Could it be plantar fasciitis?
Hello, while walking, I occasionally experience a sudden sharp pain in the middle of the sole of my left foot (near the Yongquan point) during the action of stretching.
It feels as if something is stabbing me.
Although I suspect it might be a common condition known as plantar fasciitis, I checked the symptoms and found that I do not experience pain when I get up in the morning or when I normally step on the ground; the pain only occurs occasionally while walking.
There are no visible abnormalities on the surface of the skin.
I recall this phenomenon has been present for many years, with a low frequency of occurrence and no signs of worsening.
I usually ride a bicycle for exercise.
Could this be plantar fasciitis? Which specialist should I consult? Thank you!
Mr. Chen, 40~49 year old female. Ask Date: 2014/10/07
Dr. Chen Wayda reply Rehabilitation
It doesn't seem like plantar fasciitis.
Let's consult with the rehabilitation department.
Reply Date: 2014/10/07
More Info
Based on your description, it seems that you are experiencing a specific type of foot pain that may not align perfectly with the classic symptoms of plantar fasciitis. Plantar fasciitis typically presents with pain in the heel or along the arch of the foot, especially noticeable in the morning when taking the first steps out of bed or after prolonged periods of sitting. The pain usually decreases with activity but can return after long periods of standing or walking.
In your case, the sudden sharp pain near the Yongquan point (located on the sole of the foot) during movement, particularly when walking, suggests that it may not be plantar fasciitis. Instead, it could be related to other conditions such as a neuroma, tendonitis, or even a localized nerve irritation. The fact that you do not experience pain upon waking or during normal daily activities, and that the pain occurs sporadically, points away from the typical presentation of plantar fasciitis.
Here are some potential conditions to consider:
1. Morton's Neuroma: This condition involves a thickening of the tissue around a nerve leading to the toes, often causing sharp, burning pain in the ball of the foot. It can feel like a pebble in the shoe and is often exacerbated by certain types of footwear.
2. Tendinitis: Inflammation of the tendons in the foot can cause localized pain, especially during movement. This might be related to overuse or strain from activities like cycling.
3. Nerve Entrapment: If a nerve in the foot is compressed or irritated, it can lead to sharp, stabbing pain. This might occur due to anatomical variations or repetitive stress.
4. Plantar Fasciitis: While less likely given your symptoms, it is still a possibility. If you were to experience pain primarily in the heel or arch, especially in the morning, it would be more indicative of this condition.
Given the nature of your symptoms, it would be advisable to consult a specialist in orthopedics or a podiatrist. They can perform a thorough examination, which may include physical assessments and possibly imaging studies, to determine the exact cause of your pain. They may also conduct specific tests to evaluate the integrity of the nerves and tendons in your foot.
In the meantime, consider the following self-care measures:
- Footwear: Ensure you are wearing supportive shoes that provide adequate cushioning and arch support. Avoid high heels or shoes that compress the toes.
- Rest: If you notice that certain activities exacerbate the pain, try to modify your routine to allow for rest.
- Stretching and Strengthening: Gentle stretching of the foot and calf muscles can help alleviate tension. Strengthening exercises for the foot can also be beneficial.
- Ice Therapy: Applying ice to the affected area after activity can help reduce inflammation and pain.
In summary, while plantar fasciitis is a common cause of foot pain, your symptoms suggest that it may be something else. A thorough evaluation by a medical professional will help clarify the diagnosis and guide appropriate treatment.
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