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MAN! My foot hurts!

Sometimes foot and heel pain come on for a very good reason. You jumped off the trampoline and landed hard or you have been pounding on concrete floors for an entire work shift. That’s real life and it would be normal to expect some aches and pains in the feet especially if you have abused them. A day or two of rest, maybe some pain-killers and you should be good to go.


Those of you who do not get better, what are you going to do now? It feels like you are stepping on glass shards every time after standing up. Worse yet, resting doesn’t seem to be doing anything. You’ve been told you need insoles or custom orthotics or worse yet, you should be referred to a specialist.

What is going on?

The most likely diagnosis is plantar fasciitis, although there are a number of foot related pains that involve different tissues within the foot. Fascia is a tough fibrous tissue whose main job is to provide tension and an anchoring spot for other tissues. Think of the foot like a bow with the arrow string lying flat on the ground. The bones of the arch form the bow part and the bowstring is the plantar fascia. As body weight pushes down you would think the bones would flatten out except that putting additional weight onto a normal arch actually causes it to get stronger. The Romans figured this out more than 2000 years ago and made some phenomenal structures using this principle. The fascia then acts as an anchor to hold the two ends of the arch from moving away from each other and collapsing it. The problem is that the fascia is inflamed and needs a little support to heal up. Unfortunately arch supports can tend to aggravate the problem at this point. Pushing an arch up into an inflamed fascia will just keep the inflammation going.

There are a number of treatment options available to help with your foot problems. A careful physical assessment of your foot should be done in order to determine the injured tissue. Once the injured part is correctly identified, the proper treatment will help support and heal your foot.

Your physical therapist will have a look at your feet and decide if your pain is one of the more common problems typical to feet. Give us a call at 360 Mayfield (780) 758-5287 to book your appointment so you can walk normally again.

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