On the whole, the feet are very small when compared to the rest of the body. During the day, most people spend about 12 to 14 hours on their feet. Because the feet are used so much during normal daily activity, the excessive loads that are placed on the feet mean approximately 75% of people worldwide will suffer foot pain at some stage in their lives. Foot pain can also reduce your mobility and independence, as is often seen in the elderly. When your feet hurt, it not only disturbs your body but it can prove to be distracting to your work and concentration.
Causes of foot pain
Prolonged standing, over pronation and the pressures that this places on the joints, muscles and ligaments of the foot are major causes of foot pain. There are many occupations that require long periods of static standing such as the health, retail, fashion and construction industries. Standing for long periods of time causes the muscles of the lower limb to become fatigued and overworked. Blood pooling due to decreased venous return also increases discomfort in the lower limb. The overall result of this being tired aching legs.
Ill fitted shoes and wearing high heels can also contribute to foot pain. High heels make women to look smart and taller, however they can become very uncomfortable if they wear these for long periods or during inappropriate activities. High heels increase the pressure on the ball of the foot and toe region above what the foot is designed to withstand. This overloads the structures of the forefoot leading to ball of foot pain and discomfort.
Aging, being overweight and many other systemic diseases such as diabetes, gout, arthritis all increase the likelihood of foot problems. Generally these systemic (whole body) diseases affect the function and structure (depending on the disease) of the foot. This changes the function of the foot and often leads to foot pain.
Certain age groups also suffer foot pain at different times of their lives. Children suffer from aches and pains during their growth and development. This was traditionally called growing pains, however today we know that there is treatment for these aches and pains. The two most common children’s pains are, Severs disease (pain at the heel) and Osgoodschlatters Syndrome (pain at the knee). These are both growing related problems that are aggravated by over use and poor mechanics.
The elderly are another group that often suffer foot pain. This is largely due to over use from a life time of wear and tear. Although wear and tear are not reversible, there are still treatment options available for this group of patients, to make walking pain free.
What people do when they face the problem of foot pain?
In most of the cases when people suffer foot pain the first thing they do is to reduce their activity. This usually works quote well as it will rest the foot. They apply pain removing gel to the painful area or take anti-inflammatory medications. This approach masks the symptoms of their foot pain. The real underlying problem of most kinds of foot pain is a functional abnormality that will need to be corrected.
Over weight and unfit people who are trying to lose weight often walk for exercise. The extra weight and activity further strains the feet, making walking less enjoyable, making exercise and weight loss even less likely.
Some people have no option other than to continue activity. This patient group wither either has to work due to financial commitments or has to continue activity as they are part of a sporting team. This group usually tends to push through the pain barrier until it is impossible to go on any longer.
Some people chose to ignore their foot pain and continue to wear their fashion shoes (Fore example ladies wearing high heeled fashion shoes). Over time the strain on the foot compounds and eventually results in an overuse injury. When the foot injury gets to this stage it is often impossible to ignore.
The solution for foot pain
Overall the best solution to the above mentioned problems is to support the foot and help to limit excess wear and tear on the foot. This is best done with orthotic innersoles and appropriate footwear. Orthotic innerosles help to support the foot, prevent over pronation and limit wear and tear on the joints, ligaments and muscles of the foot. Orthotic innersoles align the foot in its most efficient functional position and help to reduce the wear and tear on your feet and ankles. The use of these orthotics results in a reduction in the pain in the feet.
It is important when selecting orthotic innersoles to select an orthotic that matches your activity level and also your shoe type. For example different orthotic innersoles are used for running as opposed to ladies fashion shoes.
Diabetes And Foot Pain
Although flat feet affect a significant part of the population, so does diabetes. Like those with flat feet, people with diabetes can develop foot pain. However, the foot condition that affects diabetics is called diabetic distal symmetric sensory polyneuropathy, better known as diabetic neuropathy.
Diabetic neuropathy is a condition that results in the loss of sensation in the feet. Diabetic neuropathy often develops from poor blood circulation and nerve damage in the feet.
Poor blood circulation can occur in diabetics when the arteries harden from: smoking; high blood pressure; high fat levels in the blood; high blood sugar. When arteries harden, the feet receive poor blood flow which also slows down healing. Poor blood supply symptoms include:
- Cold feet
- Leg pain during walking
- Foot pain while sleeping
Nerve damage can be a hazardous condition. This is because it is through the nerves that the brain registers sensations. Someone with nerve damage may not realize that they have an injury such as a cut or blister. If not taken care of, these minor foot injuries can develop into ulcers, and if the ulcer isn't taken care of, gangrene can develop which can lead to amputation.
Nerve damage symptoms include:
- Pins and needles, pain, or shooting pain in the feet
- Numbness in the feet
- Burning sensation in the feet, especially on the soles
Preventing foot problems - There are many things that can be done to prevent foot injury and alleviate discomfort. The following are some preventative tips -
Tip 1 -Monitor your blood sugar levels and carefully follow the diet provided by your health care provider. Controlling your blood sugar helps lower the risk of nerve damage.
Tip 2 - Maintain a healthy lifestyle by exercising regularly, lose weight, quit smoking, limit alcohol consumption, and reduce stress.
Tip 3 - Wash your feet daily with tepid water and mild soap. Dry your feet thoroughly, particularly between the toes. Also, inspect your feet daily for blisters, cuts, color changes, or any other signs of injury.
Tip 4 - Maintain short toenails by cutting the nails straight across. Be sure to file down any rough edges.
Tip 5 - Wear shoes that are properly fitted to your foot and provide you with support. Your toes should be able to move freely, and you shouldn't have to "break in" the shoe. Avoid wearing heals or shoes with pointed toes or going barefoot (even in your home). Ask a podiatrist for recommendations.
Tip 5 -Have your doctor examine your feet on a regular basis (at least annually) to check for poor circulation or nerve damage.
Treating foot problems - If you have developed an injury or condition, keep the following in mind:
Corns or calluses - Never try to remove these on your own, or with over-the-counter treatments. The skin on your feet is very sensitive and you don't want to risk causing further injury. Have a podiatrist remove them.
Cuts or blisters - Use a mild antiseptic to clean the injury such as liquid savlon. Cover the injury with fresh gauze and surgical tape - not a band-aid.
Pain - if you are experiencing pain in your feet, try taking general pain relief medication such as aspirin, acetaminophen or ibuprofen. However, these pain relievers may not be enough, and you may require prescription meds from your doctor.
When to seek the assistance of your doctor - Although it is not necessary for you to bring every cut or blister to your doctor or podiatrists attention, you should seek medical attention when:
- An injury or cut becomes red or does not heal within 2 days.
- You develop throbbing, swelling, heat, pain, or discoloration in your feet.
Remember, most diabetic foot pain issues can be prevented when you take care of yourself and your feet, and you respond quickly to problems.
Both Kent Elliot & Dave Wilson are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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