Foot & Ankle Pain
Foot pain and ankle pain can occur for a number of reasons.
The foot and ankle is made up of a number of small bones interconnected by ligaments, muscles and fascia all working together to give the strength, stability and flexibility the foot and ankle needs to function properly.
Common conditions of the foot, ankle and areas which can give rise to pain include…
Acquired flat foot – when the inner side of the foot or inner arch flattens. The foot may roll over to the inner side (known as over-pronation). It is often apparent if the heels of shoes wear out quickly and unevenly. Over-pronation can damage your ankle joint and achilles tendon (the tendon at the back of your ankle) and can also cause shin pain. Symptoms can include, pain, swelling, change in foot shape and knee pain or swelling.
Plantar fasciitis – is pain and inflammation in the plantar fascia, the tough fibrous band of tissue that supports the arches of the foot and runs under the small bones from the underside of the heel and sole towards the toes. People who have plantar fasciitis describe it as a sharp pain, most often under the heel or instep of the foot. It tends to be made worse by standing for long periods of time in poor footwear. The sole of the foot can occasionally feel a little numb, tingly or swell slightly. In some cases of plantar fasciitis, a small spur of bone can grow where the plantar fascia attaches and pulls on the heel which can cause a sharp pain.
Achilles pain – the Achilles tendon is formed by the tendon of the two calf muscles, the gastrocnemius and soleus coming together and attaching onto the bone at the back of the heel. Pain, inflammation or tendonitis in the Achilles can cause pain and tightness in this area.
Sprained ankle – typically the result of a sudden twisting or “going over” on the ankle joint and more commonly it is the ligaments on the outside of the ankle that are strained. Typical symptoms are swelling, bruising, pain and instability of the ankle. Sometimes an x-ray is required to rule out any fracture. Rest, ice, elevation and compression are often advisable in the first 24 to 48 hours.
How can NIHP help my Foot & Ankle Pain?
- We can help you find out what’s really going on, and get to the root cause of your pain
- We can quickly start treatment that will relieve you of the pain you are suffering
- We can provide self-help techniques to do at home to help speed up your recovery
- Once we’ve sorted out the problem, we’ll give you the best advice for avoiding pain in future
We can help you get back to living life free from foot and ankle pain.
Depending on the diagnosis and your age and fitness your practitioner can use a variety of gentle massage and manipulative techniques to increase the mobility of the joints and the flexibility of the muscles in the foot.
Your practitioner will often look at muscles and joints in the lower limb, the knee, hip and lower back and may treat any joint restrictions and muscle tightness they find there. Often improving the movement in the joints of the lower will help the foot and ankle function better. They may offer specific balancing, strengthening or loosening exercises.
You will be offered advice on strapping and brace supports, footwear and any lifestyle factors that might be hindering healing. They may refer you to a podiatrist for their opinion and specialist foot supports.
X-rays, scans or other tests may be required to make a diagnosis and your practitioner refer you to your GP for any additional investigations and treatment such as advice on painkillers and anti-inflammatory medications.
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Useful links for Foot & Ankle Pain