Category: Hindfoot

Bursitis

Bursitis in the foot refers to inflammation of the bursae, which are small, fluid-filled sacs that cushion the joints and help reduce friction between bones, tendons, and muscles.

Symptoms of bursitis in the foot may include:

  • Pain and tenderness around the affected joint
  • Swelling and redness in the area
  • Limited movement or stiffness in the joint
  • Warmth or a feeling of heat in the area
  • A popping or clicking sensation in the joint

Bursitis can be caused by a variety of factors, including overuse, injury, and certain medical conditions such as rheumatoid arthritis. It is most commonly seen in the heel or ball of the foot.

Treatment for bursitis in the foot involves resting and protecting the affected area, applying ice to reduce swelling, and taking over-the-counter pain relievers to manage pain. In some cases, physical therapy or corticosteroid injections may be recommended to reduce inflammation and improve range of motion.

Preventing bursitis in the foot involves wearing properly fitting shoes that provide adequate support and cushioning, gradually increasing activity levels to avoid overuse injuries, and maintaining a healthy weight to reduce stress on the joints.

Arch pain

Arch pain is a common condition that can occur due to a variety of reasons. It is characterised by pain or discomfort in the arch or underside of the foot. Some common causes of foot arch pain include:

  1. Plantar fasciitis: This condition occurs when the plantar fascia, a band of tissue that runs from the heel to the toes, becomes inflamed. It is often associated with pain in the arch of the foot.
  2. Flat feet: Flat feet occur when the arch of the foot collapses or is absent, which can cause pain and discomfort in the arch.
  3. Overuse or strain: Overuse or strain of the muscles, ligaments, or tendons in the foot can lead to pain in the arch.
  4. Arthritis: Arthritis can affect the joints in the foot and lead to pain in the arch.
  5. Nerve entrapment: Nerves that run through the foot can become compressed or entrapped, which can cause pain in the arch.

Treatment for foot arch pain may depend on the underlying cause. Mild cases of foot arch pain can often be treated with rest, ice, compression, and elevation (RICE therapy), along with the use of pain relievers and anti-inflammatory medications to help manage pain and reduce swelling.

In cases of plantar fasciitis or flat feet, orthotic devices such as arch supports or custom-made shoe inserts may be recommended to help support the arch of the foot and relieve pain.

In more severe cases or cases that are not responsive to conservative treatment, physical therapy or other forms of rehabilitation may be necessary to improve foot strength and flexibility. Surgery is generally considered a last resort and is only recommended in very severe cases.

It is important to seek medical attention for foot arch pain to ensure proper diagnosis and treatment.

Adult acquired flatfoot deformity (AAFD)

Adult acquired flatfoot deformity (AAFD) is a condition where the arch of the foot collapses over time, causing the foot to become flatter and wider. This can result in pain, instability, and difficulty walking or standing for long periods of time.

The most common cause of AAFD is damage to the posterior tibial tendon, which is responsible for supporting the arch of the foot. Risk factors for AAFD include age, obesity, diabetes, and prior foot or ankle injuries.

Symptoms of AAFD may include pain and swelling along the inside of the ankle, a noticeable flattening of the arch, and difficulty standing or walking on the affected foot. Some people may also experience weakness or numbness in the foot or ankle.

Treatment for AAFD may depend on the severity of the condition and the patient’s overall health. Non-surgical treatment options may include rest, ice, physical therapy, and the use of orthotic devices or supportive shoes to help alleviate pain and improve stability. In some cases, the use of braces or immobilisation devices may be necessary to reduce stress on the affected foot.

Surgical treatment for AAFD may be necessary in more severe cases, particularly if non-surgical treatments have not been successful. Surgery may involve repairing or reconstructing the damaged posterior tibial tendon, or fusing the affected joints in the foot to provide greater stability and support. Recovery from surgery may require a period of immobilisation and rehabilitation to restore strength and function to the affected foot.