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Following are twelve of the most common foot problems. Find
out about the symptoms and suggested treatments. Be sure to see
your doctor if you suspect you have a problem.
The Foot Health Foundation of America, a national health
initiative, lists many of the following common foot ailments.
Others are listed by the American Association of Orthopaedic
Surgeons. Also included below are brief descriptions and
suggested treatments of each condition. As always, any chronic
pain, swelling, or other problems of the feet or body should be
professionally evaluated.
Achilles tendinitis
- Irritation and inflammation of the tendon that attaches to
the back of the heel bone.
- Can be caused by improper warm up or over training.
- Can be treated with ice, rest, aspirin, or anti-inflammatory medications.
- Should be evaluated by your healthcare professional.
Bunions
- Misaligned big toe joints that can become swollen and tender.
Painful enlargement at the joint of big toe.
- First joint of the big toe may slant outward. The second
joint may slant toward the other toes.
- Condition tends to be hereditary, but can be aggravated by shoes that
are too narrow in the forefoot and toe.
- Surgery is frequently recommended to correct the problem.
- After age 65, there is a 200% greater risk in
developing a bunion.
Corns/calluses
- Areas of thick, dead layers of skin. (Serves as padding over
skin tissue under excessive pressure: a reaction to foot abuse
and stress.)
- Usually results from repeated wearing of tight, ill-fitting
shoes (high heels, ill-fitting shoes, etc). Most common on big toe
and fifth toe. Calluses also are found underneath ends of foot
bones. Soft corns may also develop between the toes.
- May be caused by obesity, problems with walking motion, flat
feet, loss of fat pad on foot bottom, bony prominences, and other
problems.
- See your foot doctor for a thorough examination of your
feet.
- Get both feet properly fitted for shoes. Wear thick socks for
sports activities and recreational walking. Pads and orthotics
may be prescribed. Surgery is the last resort.
- Avoid temptation to remove corns and calluses with
razors/knives.
Hammertoe
- A condition, usually stemming from muscle imbalance, in which
the toe is bent in a claw-like position.
- Most frequently occurs with the second toe, often when a
bunion slants the big toe toward and under it.
- Selecting shoes and socks that do not cramp the toes will
help alleviate aggravation.
- Shoe inserts or pads may help. If no improvement, surgical
treatment many be necessary.
Heel pain/spurs
- Growths of bone on the underside, forepart of the heel
bone.
- Can be inflammation of connective tissue on the sole of the
foot.
- Occurs when the plantar tendon pulls at its attachment to the
heel bone. Can later calcify to form a spur.
- Strain to the ligament can be reduced with proper warm-up and
the use of appropriate athletic shoes.
- May improve spontaneously. Medication and shoe inserts may be
helpful.
- Steroid injections and walking casts may be prescribed if
pain continues. Surgery is only recommended in the most troublesome cases.
Ingrown toenails
- Nails whose corners or sides dig painfully into the
skin.
- Frequently caused by improper nail trimming. May also be
caused by shoe pressure, injury, fungus infection, heredity
and/or poor foot structure.
- Can be prevented by trimming toenails straight across,
selecting proper shoe style and size, and paying attention to
foot pain.
- Because of shoe styles, women are 50% more likely than men to
have ingrown toenails.
Neuromas
- Enlarged benign growths of nerves, most common between the
third and fourth toes.
- Caused by tissue rubbing against and irritating the nerves,
or "pinched nerve." Ill-fitting shoes (usually tight) or abnormal
bone structure also can create the condition.
- Pain may radiate from tissue buildup through toes.
- Treatments include shoe inserts (orthotics) and/or cortisone
injections, but surgical removal of the growth is sometimes
necessary.
Plantar fasciitis (See Heel
pain)
- Pain on the bottom of the feet -- very irritating, but rarely
serious.
- Commonly traced to an inflammation (of the plantar fascia,
the tissue that connects your heel bone and toes)
- A podiatric physician can evaluate, and may prescribe
customized shoe inserts to help alleviate the pain. According to
the Mayo Clinic, there is no quick cure to this condition. It can take 6 months or longer before your heel is back to normal." Custom orthotic devises, ultrasound, corticoseroids, or surgery may be
recommended.
Plantar warts
- Occur on sole of foot and may look like calluses. Grows
inward. May be one or many.
- Caused from an infection of a virus.
- May cause severe pain when walking.
- Difficult to treat, but often improves with salicylic acid
(available at drug stores without prescription).
- Other treatments by physicians may include injecting with
medication, freezing with liquid nitrogen, and on very rare
occasions, surgery.
Sesamoiditis
- Problems with two small bones (the sesamoids, known as the
"ball bearings of the foot") found beneath the first metatarsal
bones.
- May inflame or rupture under the stress of exercise.
- Can be relieved with proper shoe selection and orthotics.
Shin splints
- Pain to either side of the leg bone.
- Caused by muscle or tendon inflammation.
- Commonly related to collapsing arch (excessive foot
pronation), but may be related to muscle imbalance in the
leg.
- Proper stretching and corrective shoe inserts can help
prevent shin splints.
Stress fractures (different
from "complete" fractures)
- Incomplete cracks in bone.
- Caused by overuse.
- Heal quickly with complete rest. Extra padding in shoes helps
prevent them.
- Left untreated, they may become complete fractures, which
require casting and immobilization.
Fungal
infections
Most fungi are harmless until
they penetrate the skin. A fungus can invade through minor cuts,
causing the nail to separate from the bed. The fungus can cause
the nail to thicken and become yellow or brownish. Pressure from
a thickened nail or the buildup of debris may cause the toe to
become painful. Treatment can consist of filing the nail plate
down with a surgical burr, in addition to oral or topical
medications.
Fungal foot problems are painful
infections. A synthetic antifungal agent such as Penlac® (ciclopirox) inhibits the growth of
dermatophytes, a type of fungus that grow on the skin, hair, and
nails. These infected nails can become white, thick, and brittle
causing pain in people when they walk or do other simple
activities
Sources: American Academy of Orthopaedic
Surgeons (AAOS) Center for Podiatric Information Foot Health Foundation of America, a National Health Initiative of the American Podiatric Medical Association 1-800-615-0807 The Foot and Ankle Institute of Utah (www.feetnet.com) FDA Consumer Magazine March-April 2000
Want to learn more about conditions of the feet? Then check out these articles in the Foot Problems Forum: Foot Problems as Symptoms and Warning Signs Foot Care Providers Preventing Foot Problems Young Feet, Old Feet Glossary of Terms Foot Health Anatomy of Your Feet
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