Back Foot Pain

Heel and Back-of-the-Foot Pain

Plantar fasciitis or heel spurs
Back of the arch right in front of heel.
At onset, some people report a tearing or popping sound. Pain is most severe with
first steps after getting out of bed. Pain decreases after stretching, returns
after inactivity.
Over-the-counter foot insole (cut quarter-size hole surrounding painful area).

Relief:

Possible night splints. Orthotics if necessary.

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Bursitis of the heel
Center of the heel.
Pain, with warmth and swelling. Increases during the day.

Relief:

Heel cup

Haglund's deformity (pump bump)
Fleshy area on the back of the heel.
Tender swelling aggravated by shoes with stiff backs.

Relief:
Soft shoes. Heel pads. Possible orthotic to support heel.

Achilles tendinitis
Achilles tendon: area along the back between calf muscles and heel.
Pain worsens during physical activities (particularly running), after which the
tendon usually swells and stiffens. If it ruptures, popping sound may occur
followed by acute pain similar to a blow at the back of the leg.

Relief:

Insoles, tendon strap, heel cups.

Arch and Bottom-of-the Foot Pain

Tarsal tunnel syndrome
Anywhere along the bottom of the foot.
Numbness, tingling, or burning sensations, pain, most commonly felt at night.

Relief:
Specially designed orthotics to relieve pressure.

Toe Pain

Corns and calluses

Around toes, usually little toe, bottom of feet or areas exposed to friction.

Hard, dead, yellowish skin.

Relief:
Wide (box-toed) shoes; soft cushions under heel or ball of foot, or customized or gel insoles for
calluses. Doughnut-shaped pads for corns.

Ingrown toenails

Nail curling into skin causes pain, swelling, and, in extreme cases, infection.

Relief:
Sandals, open-toed shoes.

Bunions and bunionettes (tailor's bunion)

The following can occur alone or in combination:

Metatarsus primus varus. The first (big toe) metatarsal bone shifts away from the second, and the
big toe points inward.

Medial exostosis. This is a bony bump at the base of the big toe, which protrudes outward. Area next
to bony bump is red, tender, and occasionally filled with fluid. Toe joint may be inflamed.

Hallux valgus. This is a deformity in which the bone and joint of the big toe shift and grow inward,
so that the second toe crosses over the big toe.

Relief:
Soft, wide-toed shoes or sandals. Bunion shields or splints. Thick doughnut-shaped moleskin pads,
custom-made orthotics or foot slings, if necessary. Avoid shoes with stitching along the side of the "bump."


Morton's neuroma (also called interdigital neuroma)

Inflammation of the nerve, usually between the third and fourth toes and bottom of the foot near
these toes.
Cramping and burning pain, or electric-shock sensation. The condition may produce a thick
protective sheath around the nerve that feels like a ball. This may be detected by pressing top to
bottom on the top of the foot using one hand and moving the other hand from side to side. Morton's
neuroma is aggravated by prolonged standing and relieved by removal of the shoes and forefoot
massage.


Relief:
Wide (box-toed) shoes. Orthotic or insole with pad that reduces stress on the painful area.

Hammertoe or claw toe

Usually second toe, but may develop in any or all of the three middle toes.

Toes form hammer or claw shape. In hammertoe, the first knuckle of the toe is mainly affected. In
claw toe the entire toe is deformed. No pain at first, but pain increases as tendon becomes tighter and
toes stiffen.

Relief:
Wide (box-toed) shoes. Toe pads or specially designed shields, splints, caps, or slings. (Splints or
slings are not for people with diabetes.)

Front-of-the-Foot Pain

Metatarsalgia

Ball of the foot.

Relief:
Wide (box-toed) shoes. Orthotic with pad that reduces metatarsal pressure. Gel cushions. Metatarsal
bandage.

Stress fracture

Most often in the area beneath the second or third toe.

Sudden pain (which persists) when injury occurs.

Relief:
Low-heeled shoes with stiff soles.

Sesamoiditis

Ball of foot beneath big toe.

Pain and swelling.

Relief:
Low-heeled shoe with stiff sole and soft padding inside.


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