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Foot pain - Highlights

Description

An in-depth report on the causes, diagnosis, treatment, and prevention of foot pain.

Alternative Names

Bunions; Corns; Hammertoe; Plantar fasciitis; Tarsal tunnel syndrome; Flat feet

Highlights:

Overview

  • About 75% of people in the United States have foot pain at some time in their lives.
  • Most foot pain is caused by shoes that do not fit properly or that force the feet into unnatural shapes (such as pointed-toe, high-heeled shoes).
  • Foot pain generally starts in one of three places: the toes, the forefoot, or the hindfoot.
  • Nearly all causes of foot pain can be grouped under one of the following:
    • Ill-fitting shoes
    • Certain medical conditions
    • High-impact exercise

Treatment

  • The acronym RICE stands for rest, ice, compression, and elevation -- the four basic elements of immediate treatment for an injured foot.
  • Orthonyxia, a newer surgical technique that implants a small metal brace into the top of the nail, may be as effective as traditional surgical techniques for preventing ingrown toenails from recurring.
  • The American Orthopaedic Foot and Ankle Society (AOFAS) suggests shoe inserts, medications, and stretching as a first line of therapy for heel pain.

Prevention

The American Podiatric Medical Association offers the following tips for preventing foot pain:

  • Don't ignore foot pain -- it's not normal.
  • Inspect feet regularly.
  • Wash feet regularly, especially between the toes, and dry them completely.
  • Trim toenails straight across, but not too short.
  • Make sure shoes fit properly.
  • Wear the right shoe for specific activities (such as running shoes for running).
  • Don't wear the same pair of shoes every day.
  • Avoid walking barefoot, which increases the risk for injury and infection.
  • It is critical that people with diabetes see a podiatric physician at least once a year for a checkup.

Resources

References

Bostanci S, Kocyigit P, Gurgey E. Comparison of phenol and sodium hydroxide chemical matricectomies for the treatment of ingrowing toenails. Dermatol Surg. 2007;33:680-685.

Donley BG, Moore T, Sferra J, Gozdanovic J, Smith R. The efficacy of oral nonsteroidal anti-inflammatory medication (NSAID) in the treatment of plantar fasciitis: a randomized, prospective, placebo-controlled study. Foot Ankle Int. 2007;28:20-23.

Frey C, Zamora J. The effects of obesity on orthopaedic foot and ankle pathology. Foot Ankle Int. 2007;28:996-999.

Gollwitzer H, Diehl P, von Korff A, Rahlfs VW, Gerdesmeyer L. Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electromagnetic shock wave device. J Foot Ankle Surg. 2007;46:348-357.

Hughes RJ, Ali K, Jones H, Kendall S, Connell DA. Treatment of Morton's neuroma with alcohol injection under sonographic guidance: follow-up of 101 cases. Am J Roentgenol. 2007;188:1535-1539.

Kruijff S, van Det RJ, van der Meer GT, van den Berg IC, van der Palen J, Geelkerken RH. Partial matrix excision or orthonyxia for ingrowing toenails. J Am Coll Surg. 2008;206:148-153.

Malay DS, Pressman MM, Assili A, Kline JT, York S, Buren B, Heyman ER, Borowsky P, LeMay C. Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, multicenter intervention trial. J Foot Ankle Surg. 2006;45:196-210.

  • Reviewed last on: 2/3/2009
  • Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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