What is the treatment for foot pain?
Treatments are optimally directed toward the specific cause of the pain.
When you first begin to notice discomfort or pain in the area,
you can treat yourself with rest, ice, compression, and elevation (RICE).
Over-the-counter medications may also be used to reduce discomfort and pain.
Rest will allow the tissues to heal by preventing any further stress to the
affected area. Crutches should be used if you have difficulty putting weight on
the foot. Appropriate use of commercially available ankle and foot supports may
provide rest, comfort, and support to the affected area.
Ice should be applied no
longer than 20 minutes. The ice may be put in a plastic bag or wrapped in a
towel. Commercial ice packs are not recommended because they are usually too
cold. If extreme discomfort occurs, icing should discontinue immediately.
Compression and elevation will help prevent any swelling of the affected
tissues.
There are two types of over-the-counter medications that may help with
the pain and swelling of foot pain. Acetaminophen (Tylenol) will help reduce the
pain, while a nonsteroidal anti-inflammatory such as aspirin, ibuprofen (Motrin), or
naproxen (Naprosyn) can help lessen the pain and as well as reduce the inflammatory
response. Caution should be taken when using these drugs as dosage should not
exceed the labeled directions.
A popular home remedy for relief of plantar fasciitis is rolling a golf ball on the ground with the bottom of the foot.
Blisters occur as a result of chafing. These
"hot spots" should be attended to immediately with padding or friction reducers.
If these spots progress to a blister and are unbroken, the doctor can drain them
by puncturing from the side with a clean needle, and drained, the skin will act
as a natural bandage and should not be trimmed away. If the skin over the
blister is broken, the loose skin should be peeled back and the area should be
treated as an open wound. Blisters should be covered and padded before returning
to activity; in simple cases, a Band-Aid may solve the problem. If the blister is
bigger, donut pads, gel pads, or commercially available blister pads may be more
appropriate. To avoid blistering in the future, a generous application of petroleum jelly to the affected area can be helpful.
Medical treatment
Once the severity and cause of foot pain is determined, a
course of corrective and rehabilitative actions can be started.
- Qualified medical personnel may use electrical medical devices such as ultrasound, various forms of electrical stimulation, LED light therapy (laser), and/or manual therapies to reduce pain and increase circulation to the area to promote healing.
- Maintenance of fitness levels via modification of activity may be
prescribed.
- Substitute activities that aggravate the pain and
soreness. Running causes the body to have repetitive impact with the ground. The
use of bicycling, elliptical trainers, step machines, swimming, or ski machines
minimize impact and allow you to maintain and improve your fitness.
- Corrective
prophylactic measures
- New shoes or the replacement of current shoe insoles
- Proper footwear fitting, including lacing and sock combinations to eliminate
compression and friction issues
- Additional supports added to the shoes such as heel pads or cushions, arch
supports, and various wedges to help maintain the foot in a proper position
- Athletic shoes lose the elastic properties of the
soles through usage and age. A good rule of thumb is to replace your shoes every
six months or more often if there is heavier usage. The use of replacement
insoles can increase energy absorption and add support to the foot.
- Corrective and over-the-counter orthotics may also improve the biomechanics of the foot.
- Muscle strengthening and flexibility
- You may be given exercises to increase
the strength and stability of the affected area and to correct muscles that may
not be balanced.
- Exercises to increase flexibility will maintain or improve
the length of a muscle. Flexibility helps to make a stronger muscle and less
likely to be injured.
- Appropriate medication to control inflammation or
disease-related symptoms
- In some cases, surgery may be necessary.
- Biomechanical evaluation
- Your body will create various changes in movement
when you have an injury. A therapist can evaluate these changes and help you
make the appropriate corrections. Prolonged, uncorrected biomechanical changes may lead to secondary mechanical changes that are painful and difficult to correct and may lead to a poor prognosis and possibly a slow or incomplete recovery from the symptoms.
- Techniques such as chi and barefoot running or using minimalist running
shoes have been helpful and may help correct biomechanical problems in runners when properly implemented.
- Follow up with your doctor until you are better.