several self-care strategies you can implement to alleviate your symptoms. First, ensure you are using shoes that provide adequate arch support and cushioning. Consider using orthotic inserts if necessary, as they can help distribute pressure more evenly across your foot. Secondly, incorporate a proper warm-up and cool-down routine into your exercise regimen to prevent injuries. Stretching the calf muscles and Achilles tendon can also help reduce strain on the foot.

Rest is crucial if you are experiencing pain. While staying active is important, allowing your body time to recover is equally vital. If certain activities exacerbate your pain, consider modifying your routine to include low-impact exercises, such as swimming or cycling, which can help maintain fitness without placing undue stress on your feet.

Lastly, managing your anxiety regarding injuries is essential for your overall well-being. It’s common for athletes to feel apprehensive about potential injuries, especially if they have experienced pain or discomfort. Practicing mindfulness techniques, such as deep breathing or meditation, can help reduce anxiety. Additionally, focusing on gradual progress and celebrating small victories in your recovery can foster a more positive mindset.

In summary, while your symptoms may be concerning, seeking professional evaluation and engaging in appropriate rehabilitation can lead to effective management and recovery. By addressing footwear, biomechanics, and incorporating physical therapy, you can work towards alleviating your foot pain and enhancing your athletic performance.

Similar Q&A

Understanding Ankle Pain: Causes, Diagnosis, and Treatment Options

I previously injured my ankle from dancing and playing basketball. Prolonged standing or walking causes significant pain. The doctor mentioned that overuse has led to joint wear, resembling that of someone in their 40s. Since I work in the kitchen during my military service, I ha...


Dr. Shi Guozheng reply Orthopedics
Ankle joint injuries typically affect the ligaments surrounding the joint, which are present on both the medial and lateral sides. The most commonly injured ligament is the anterior talofibular ligament, often damaged during activities such as basketball when the ankle is subject...

[Read More] Understanding Ankle Pain: Causes, Diagnosis, and Treatment Options


Understanding Lateral Ankle Tendon Pain After Sports Injury: Causes and Recovery Tips

Hello Doctor, last month while playing soccer, I suddenly felt a sharp pain in my left foot when I changed direction. I went for X-rays and ultrasounds, and both my ligaments and bones were fine. However, when I started my rehabilitation training, I noticed that when I stand on m...


Dr. Wang Zhaomin reply Rehabilitation
This consultation platform cannot provide a diagnosis. The current symptoms may be caused by an injury to the tendons or ligaments near the ankle. You can start with self-application of heat therapy and perform moderate stretching exercises. Additionally, using an ankle brace can...

[Read More] Understanding Lateral Ankle Tendon Pain After Sports Injury: Causes and Recovery Tips


Understanding Lateral Ankle Pain: Causes and Connections to Past Injuries

Hello! A couple of years ago, I accidentally stepped on someone’s foot while playing basketball with classmates, which resulted in a couple of ankle sprains, about two to three times. I used to get injured easily, but at that time, I could still walk slowly on my own without swel...


Dr. Hong Ximing reply Orthopedics
Hello: Ankle sprains, especially recurrent ones, can lead to ligament laxity if not properly healed, resulting in joint instability and an increased risk of developing arthritis symptoms in the future. Therefore, it is essential to have protective measures in place during physica...

[Read More] Understanding Lateral Ankle Pain: Causes and Connections to Past Injuries


Dealing with Heel Pain: Tips for Athletes After a Fall

I am an athlete specializing in sprinting and middle-distance running. After a fall, I experience severe pain in my heel every time I run, which affects my speed. What should I do?


Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. It may be an Achilles tendon strain. Since you are an athlete, you should seek treatment from a rehabilitation department at a major hospital. 2. If necessary, an ultrasound examination of th...

[Read More] Dealing with Heel Pain: Tips for Athletes After a Fall


Related FAQ

Ankle Sprain

(Rehabilitation)

Foot Pain

(Rehabilitation)

Sports Injury

(Rehabilitation)

Ankle Pain

(Orthopedics)

Sports Injury

(Orthopedics)

Athlete'S Foot

(Dermatology)

Ankle Injury

(Surgery)

Toe Injury

(Rehabilitation)

Ankle Fracture Recovery

(Orthopedics)

Ankle Sprain

(Family Medicine)