Pain on the instep

introduction

The term pain on the instep refers to pain that occurs in different places on the instep foot can occur. The is particularly affected Back of the foot. Different causes can be the trigger for the complaints. Furthermore, different structures such as bone, Ligaments, tendons or Muscles to be affected.

Symptoms

Describe pain on the instep Pain in the back of the foot. They can be very different depending on the cause. The symptoms can be acute or persistent (chronic). Some patients complain of symptoms at rest and some only when they are exerted. Again, this depends on the cause. Quite often it happens that the pain spreads over the whole foot and it is difficult for the patient to see exactly where the pain is coming from.

In the case of inflammation, which can develop on the back of the foot on the toe extensors, in addition to the pain can also overheat, Redness also swelling occur. Depending on the cause, the Joints and toes may be impaired, making it difficult for the patient to put weight on the foot. If the symptoms persist, the patient should consult a doctor for clarification.

causes

Pain in the back of the foot can be triggered in any form and by various causes. The most common cause is this injury. You can use sporting activities or Accidents happen. Here you can various bones, tendons and ligaments on the foot are injuredwhich then cause the pain. So can too Broken bones or injuries to the tendons, such as the Achilles tendon. The pain can then radiate to the back of the foot.

Another cause can be a inflammation in one or more Joints be at your feet. The trigger can be an inflammatory disease like that Rheumatoid arthritis be where the immune system attacks the body's own structures. As a result, painful inflammatory reactions are usually symmetrically caused across the entire body, including the feet. Acute inflammatory reactions can be caused by wounds directly on the foot but also by spreading over the blood arise from other parts of the body. So can also during an operation bacteria get into the foot, which eventually multiply and lead to severe inflammation.

Similar symptoms occur with metabolic disease gout. It is in the blood too much uric acid present, which then appear as urate crystals in the Joints deposits. In addition to pain, there is also swelling and limited mobility. So can an acute Attack of gout arise in the foot.

Pain on the foot can also occur in later years congenital deformities like that Flat foot or splayfoot arise. The load is distributed unevenly, creating overstrained pressure points on the foot, which ultimately cause pain, especially when walking. Also Knock knees and bow legs have the consequence that the foot position is not correct and an incorrect load occurs. Last but not least, it also becomes a wear strongly stressed and improperly stressed joint surfaces provoked. In the further course of this, the arthrosis be favored.

Frequent wearing of uncomfortable and particularly high shoes can put considerable strain on the foot and cause pain on the instep.

A Rash on the back of the foot can also cause pain.

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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Further information about myself can be found at Dr. Nicolas Gumpert

Pain after twisting ankle

Ankle twisting happens quickly abrupt braking movementsafter a jump or because of unsuitable footwear. A short time later, severe pain may follow with increasing swelling of the foot. Possibly a Overextension, so a sprain or else Tears in tendons and ligaments come into question. Not infrequently, a foot sprain is more painful than one Torn ligament. The pain can radiate to the whole foot and, depending on which ligament is torn, also to the back of the foot. In the event of persistent pain, a detailed evaluation should be carried out by a doctor to avoid injuries bone to exclude.

Pain when walking

Many athletes or recreational joggers develop after that To run or even pain on the instep while running. The pain can be oppressive and also burning. It is not uncommon for the pain to persist for a few days or to reappear after a long run. There are a few possible causes here.

Much running can become a Fatigue fracture to lead.A fracture gradually develops in an overstressed bone. In the case of a runner, it can often be the foot or that Shin be. The fatigue fracture manifests itself with a Tenderness and one Swelling of the soft tissues. The diagnosis is secured with a Magnetic resonance imaging or that conventional x-ray.

In addition to the pain, you also step at rest Pain in movement when pulling on toes inflammation of the extensor tendons may be responsible for the discomfort. Here, too, the affected person has pain when walking. At the same time, the foot can swollen and reddened be and feel warm.

Furthermore, a simple reason can cause pain when walking. So can too tight or tightly bound running shoes Cause pain. Not infrequently it can happen that through the burden the feet swell a little. In a shoe that is too tight, the Blood supply be impaired and the foot begins to tingle and hurt.

Pain when shooting

Some soccer players sometimes develop instep pain. Especially young players who are still growing put a lot of stress on their feet during regular training. It is known that there is at times a faster growth of the bone as the Musculature can come. As a result, the muscles are temporarily shortened. The tendons then exert a pulling force on the bones. Under stress, such as when shooting the ball, pain can then occur, which can be brief but also persistent. Furthermore, frequent shooting with the instep can also cause overuse for recurring complaints.

Not infrequently can small muscle ruptures arise. Also one Inflammation of the extensor tendons is possible. Typically, pain occurs at the instep and forefoot. Tightening your toes also causes symptoms. Another possibility can be a bruise or sprain which was also caused by shooting the ball with the back of the foot. Especially in the growth phase of young people, the bones can develop incorrectly due to constant stress in the same direction, which leads to a maldistribution of stress.

Pain after hallux surgery

A correction of the hallux valgus can by means of different Surgical techniques be performed. Which method is most suitable depends largely on the extent of the deformity of the Metatarsophalangeal joint. In one early stage you can go through a minimally invasive intervention the complications of hallux valgus like one arthrosis at this joint prevent. Lies a far advanced hallux before, there is usually one comprehensive operationwhere the bone of the Big toe but also that Sesame bone have to be converted. In several steps, tendons and Muscles brought back into position. The bones are then also held in place by plates or screws. In some cases the joint is exchanged for a prosthesis.

After an operation is then one longer rest required. The same goes for the other surgical techniques. The burden of the operated Foot should be paused until healing is complete. The pain and swelling that can occur on the operated foot for up to several weeks are normal, as some surgical techniques are very complex for such a small joint. Due to the material used, there may be intolerances and, accordingly, inflammation. Furthermore, the prosthesis can loosen and cause pain. In such a case, the doctor must decide whether the prosthesis needs to be removed and readjusted. The resulting pain can also affect the Back of the foot radiate. If tendons and muscles are also repositioned, this can have an enormous impact on the entire foot, as the tendons also have to adapt to their new load.

Many patients are also afraid of putting full weight on their feet again after an operation. They may then take one Relieving posture to avoid rolling in the toe area. This can lead to tension on the back of the foot. The tendons, which are responsible for stretching the toes, can then become increasingly irritated and incorrectly stressed. If the symptoms do not improve, the patient should definitely see a doctor again.

Pain in the morning

Some people complain of pain in their feet when they get up early in the morning. The instep is also affected or the pain cannot be precisely localized. Pain at rest and after waking up can often be an indication of an underlying illness. If the pain occurs together with impaired mobility, a chronic disease could be the cause. Osteoarthritis due to wear and tear or a rheumatic disease would be considered. Chronic inflammatory diseases like rheumatoid arthritis or rheumatism can cause the pain. Another possible cause can also be diabetes mellitus, which can lead to various symptoms of nerve failure, especially in the foot area. With numbness, pain can also occur. These complaints are summarized under the general term polyneuropathies. Constant incorrect loads due to congenital malpositions such as knock knees, bow legs, flat feet, splay feet or hallux valgus can cause pain even at rest.

treatment

Pain on the Back of the foot can have different causes and therefore the treatment can be very different. In general, if complaints arise, that is the case first the affected foot should be spared. If the pain lasts longer, is an examination by the doctor mostly necessary. Incorrect and excessive strain, which can also be triggered by various misalignments of the foot, should be done by a Orthopedists be treated. Perhaps a Correction of the misalignment of the foot or knock knees / bow legs be performed.

Overload can also be caused by the wrong footwear arise. Athletes in particular should pay attention to the right pair of running shoes. These should not be too tight on the foot and still that Ankle joint stabilize. Also a longer treatment with physiotherapy can be helpful in strengthening muscles and tendons. As part of a physiotherapy are also often Treatments with cold and heat carried out, which helps to alleviate the symptoms.

In acute bacterial inflammation or in chronic inflammatory diseases such as arthritis, appropriate drug therapy is often carried out. The patient can pain reliever drugs how Ibuprofen or Paracetamol take in. In order to curb the inflammation, especially in the case of chronic inflammatory diseases anti-inflammatory drugs prescribed. These are often Cortisone.