Foot pain is a common complaint among Jupiter and Palm Beach Gardens residents. Because the foot is a very intricate structure with many causes of pain, a proper diagnosis is critical for proper treatment. The following are common conditions that affect the foot:
- Plantar fasciitis is a painful condition of the foot where the fascia on the underside of the foot becomes inflamed. Irritation of a non-supported arch of the foot is often the culprit. Chiropractic foot adjustments with physical therapy will help the pain while a custom foot orthotic (insole) will support the arch, allowing for long-term plantar fasciitis relief.
- Heel Spur / Heel Pain: Heel spurs can cause acute pain on the underside of the heel when walking or standing. Heel spurs are usually caused by calcium deposits along the plantar fascia where it inserts on the calcaneus bone (heel bone).
- Ligament Sprains & Muscle Strains: Foot and ankle sprain/strains usually occur suddenly due to a rolled ankle or acute trauma. Sprains, strains, bruises, and fractures can also result from either a single or combination of different stresses to the joints of the feet. A foot or ankle ligament sprain occurs when ligaments that hold the bones together are overstretched and their fibers tear. This overstretching of the ligaments can lead to ligament laxity (looseness) and often leads to foot pain. With the beautiful weather in Jupiter and Palm Beach Gardens that encourages year-round sports, South Florida athletes are often side-lined with these injuries.
- Fracture: Broken bones and stress fractures are common in the feet. In fact, nearly one fourth of all the bones in your body are in your feet. There are a number of different types of foot fractures including calcaneus fracture, metatarsal fracture, phalanges foot fracture and talus fracture.
- Flat Feet: Many people have flat feet with little or no foot pain while many others experience severe pain. Patients with flat feet have a collapsed or no arch while standing. Flat feet cause over-pronation of the feet creating abnormal stress to the feet, ankles, knees, hips, and back. The abnormal structure of the foot is the true cause of the problem and a custom foot orthotic is usually the cure to support the bones and arches of the feet.
- Tendonitis: Tendonitis and tendonosis involves the tendons of the feet becoming inflamed and irritated due to overuse or repetitive motion. While many people associate tendonitis with injuries like tennis elbow, tendonitis of the feet can be very problematic since it is hard to rest your feet. In conditions such as Achilles tendonitis, patients often have pain that radiates into the calf and heel, and if left untreated, can actually rupture the tendon. In conditions such as Posterior Tibial tendonitis, and early diagnosis with specific chiropractic, physical therapy and orthotics are important for full and complete recovery.
- Sesamoiditis: In sesamoiditis, the sesamoid bones (two very small bones) located under the first metatarsal bones (ball of the foot) become inflamed or even fracture. While creating significant foot pain, a proper fitting shoe and orthotic (shoe insert) will often correct the problem.
- Neuroma: Neuromas occur with the soft tissue between the toes rub against nerves, creating irritation, followed by non-cancerous growth on the nerve. The most common area for neuromas to occur are between the 3rd and 4th toes. While surgery is necessary in some cases, non-invasive treatments such as chiropractic, physical therapy, and orthotics usually resolve the pain.
Dr. Brandon Nevel is a Jupiter chiropractic physician offering chiropractic and physical therapy to Jupiter, Palm Beach Gardens, Tequesta, Juno, and the surrounding areas. Dr. Nevel has post-graduate certification in sports and extremities and has one of the only AMFIT foot scanning orthotic devices in South Florida.