Chronic Inner Foot Pain: Causes, Symptoms, and When to Seek Help

Chronic pain on the inner side of the sole of the foot?

I have been helping with household chores at home, which requires me to stand for long periods.
My symptoms are as follows: 1.
Since the first year of junior high school, I have experienced persistent soreness on the inner side of the soles of my feet, just below the ankles.
Sometimes the pain feels as intense as if I had twisted my ankle, and seeing a traditional Chinese medicine practitioner has not improved it.
2.
Additionally, due to frequently lifting heavy objects, I have developed chronic soreness in both shoulders.
Even when sitting still, I feel a heavy and aching sensation in my shoulders.
I would like to ask if I should go to a major hospital for an examination.
Why have my symptoms been unable to heal for such a long time?

Gui Gui, 10~19 year old female. Ask Date: 2015/07/23

Dr. Li Weiqiang reply Rehabilitation

Hello,
1.
How long do you need to stand while helping with household chores at home?
2.
The symptoms you listed resemble plantar fasciitis, which can occur due to various reasons, including structural abnormalities of the foot that lead to uneven distribution of pressure on the plantar surface, resulting in increased pressure over time, especially if adequate rest is not taken.

3.
Frequently lifting heavy objects can lead to chronic pain in the shoulders, which I believe is related to your posture.
You may consider changing your posture or the way you lift items.
You can visit a general hospital's rehabilitation department; it is not necessary to go to a large hospital for examination.
Long-term inability to heal is often related to poor posture over time.

Wishing you peace and health,
Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare,
Li Wei-Chiang

Reply Date: 2015/07/23

More Info

Chronic inner foot pain, especially when associated with prolonged standing and physical labor, can be attributed to several underlying causes. Given your symptoms, it is essential to explore the potential reasons for your discomfort and the appropriate steps to take for diagnosis and treatment.

Causes of Chronic Inner Foot Pain
1. Plantar Fasciitis: This is one of the most common causes of foot pain, particularly in the heel and arch area. It occurs due to inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot. Symptoms typically include sharp pain in the heel or arch, especially after periods of inactivity or in the morning.

2. Tendonitis: Overuse of the foot, especially from activities that involve lifting heavy objects or prolonged standing, can lead to tendonitis. This condition involves inflammation of the tendons in the foot, leading to pain and discomfort.

3. Flat Feet or High Arches: Structural issues in the foot can lead to chronic pain. Flat feet can cause overpronation, leading to strain on the inner foot, while high arches can cause excessive pressure on the foot's ball and heel.

4. Nerve Entrapment: Conditions such as tarsal tunnel syndrome, where the posterior tibial nerve is compressed, can lead to pain, tingling, or numbness in the foot.

5. Stress Fractures: Repetitive stress from activities like lifting heavy objects can lead to small cracks in the bones of the foot, causing localized pain.

Symptoms to Monitor
- Pain Location: Note whether the pain is localized or spreads to other areas.

- Pain Intensity: Assess if the pain worsens with activity or at rest.

- Swelling or Bruising: Look for any visible signs of inflammation.

- Mobility Issues: Determine if the pain affects your ability to walk or stand.

When to Seek Help
Given the chronic nature of your symptoms and the lack of improvement with traditional treatments, it is advisable to seek a comprehensive evaluation from a healthcare professional. Here are some steps you can take:
1. Visit a Specialist: A podiatrist or orthopedic specialist can provide a thorough examination of your foot and ankle. They may perform physical examinations, imaging studies (like X-rays or MRIs), and gait analysis to determine the underlying cause of your pain.

2. Physical Therapy: A physical therapist can develop a tailored rehabilitation program to strengthen the muscles in your foot and improve flexibility, which may alleviate pain.

3. Orthotic Devices: Custom orthotics can help correct structural issues in your feet, providing better support and alignment, which may reduce pain.

4. Medication: Over-the-counter anti-inflammatory medications can help manage pain and inflammation. In some cases, a doctor may prescribe stronger medications or corticosteroid injections.

5. Lifestyle Modifications: Consider adjusting your work environment to reduce strain on your feet. This may include using supportive footwear, taking regular breaks to sit down, and practicing foot exercises.

Conclusion
Chronic inner foot pain can significantly impact your quality of life, especially when it interferes with daily activities and work. It is crucial to address these symptoms promptly and seek professional help to identify the underlying cause. With the right diagnosis and treatment plan, you can manage your pain effectively and improve your overall foot health. Remember, early intervention often leads to better outcomes, so don’t hesitate to consult a healthcare provider for a thorough evaluation.

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