Foot complaints
You have pain in your foot and you want to get rid of it.
Podiatry Thailand deals with various problems with the
feet. Common complaints of the foot are: hammertoes,
pinched nerves in the forefoot, heel pain, Sesamoiditis,
Tarsal tunnel syndrome, Achilles tendon injuries, calluses
and corns, Shin Splints, knee complaints, hip complaints,
back pain, diabetic foot, rheumatic foot, flat feet, foot
problems due to oncological treatments, capsular
inflammation of the toe joint and a crooked position of
the big toe.
Hammer toes
A hammer toe is a deviation of a toe. The joint between
the first and second toe is bent. This creates a curvature
in the toe or toes and we call this the hammer shape.
Causes of hammer toes
There are several causes that can cause hammertoes: the
crookedness of the big toe, a position deviation of the
foot and a different gait pattern, tendons in the foot that
are too short, a sagging foot, a toe that is longer than the
other toes, wrong or too small shoes, flat feet or hollow
feet, joint infections, a fracture in the foot or toe, old age,
diabetes or rheumatism.
Symptoms and characteristics of hammer toes
There are several complaints that you may experience with
hammer toes: the pain of one of the toes, stiffness and
less mobile toes, difficulty walking and the development of
a corn or callus.
Treatments for hammer toes
The solution depends on the type of hammer toe. There
are both flexible hammer toes and rigid hammer toes.
What is the difference between both types of hammer
toes? Flexible hammer toes are bendable. Bendable
means that the toes can be bent straight with the fingers.
Flexible hammer toes are less painful and cause fewer
walking problems. Flexible hammer toes can be treated
well with arch supports and health sandals.
It is possible to make an insole or health sandals to correct
position deviations of the feet. Rigid hammer toes are stiff
and cannot be straightened. The rigid hammer toes are
painful and cause walking problems. Therapy of a rigid
hammer toe is aimed at protecting the hammer toe and
maintaining the current position of the toe.
Pinched nerves in the forefoot
Other names for a pinched nerve in the forefoot are
morton's neuralgia or morton's neuroma. The nerves run
from the metatarsal feet to the end of the toes. A nerve
compression between the metatarsal bones can cause
one of the nerves to thicken. Because you walk there is
pressure on the metatarsal bones and in combination
with the thickening of the nerve the pain arises. The pain
usually develops between the third and fourth
metatarsal.
Causes of a pinched nerve in the front feet
Causes that can cause pinched nerves in the forefoot
are: very strong strain on the feet, minor damage,
sagging feet, fractures, accidents with injuries, abnormal
foot position, walking on high heels and wearing too
tight shoes.
Symptoms of mortons neuralgia
Complaints of a pinched nerve in the forefoot are
characterized by acute pain in the forefoot with
radiating pain to the toes. The pain occurs during active
movement. It causes cramp in the forefoot or a painful
stab in the ball of the foot. By massaging the foot or
taking off your shoe, the pain in your forefoot
disappears. When the symptoms occur longer, the pain
lasts longer.
Treatment of mortons neuroma
Treating a pinched nerve in your forefoot starts with
adjustments to your shoes. By wearing wider shoes it is
possible that the complaints in your forefoot will
decrease or disappear. An insole or health sandals can
help. An increase is made under the forefoot on the
insole, which increases the space under the foot and
gives the metatarsal feet more space. This causes less
irritation and less pain in your foot.
Heel pain
Heel pain is a collective name for foot complaints at the
back or bottom of the foot. Heel pain is a common foot
complaint and is experienced as a stabbing pain when
walking. Over time, a nagging pain remains. This is due
to overloading the heel.
Causes of pain in the heel
Causes of heel pain can be: sports (in particular
running and jumping), prolonged use of wrong shoes,
walking, overweight, short calf muscle, standing far too
long, squatting for too long, flat feet, hollow feet, steep
sole of the foot, crying atrophy, osteoarthritis,
inflammation .
Complaints with heel pain
Pain in the heel can manifest itself in various
symptoms: pain under the heel when standing up,
standing and walking for a long time, feeling stiff or
tense in the foot or feeling like a purse in the foot.
Some forms of heel pain are: Calcaneodynia, heel spur
and tendon inflammation.
The fat pad, which is located under the heel, ensures
good cushioning while standing and walking. But as we
get older, this fat pad loses some of its function. This
means that the fat pad becomes thinner and reduces
the damping capacity, which can overload or irritate the
heel bone. Then there arises Calcaneodynia.
A heel spur is a bone tissue outgrowth on the heel
bone in the form of a splinter. A heel spur is often
located where the tendon plate has its attachment to
the heel bone. This can be demonstrated with x-rays. If
there are no abnormalities found on the X-ray, then the
tendon plate is more irritated or inflamed. The pain
area at a heel track can often be pointed with one
finger.
A tendon inflammation is very annoying. A tendon leaf
runs towards the toes and fans out to the heads of the
metatarsal bones. It supports the length vault of the
foot at the level of the sole (plantar) and increases the
tension of the foot during running and jumping as a
tensioned band. A tendon inflammation, also called
plantar fasciitis, is usually caused by an excessive
pulling force on the attachment of the tendon plate
under the foot that is often caused by an incorrect
position of the feet.
Heel pain treatment
To get rid of your heel pain, insoles can provide extra
support for the feet. The goal is to reduce the tension
in the foot that leads to less painful fee
Sesamoiditis
Sesamoiditis is a collective name for pain that you have at
the level of the sesame bones and is a form of tendon
inflammation. The sesame legs are two small bones that
are attached to the long bending tendon of the big toe
under the joint of your big toe. These sesame legs
stabilize the tendon of the big toe. They help in carrying
body weight and lift the bones of the big toe. If you suffer
from Sesamoiditis, the pain concentrates at the level of
the ball of the foot under the big toe.
Most bones in a person's body are connected by joints.
There are some bones that are an exception to this.
These bones are in contact with tendons or are
encapsulated by muscles. These are the Sesamids. The
largest Sesamoid is the kneecap.
Causes
There can be various causes with Seamoiditis:
overloading of the forefoot and big toe, a fracture, broken
cartilage.
Complaints and symptoms of Sesamoiditis
Some symptoms you may experience with Sesamoiditis
are: pain under the ball of the foot or toe, gradual pain,
direct pain with a fracture, swelling, bruising, stretching
and flexing of the big toe hurt.
Treatment Sesamoiditis
When treating sesamoiditis, a support sole is made to
relieve the sesame bones in the ball of the foot. An
elevation is made behind the head of the first metatarsal
and further a recess is made for the sesamoids. If a
support sole does not take away the pain, surgery is
possible.
Tarsal tunnel syndrome
Tarsal tunnel syndrome is a pinch of a nerve in the
forefoot, toes or heel. In medical terms we call this the
tibial nerve. The tibial nerve follows a long, tortuous
route, from the back through the back of the leg to the
ankle. Just above the ankle the nerve turns inwards
towards the ankle. The tibial nerve lies there, along with
an artery, between three tendons. All this is held tightly
together by a sturdy band on the inside of the ankle. The
nerve runs, as it were, through a tunnel with a few
tendons and blood vessels; we call this the tarsal tunnel.
When the nerve becomes trapped, the pain arises.
Causes Tarsal tunnel syndrome
In Tarsaal tunnel syndrome, the nerve is trapped in the
tunnel. Because the nerve is surrounded by tendons of
large muscles, it is usually one or more of these tendons
that are thickened and require more space in the tarsal
tunnel. This causes pressure or pinching of the nerve in
the tarsal. There are several possible causes of nerve
crushing: osteoarthritis, overloading of the foot, injury to
the ankles and positional abnormalities of the foot.
Complaints with Tarsaal tunnel syndrome
Typical symptoms for this syndrome are a dull feeling in
the foot, heel, stitches, tingling and burning. Lifting the
foot and bending the ankle in often also cause pain. The
complaints mainly occur in the evenings and at night,
especially after long standing and running. While there
are usually few complaints in the morning hours.
Treatment with Tarsal tunnel syndrome
Through research, the specialist can find out which
structures cause the pinching of the nerve. Usually the
cause is the deviation of the position of the foot and
ankle, and especially the collapsing or kinking of this. The
specialist can often correct this through arch supports.
This reduces the pressure on the nerve in the tarsal
tunnel and the nerve will be able to recover.
Achilles tendon injuries
An Achilles tendon injury is an injury to the Achilles
tendon that runs from the calf muscle to the heel. The
Achilles tendon is the strongest and largest tendon in a
human body. The power ensures that you can run or
jump. The tendon can become inflamed or damaged by
overloading the Achilles tendon.
Causes of Achilles tendon injuries
There are several possible causes for Achilles tendon
injuries: overload of the tendon, reduced muscle
strength, flexibility of the calf muscle, incorrect footwear,
incorrect posture, walking on an unstable surface,
swelling of Achilles tendon, red skin at the Achilles
tendon, stiffness of the tendon after extreme relaxation
or effort.
Complaints in Achilles tendon injuries
Achilles tendon injuries can be recognized by the
following symptoms: often cause pain, stiffness, and
swelling in the back of your leg near your heel.
Achilles tendon treatments
Initially, medication can ensure that you have less pain.
You will also have to take sufficient rest.
By conducting research, the specialist can assess
whether there is a deviation in body posture in the
position of the feet. These can be corrected with insoles.
What can also help is a relieving sole with a heel lift. This
sole ensures that the tension on the Achilles tendon is
reduced.
Heel pain by children
Morbus sever is an inflammation of the growth disc of
the heel bone. The growth disk is irritated by an
excessive pull on the Achilles tendon. The heel is the
rear part of the foot. In the growth phase that children
go through, the heel bone must grow in different
directions. The growth disc of the heel bone is located
at the rear of the heel bone. Just above it, the Achilles
tendon sticks and some fibers appear to extend below
the heel. This condition is common in children and
young adults who are growing fast.
Causes of heel pain in children
Causes of heel pain can be: intensive calf strain, spurt
of growth, shortened calf muscles, flat feet, hollow feet,
instability to the foot or ankle, ankle stiffness,
overweight, injury or an abnormal foot position.
Complaints about heel pain in children
Symptoms of Morbus sever resemble the
symptoms that adults experience with heel spur.
Some symptoms are: nagging pain, slight
swelling, pain on the bottom or back of the heel,
walking on toes, limping.
When children have pain in the heel, rest is
important. Make sure that the intensive load on
the feet is reduced or stopped. Pain is a signal to
keep calm. In the end, the heel pain will resolve
itself. Children between the ages of 14 and 15 no
longer grow explosively, so that the heel pain
disappears. After examination, a specialist can
determine whether a shoe insole is needed to
allow children to walk and exercise without pain.
An insole will be needed until the growth disc is
fully grown and the heel can bear the load. It is
important to act on time and to take the
complaints seriously. This way you prevent the
pain from getting worse.
Shin Splints
Shin splints is also called leg conjunctivitis or tibial
irritation. It is an injury on the inside of the tibia that is
caused by overloading. The continuous pulling of the
muscles on the tibia can cause inflammation.
Causes of Shin Splints
Bone inflammation can be caused by poor shoes, a
deviation in the position of the foot, difference in leg
length, intensive exercise or being overweight. Athletes
who have previously been diagnosed with Shin Splints
have an increased chance of recurrence. Women are
more sensitive to getting Shin Splints than men,
because women have a different movement pattern,
which puts more pressure on the tibia.
Complaints at Shin Splints
The most common complaint is a nagging pain on the
inside of the shins, just above the ankle. Or higher,
even up to the knee. But other complaints can also
arise, such as: swelling, feeling of pressure, a throbbing
and warm feeling on the shins, strong pain when
squatting and the overlapping of the legs. If you do not
treat the complaint properly, the pain will not only arise
during exercise, but also at rest.
Treatment Shin Splints
A podiatrist considers all facets of the problem. Not
only the everyday movement pattern, but also sport-
specific aspects are discussed. Due to the versatility of
the problem, different therapies are possible. You
should think of sports insoles, walking advice, shoe
advice or temporary stools in combination with
physiotherapy.
Knee, hip and back pain
The feet are the basis of the body. Clients with foot
complaints have the chance that they will also get other
physical complaints on their knees, back or hips. A wrong
posture or movement can result from a deviating
position of the feet.
Causes and symptoms of knee, hip or back
pain
Pain on the knee can occur due to an abnormal foot,
wrong shoes, leg length difference, abnormal foot
position, intensive movement, abnormal position of legs,
overweight and intensive movement.
The complaints of pain in the knee feel like a stabbing
pain. The complaints arise while standing and walking
and get worse as the load increases.
The complaints of hip pain are a stabbing, burning and
nagging pain on the front, side or back of the hip.
The complaints of back pain are a stabbing and nagging
pain, stiffness and problematic movement. They are
especially present in the morning when getting up from
bed. With more exercise, the symptoms become less.
Therapy
In a study the podiatrist can find out where the
complaints come from. Based on the outcome of the
examination, the podiatrist can correct a deviating foot
position with insoles. This corrects the foot, so that the
complaints are reduced.
Diabetic foot
Diabetes mellitus is a metabolic disease in which the
body can no longer keep blood sugar levels in balance.
The hormone insulin plays a key role in this. The body
does not produce enough insulin. People with diabetes
can suffer from a diabetic foot. This has to do with
blood vessels and nerves that can damage the blood
circulation in the feet.
Symptoms diabetic foot
You can recognize a diabetic foot by: wounds on the
foot, less feeling in the feet, sore feet, tingling in the
feet, cold feet, discolored feet or toes and swollen feet.
Check your entire foot regularly for changes,
discolorations and wounds. Make sure you have
suitable shoes and that you have good blood levels. Do
not walk barefoot and have a medical pedicure or
podiatrist check your feet annually.
Diabetic foot treatment
Treating a diabetic foot is necessary to prevent
complaints such as wounds, fissures and ulcers from
getting worse. The podiatrist checks your skin on your
feet at least once a year for temperature, calluses and
pressure spots and the position of your feet. The
podiatrist also examines the sensation in your feet,
checks for good blood flow and checks whether the
joints can move freely. After checking your feet, the
podiatrist will advise you on foot care, shoes and any
treatments. With existing wounds, the podiatrist,
together with other specialists, will ensure that the
wounds heal as quickly as possible.
Rheumatic foot
Rheumatism is a disease of joints, muscles and tendons.
There are various forms of rheumatism: inflammatory
rheumatism, osteoarthritis and soaking rheumatism.
People diagnosed with rheumatism can suffer from a
rheumatic foot. Inflammation will then occur in and
around your foot joint. These inflammations cause
wounds and pain to your feet.
Symptoms of rheumatic feet
You can recognize rheumatism feet by symptoms such as:
changing position of feet and toes, crooked toes,
distortions, rheumatism nodules, pain when walking and
standing, red joints, fluid retention, fatigue and thinning
skin. Rheumatism cannot be cured. You can do a number
of things to relieve the symptoms: get suitable shoes,
keep moving, wear cotton or wool socks without seams,
dry your feet well after washing and keep toenails short.
Treatment rheumatism feet
Rheumatic feet are sensitive to inflammation. Have your
feet checked regularly by a podiatrist or medical pedicure
with a foot score. A changing position of your feet or toes
can cause you to walk in a different way. A consequence
of this change in gait pattern is that more calluses can
develop on your feet. Toenails can also change because
they do not get enough space in the shoes that you wear.
To reduce these pressure points, the podiatrist can make
tailor support soles.
Flat feet
Flat feet are also known as sagged feet. In medical
terms, sagged feet are also called pes planes. With flat
feet, the arch of the foot has sunk to the ground. Both
the inside and outside of the foot are on the ground.
You are literally flat on the ground.
Causes flat feet
Sagged feet can occur after pregnancy, old age or
heredity. There are two types of sagged feet, namely
the smooth flat foot and the stiff flat foot. With the
smooth flat foot you stand normally, but your feet sag.
If you stand on your toes, you can see a foot arch. This
is because you tighten your muscles in your foot well.
With a stiff flat foot you do not tighten your muscles
when standing on tiptoe and your foot remains flat
even in this situation.
Symptoms sagged feet
You can recognize sagging feet by pain complaints on
the inside of the foot, tired feet and ankles after
walking and standing, knee complaints because the
ankle tilts inwards and a wrong position of the legs.
Flat feet in children
Children are born with flat feet. The first years of their
life they keep flat feet. Flat feet provide stability when
learning to walk. As children get older, the arch of the
feet grows in the correct position.
Treatment flat feet
Flat feet can be treated well. The podiatrist examines
your feet. If there is a deviation at the foot, supporting
soles can be made to measure. The soles ensure that
you get support while standing and walking. The
podiatrist can also give you shoe advice about the
firmness and bending activities of the shoes.
Foot problems due to oncological treatments
Patients with cancer can get foot complaints due to
chemotherapy treatments. Oncological foot care is
therefore important. The treatments can cause changes
to the feet. The feet must be regularly screened for
calluses and ingrown toenails during the treatments.
Foot complaints with cancer
The most common foot complaints due to cancer
treatment are: hand-foot syndrome (tingling, numbness
and swelling), skin rashes, dryness, changes to the skin
and nails, changes in feeling in the feet, cold feet,
sensitive skin.
Therapy
The podiatrist screens your feet for skin, nail and foot
problems. Have your feet checked regularly by a
podiatrist. A changing position of your feet can cause
you to move in a different way. A consequence of this
change is that more callus formation can occur on your
feet. Toenails can also change. To reduce these pressure
points, the podiatrist can tailor support soles to reduce
pain and pressure points.
Capsular inflammation at the toe joint
Capsular inflammation of the toe joint is described in
medical terms as capsulitis. It is an inflammation or
irritation of the toe joints. Under the ball of your foot
are cups that are covered with joint capsules. These
can become inflamed. Each joint is surrounded by a
sturdy joint capsule that holds the bones together. The
inflammation that causes the pain comes from the
joint capsule. The symptoms often arise in people
whose midfoot has sagged while walking or in people
who have a hollow foot.
Causes capsular inflammation at the toe joint
Causes of capsular inflammation at the toe joint can
be: more strain on the feet, abnormal position of the
feet or wearing shoes that are too small or too narrow.
Symptoms of capsular inflammation of the
toe joint
The symptoms to which you recognize a capsular
inflammation of the toe joint are: pain on the ball of
your foot, pain on your toe joints, trouble with stiffness
in the morning, pain after a long load on your feet, red
feet, stuffed feet, burning and stabbing pain and callus
formation.
Treatment
The podiatrist examines your feet and discusses your
daily load on your feet. This may have changed, so that
you have the complaints to your toes. If there is a
deviation at the foot, supporting soles can be made to
measure. The soles ensure that you get support while
standing and walking. The podiatrist can also give you
shoe advice about the firmness and flexibility of the
shoes.
Deformation of the big toe
The deformation of the big toe is called hallux valgus in
medical terms. It is a foot defect where the big toe
points out and the first metatarsal points inwards.
There is then a rotation in the toe. Often there is a lump
in the large toe joint. The deformation of the big toe
can cause complaints when walking.
Causes Hallux valgus
There are some causes that can cause the deformity of
the big toe: abnormal position of the feet, wide position
of the forefoot, heredity and shoes that do not fit
properly.
Symptoms of Hallux valgus
Complaints that can occur due to deformation of the
big toe are: pain in the forefoot, irritation of the toes,
lump on the toe joint, calluses or corns and pain in the
big toe.
Treatment of Hallux valgus
The podiatrist examines your foot. A changing position
of your feet can cause you to move in a different way. A
consequence of this change is that more callus
formation can occur on your feet. To reduce these
pressure points, the podiatrist can make tailor support
soles to reduce pain and pressure points. The podiatrist
can give you shoe advice so that the symptoms are less.