Arch
Pain |
Information
for health
professionals on
arch
pain.
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Arch pain is often felt as a burning
sensation under the long arch of the foot. There are a number of
causes of this, but the most common is plantar
fasciitis, but can also be due to the strain of any structure
in the arch of the foot. |
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Causes of
arch pain |
There are a number of possible
causes for arch pain, but the most common are structural imbalances
of the foot, such a pronated foot
(rolls inward at the ankles). This is often not enough in isolation
to cause the problem, but in combination with other factors arch
pain may develop. These other factors are usually associated with
overuse - running, walking, hard surfaces and/or OFAD ( on
feet all day),
usually combined with inadequate or non-supportive footwear. |
The more
common specific causes of arch pain can be:
* plantar
fasciitis (strain of the plantar fascia - a strong ligament
that supports the arch)
* tarsal
tunnel syndrome (a pinched nerve at the ankle that refers pain
to the arch)
* foot strain from a pronated
foot or flat foot
* there
can be osteoarthritis of the joints in the midfoot that can cause
arch pain |
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Self management
of arch pain |
The
initial treatment for arch pain, especially if it is of sudden onset
is the use of ice to reduce the swelling. Later heat and anti-inflammatory
gels can be a big help.
Activity
should be modified - if you stand a lot at work, see if you can
using seating more; if you run a lot, consider swimming or cycling
for a while.
Use footwear
that is supportive in the midfoot and heel area. |
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Arch pain
management |
An accurate diagnosis
from a health professional is important early in the management
of arch pain.
If the symptoms are
mild, management will generally just consist of advice about fitting
footwear, stretching exercises for the calf muscles and arch
and if indicated, the use of foot
orthotics.
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If the symptoms
are more severe, tape can be used to restrict motion and support
the arch; anti-inflammatory medication can be used to give some
relief. Orthotics are usually indicated.
If there is no initial
response to treatment, further investigations may be necessary to
check for conditions such as arthritis or a pinched nerve. |
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Prevention
of arch pain |
Early in the
treatment of arch pain, consideration needs to be given to the cause
and strategies put in place to prevent it happening again. Advice
should be sought on the adequacy of footwear. Stretching exercises
should be continued long after the symptoms are gone. Foot orthoses
should be used if structural imbalances are present. Activity levels
and types of activities (occupational and sporting) need to be considered
and modified accordingly. |
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Links of
relevance to arch pain |
Other foot
problems: plantar fasciitis,
heel pain, arch
support
ePodiatry's database on:
plantar
fasciitis, heel
pain
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ePodiatry is purely
a source of information on foot arch pain and should at no time
be considered as replacing the expertise of a health professional.
We recommend seeking professional advice for foot arch pain and
all foot problems before embarking on any form of self treatment
or management. Neither the content or any other service provided
through ePodiatry is intended to be relied on for medical diagnosis
or treatment. Do not delay in seeking health professional advice
because of something seen on ePodiatry. |
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©2003. The information
contained on this page about foot arch pain is subject to copyright.
No part of the information about foot arch pain contained
on this page can be reproduced in any form without the permission
of ePodiatry. |
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Arch
Pain
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