Foot Arch Pain [Causes, Symptoms & Best Home Treatment]
Foot Arch Pain: Plantar fasciitis & heel pain is experienced by up to 44% of people worldwide. Find the causes, symptoms & best home treatment!
Look:
- The bottom of the heel pain can be improved with a few simple treatment changes.
- We are foot doctors & we see this problem get better almost every day.
- The goal is to solve this problem without medication or surgery if possible.
So, let’s GO!
Table of Contents
Heel Pain Causes: Picture & Photo Gallery
Look:
- One of the top causes of heel pain is plantar fasciitis. This is damage to a ligament that holds your heel to your toes.
- Another root cause of heel pain has flat feet.
- There are also photos of heel spurs that can occur to the bottom of your heel (plantar fascia insertion) and the back of your heel (Achilles tendon insertion).
- Baxter’s nerve entrapment can also happen at the bottom of the heel.
- An underlying cause is an overpronated flatfoot or an over a supinated high arched foot.
- A plantar fibroma is a thick nodule that can occur within your plantar fascia ligament and contribute to plantar fasciitis.
- This can lead to the formation of a heel stress fracture( AKA calcaneus stress fracture.)
Please click on the gallery for a guided tour through heel pain conditions!
What Is Foot Arch Pain?
There are many theories to the causes of foot arch pain:
- But essentially, all are related to inflammation.
- This is just like muscle back pain or a sore pitching arm.
- The pain is most obvious on your foot because it supports your entire body!
- Decreasing inflammation will affect compartment pressure & nerve irritation.
- There are many theories, but research shows treatment is 99% effective!
Inflammation Of The Foot Arch Or Heel:
Inflammation of the arch, heel, and bottom of the foot is plantar fasciitis.
- The ligament across the bottom of your foot is the plantar fascia.
- If this ligament becomes irritated, it will swell and become sore.
- Think of it like an old elastic that cracks as it stretches.
- This stretching causes pain but can not heal in time for you to start walking again.
- This happens for years, and eventually, your plantar fascia is stiff, scarred, and stiff.
The goal of this treatment guide is to relieve your plantar fascia!
Causes Of Severe Foot Arch Pain:
These are all inter-related to inflammation:
1) Sore Foot Arch In The Morning:
- If you have a sore foot arch in the morning, it is inflammation.
- It is also after sitting, resting, or sleeping.
- Your body is attempting to heal the arch at night but can’t do it in time.
- This is one of the hallmark features of plantar fasciitis.
2) Inner Arch Foot Pain:
- Inner arch foot pain is the most common attack site of inflammation.
- This is still essentially guaranteed to be plantar fasciitis.
- This is a site of high tension on foot.
3) Central Heel & Arch Pain:
- This is the 2nd most common site of pain.
- This is the site of the famous bone spur.
- The bone spur is just proof of years of arch pain!
4)Bone Spurs On Bottom Of Foot:
- A bone spur on the bottom of the foot is proof of chronic stretching
- The fascia, not the spur has been proven to cause the pain.
- If you treat the inflammation, the heel spur should not cause pain.
5)High Arches Foot Pain:
- High arches will lead to altered foot mechanics.
- This will present a different strain across the bottom of your foot.
- This might not always be inflammation pain.
6)Collapsed Arch Or Fallen Arch:
- This is one of the biggest causes of foot arch pain.
- This leads to chronic stretching of the plantar fascia.
- The plantar fascia will become highly inflamed.
6)Sharp Pain In Foot Arch:
- Sharp pain in the foot arch usually means nerve irritation.
- This can also cause numbness, burning, tingling, and inflammation.
7)Foot Arch Pain Running:
- Running increases your body weight 2-3x with each step.
- This is exactly like standing or walking but puts more strain across the bottom of your foot.
- The arch will be hurting running and walking before just during rest.
Foot Arch Pain Treatment:
This is a 4 stage guide:
- Stage 1 decreases pain and achieves 50-60% success.
- Stage 2 focuses on exercises and achieves 70-80% success.
- Stage 3 focuses on support & shoes and achieves 80-85% success.
- Stage 4 focuses on invasive treatment and achieves 99% success.
There Are 4 stages for Foot Arch Pain Treatment:
1)Foot Arch Pain Relief:
- This stage alone gives 50-60% relief!
- This is the stage that focuses on decreasing the pain!
- It will take a couple of days or weeks to decrease the pain.
Sore Foot Arch In The Morning:
- This is when the plantar fasciitis is most painful.
- It hurts for 15-20 minutes until your blood starts flowing.
- Massage, icing & stretching all work great!
A)Massage Bottom Of The Foot:
- Bend the big toe up to stretch out the fascia.
- Any massage will work! Repeat. All of these methods will be effective!
- Use your hands.
- Use a tennis ball.
- Use a rolling pin.
- Use a frozen water bottle.
- After 5-10 minutes, it will start feeling better.
My recommendation is to freeze a water bottle and roll it on a towel under your arch while watching tv.
B)Ice The Bottom Of The Foot.
- Do this 2-3x a day for 1-2 weeks.
- It takes this long for the inflammation to die down.
- Icing 2-3x per day for about 15-20 minutes will decrease the flow of inflammatory cells into the muscle.
- Afterward, the arteries will vasodilate, further flushing out inflammatory cells from the region.
- Ice has deeper penetrating power than heat.
C) Topical NSAIDs or Analgesics Under The Arch:
- These can be over the counter or podiatrist prescribed.
- These are the equivalent of Aspirin or Ibuprofen but in topical form.
- Apply them to the arch to decrease inflammation in the area.
D) Oral NSAIDs:
- These include Ibuprofen & Aspirin.
- This can be over the counter or prescription.
- Do not take these unless instructed to do so by your physician or podiatrist.
- Take a 1-2 week course to attempt to decrease the inflammation and speed up
- Just be careful with any medication. They will not truly cure your condition.
E) Continue For 1-2 Weeks.
- If it is still too painful for stretching.
- See a podiatrist.
- Stronger medication or further diagnosis is necessary.
- If this did work, move onto step 2!
2)Foot Arch Pain Exercises & Stretches:
- This stage gives 70-80% relief!
- Once the pain is gone, you can start performing stretching and exercising!
- This is the most important part of keeping the pain away.
A) The Goal Of Stretching:
- The foot is like a piece of wood that bears weight.
- With central force, the bottom elongates, and the top compresses.
- This happens in the foot with push-off.
- The Achilles tendon and the foot are pushing up on the edges.
- And your body weight is pushing down in the middle.
- Tension can be decrease through decreasing force on the Achilles and the ball of the foot.
B) Stretching Decreases Toe Off:
- Hamstring, calf & plantar fascia stretching takes stress off your plantar fascia.
- This is the main principle behind barefoot running.
- Studies show that with bare feet, we push off less.
- This means less plantar fascia pain.
- But we will stick to just the stretching!
- Any stretches to the hamstring, calf, and plantar fascia will decrease toe-off.
C)Stretching Decreases Both Tension & Toe Off:
So we can now see that stretching has 2 effects.
- Less plantar fascia tension.
- Less toe-off.
D)Plantar Fasciitis Stretching Exercises:
- All stretches should be for 15-30 seconds until tightness, 2-3x for the plantar fascia.
- Pick either the stair stretch or the towel stretch.
- There is no secret to stretching.
- All stretching is good.
- Just don’t bounce, and if there is pain, don’t push it!
- Stretching will take a long time, weeks and months!
- This will keep your pain away and make you feel more athletic than ever!
- Studies show stretching is the single most important thing to keeping the pain away.
E) Achilles Tendon Stretching Exercises:
- Stretch your calf muscle as well as the plantar fascia.
- Most stretches work both the plantar fascia and the Achilles tendon.
- All stretches should be for 15-30 seconds until tightness, 2-3x for the calf.
- Stretching will take a long time, weeks and months!
- This will keep your pain away and make you feel more athletic than ever!
- Studies show stretching is the single most important thing to keeping the pain away.
F) Hamstring Stretching Exercises:
- It is also imperative to stretch out your hamstring.
- All stretches should be for 15-30 seconds until tightness, 2-3x for the plantar fascia.
- You can also do the hamstring stretch without a towel:
- My personal favorite hamstring stretch.
F) How Long To Keep Stretching:
- Pick one plantar fascia, one calf, and one hamstring stretch.
- Stretch each muscle for about 1 minute per day (2-3x 15-30 seconds)
- In a couple of weeks, you will feel extremely flexible.
- This will take pressure off your plantar fascia and joints.
- This will help you walk much easier.
- Stretching is the secret to great walking biomechanics and foot or leg pain!
G) Foot Arch Night Splint:
- A night splint is something you wear at night.
- This will keep your calf, and plantar fascia gently stretched while you sleep.
- If you prefer to spend money rather than stretching 3 minutes per day, it works very well!
3)Foot Arch Pain Support & Shoes:
- This stage gives 80-95% treatment!
- Once you regain some flexibility, support is needed!
- This means good over-the-counter arch supports.
- It also means a proper pair of shoes to keep the pain away.
A) Arch Support Shoes:
- Get a good running shoe.
- Make sure it has a stiff base.
- Make sure it is not too flexible.
- Make sure there is enough room for your big toe and pinky toes.
- The heel counter should be rigid.
B) Fit You Arch Supporting Shoes Properly:
- Fit your shoes in the evening.
- Your feet are the most swollen at night.
- Use a Brannock device to measure your size properly.
- Measure your foot length.
- Measure your arch length.
- Measure your foot width length.
C) Foot Arch Support:
- Get A good rigid over-the-counter foot orthotic.
- There are many crummy brands out there.
- Get a rigid pair that supports the arch.
- This is extremely important.
4)Foot Arch Surgery:
- The remaining 5-10% or so of people may need invasive workup.
- At this point, it may be more than plantar fasciitis.
- There might be plantar fascia degeneration or nerve damage.
Treatment Options:
Plantar Fibroma Fasciitis Pain:
When your plantar fasciitis actually develops nodules, this video is for those nodules!
Best Heel Pain Products:
- There are usually two phases to treating plantar fasciitis pain.
- The two phases of treatment include controlling the acute inflammation, and correcting the biomechanics which led to the problem in the first place.
- If the tendons and ligaments are inflamed, they are almost frozen in place and cannot function properly.
- Once the inflammation is decreased, we need to correct the bio-mechanical causes to ensure that they can never become over worked and inflamed again!
- This doesn’t matter whether it’s plantar fasciitis, plantar fibroma, sore bottom of foot, or even Achilles tendon pain. Treatment is all roughly very similar.
Plantar Fasciitis or Achilles Tendonitis Inflammation:
Massage & Ice Products:
- Ice is the an excellent option that can be safe for almost everyone.
- There is some debate whether icing is worth doing, but for chronic pain this can help limit the need for medications and keep your options open.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for bottom of the heel and Achilles tendon sore regions.
Massage Sticks:
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius or calf muscle and for the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.
Remove the Plantar Fascia or Achilles Tendon Stress:
- The key is to prevent future pain.
- This means keeping you active while keeping stress off of your plantar fascia tendon. This will prevent future re-injury and development of plantar fasciitis.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- The best way to ensure that your plantar fascia, foot and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
The Best Heel Pain & Plantar Fasciitis Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the heel and plantar fascia region.
- This is especially important if you have plantar fasciitis, heel spur pain or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for best pain relief!
- The following link will show you what our favorites are.
Best Heel Pain & Plantar Fasciitis Orthotics:
- These are our recommended orthotics for plantar fasciitis.
- Custom orthotics can work very well, but they should not be a first line of treatment.
- There are different types for different shoes.
- Women’s shoes usually need a less bulky orthotic, but allow for less correction.
- A full length orthotic requires a running shoe, boot or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full length orthotic.
- This is the best way to maximize your orthotics for great results.
Best Full Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats or most women’s dress shoes.
Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.
Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.
Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.
Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis.
- It can be used while watching TV or at night time.
Best Heel Compression Brace:
- A good compression brace can stabilize your foot from turning outward.
- This prevents your foot from pronated.
- Pronated foot will turn your foot outward in your foot will rub on the outside of the shoe.
- For many of her patients this has solved their pain and is very comfortable to wear inside your shoe.
- This solves both pain and outward pronation for a relatively low cost.
Best Heel Stability Brace:
- Stability brace goes little bit further than the compression brace to stop your foot from turning out.
- This takes pressure off of your heel and plantar fascia.
- At the same time this is a little bit bulkier and does not affect every shoe.
- We find people are little bit happier trying the compression brace before the stability brace.
Heel Injury:
- If you think you might have a broken heel, a calcaneal stress fracture or something of similar severity, these products might help!
- Always remember to see a foot and ankle specialist like a podiatrist if you are having plantar fasciitis or more severe pain!
Plantar Fascia Tear, Broken Heel Bone, Achilles Tendon Tear:
- If you have a traumatic injury such as a torn plantar fascia ligament, calcaneus stress fracture, heel fracture or insertional Achilles tendon injury: consider protecting your foot!
- The best way to do this is of course to see your podiatrist and get evaluated with an x-ray, ultrasound and potentially even an MRI or CT scan.
- If you are unable to do so it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for very long period of time when they suffer a traumatic injury, unfortunately there is no other way around us in labor jobs.
- If you have a sit down job there are ways to get people back to work quicker, but this can be very difficult otherwise.
Heel Injury Boot Treatment:
- There are pros and cons to using a boot to treat your heel injury. If you are immobilized too long the cons are that you will gradually become stiff and overworked to your other leg. The Pros are that you injured heel will hopefully have a chance to gradually heal!
- Our favorite fracture boots and their supplies:
Offloading and Scooter treatment:
- These are favorite knee scooters and walking devices: