Hey, this is Sock Doc. And today I’m goingto talk about plantar fasciitis, a common problem that many people have, painin their foot, pain in the heel. Typically, it’s worse as you get upin the morning and step down out of bed. People get a sharp pain in their heel,sometimes more towards the arch of their foot. And actually it tendsto get better as you walk throughout the day, only to wake up the nextday and have the pain result all over again. It keeps people from walking. It keeps peoplefrom running and a lot of
discomfort in the foot. So it’s importantto realize that like with most issues, most ailments, most injuries it’s importantto diagnose why you have something rather than what have. So obviouslyif you have pain on the bottom of your foot, someone might diagnosethat as plantar fasciitis, as heel pain, or as arch pain, but why did youget that? Plantar fasciitis is often from a weaknessin the lower leg muscles as well as foot muscles that are the result of muscleimbalances caused from too much stress in someone’s life. That can befrom too much physical stress.
Either someone who is overtraining, an athletetraining too hard, too often, too high a heart rate, racing too much.Or someone who doesn’t even work out at all, but they’re standing on theirfeet and causing some pain and muscle imbalances because they’re basicallyworking too hard, maybe too many hours in the office, dealing with kidsat home, too many life stresses, or they’re eating improperly, too. So overall excessive stress in someone’s lifewill actually have a reflection on the lower leg muscles, yourcalf muscles, and your foot
muscles, and cause the connective tissueat the bottom of your foot to tighten up and your plantar fascia will startto hurt and pull on where it attaches to your heel. The next thing youknow you’ve got plantar fasciitis. So here’s some things you can do that aremost likely different than what you have been taught to do for plantar fascia.First, we don’t want to stretch the plantar fascia because when youstretch a muscle or stretch an injury you’re stretch connective tissue, youelongate the fibers.
What you want to do is bring those back togetherso they heal quicker. So stretching is going to delay the injury. Whatyou want to do is look for trigger points, especially down the inside of yourtibia bone which is your shin bone. Run your thumb down the inside of thattibia bone and look for tender spots throughout the leg coming all the waydown, especially where it attaches to the arch of your foot. So here, all the way up on the inside of thistibia bone, not back here on your calf. So you’re not coming this way,but you’re coming in like that.
Also, behind the calf in here and in here.Feel any trigger points? Then work them out. Hold them, squeeze them. Youcan move your foot a little bit and basically rub them out. You really shouldn’tbe very sore at all, but the point is that the muscle imbalances arein here. The injury is more in here even though it’s felt here in yourheel. You also want to strengthen your foot, andyou’re going to strengthen your foot by starting to do some exercises suchas a simple towel exercise, crunching up your toes like this, crunchingup a towel really squeezing
I Had Bunion Surgery Why Does the Ball of My Foot Hurt Now
Hi, so today we’re going to answer the question,quot;Why does the ball of my foot hurt since I’ve had bunion surgery?quot; And this can be veryfrustrating. You have surgery to correct a pain in the big toe joint and at the bunion,and all of a sudden, now you’re having pain elsewhere on your foot, under the ball ofthe foot, for example. And, it’s also a very, very common problem. So first, let’s look at what happens duringbunion surgery. So here’s essentially what a bunion looks like, and our goal, when wedo surgery on it, is to bring it over so it’s straight and we don’t have this bump overhere anymore. To do that, we have to make
a cut in this big first metatarsal bone here.So the cut may be down here, it may be up here, but one way or another, we have to makea cut in that bone to slide the bone over to correct the bunion. Whenever you cut bone,however, that bone will shorten a little bit as it heals. So what happens is, this bigfirst metatarsal bone right here, which should be bearing about half the weight of the ballof the foot, it’s now a little shorter, and from the side, that means that it’s a up alittle bit. It’s not bearing as much weight as it was before, and so this second metatarsalbone has to take up more pressure. So there’s a large percentage of patientsthat do have bunion surgery that end up with
a problem underneath here. It could be painunder this area, it could be a callus forming under the area. Occasionally, it’s not common,but occasionally you can even get a stress fracture in this second metatarsal bone. Sowhen this occurs, our goal is simply to get the pressure off of this area and transferthat pressure elsewhere, either back here or over in this direction, and sometimes backonto that first metatarsal bone over here. We do that by putting something inside yourshoe than conforms fairly close to the arch of the foot, something that’s going to transferpressure from the ball of the foot and get that pressure under the arch.
So that can be an overthecounter arch support.If you go to our website, you can look up quot;ball of foot painquot; and you’ll come up witha list of some of the better overthecounter supports that you can use for this problem.If that’s not enough, see your podiatrist about getting a custom orthotic. Custom orthoticsfor this problem, which can be fullsized like this one for athletic shoes or made smallfor dress shoes, they’re going to work a bit better. Actually, they can work a lot betterthan the overthecounter devices because they can conform much closer to the arch ofthe foot. In addition, we can incorporate into those orthotics, special pads like thisone that will transfer more pressure off the
ball of the foot and onto the metatarsalshere, and we can add extra cushion under there to take some more pressure off of it. But, it’s fairly simple to get the pressureoff of that area, so if you’re having pain after your bunion surgery, don’t live withit. Go back and see your podiatrist, see about an orthotic. If your podiatrist isn’t makingone for you that’s working, then try and find a podiatrist in your area that specializesin orthotics and biomechanics. And again, you can go to our website and just look upquot;ball of foot painquot; in the search function, and you can find some suggestions on whatyou can start off with at home.