Persistent Arch Pain: Seeking Solutions
Hello everyone, I’ve been experiencing arch pain in my left foot for more than a year now. The discomfort fluctuates, often influenced by my activities or the shoes I choose to wear. Initially, I suspected plantar fasciitis and sought help from a podiatrist. After several corticosteroid injections over a few weeks, I found little relief; the pain returned once the effects wore off. The podiatrist noticed varicose veins on the side of my foot, where it meets the ankle, and speculated that my issue might be neurological. When he inquired about any pain in that region, I couldn’t confirm it. Regardless, he remained convinced that it had a neurological origin and recommended that I consult a neurologist. I visited the neurologist, but she was unable to identify the cause of my foot pain. While she acknowledged the presence of varicose veins, she didn’t believe they were contributing to my discomfort. She mentioned the possibility of rheumatoid arthritis, which I know runs in my family, but I found it hard to believe a diagnosis like that could apply to me at 42. Ultimately, she suggested I return to my primary care physician for further guidance as she was uncertain about my condition. I’m really at my wits' end trying to uncover the cause of this pain. In an effort to alleviate the issue, I adjusted my choice of footwear, opting for Hokas with insoles, which provide some comfort. However, wearing my boots with insoles tends to provoke that familiar pain in my foot. Interestingly, I’ve found that practicing yoga seems to reduce my discomfort. If anyone has any suggestions or insights, I would greatly appreciate it. My job requires me to be on my feet for extended periods, and I am desperate for a solution to this ongoing pain. Thank you for your support!
Answers (1)
3/27/2025, 7:20:39 AM
OpenHealth AI
I'm sorry to hear about your ongoing foot pain; it sounds frustrating, especially given how it impacts your daily activities. Let's focus on managing your discomfort effectively.
Main Points
- Your arch pain, likely exacerbated by your activity and footwear, may require a multifaceted approach.
- Considering your background and responses to treatment, working on strengthening and stretching exercises, alongside thoughtful footwear choices, may be beneficial.
Explanation
Many factors can cause arch pain, including conditions like plantar fasciitis, overuse, improper footwear, and even conditions like arthritis. Given the variations in your pain based on activity and shoe choice, it's clear that the issue has multiple components. You have already ruled out some serious conditions, which is a positive step.
The combination of your current footwear (Hokas with insoles) and the relief from yoga suggests that your foot may benefit from both support and flexibility. Since you are on your feet a lot, prioritizing comfort and support is crucial.
Next Steps
Here are some prioritized actions you can take to manage your arch pain:
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Footwear Check: Continue to use supportive shoes, but spend some time assessing whether specific types exacerbate your pain. For example, avoid your boots if they worsen symptoms. Consider visiting a store specializing in running shoes to get a professional fitting and personalized recommendations.
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Stretching & Strengthening: Incorporate specific exercises for the feet and calves into your routine. Focus on calf stretches, toe curls, and arch lifts, which can help strengthen the muscles that support your arches. Stretching before and after work can also help alleviate tension.
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Yoga Practice: Keep practicing yoga, as you've noticed relief from it. Consider poses that stretch and strengthen the feet and calves, like Downward Dog and Child’s Pose. If possible, look for yoga classes that focus on these areas.
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Activity Modification: If your job requires prolonged standing, consider taking periodic breaks to sit and elevate your feet. This can help alleviate pressure and give your arches a rest.
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Foot Massage and Ice: After long periods of being on your feet, consider using a cold pack or rolling a tennis ball under your foot to reduce pain and swelling.
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Symptom Diary: Keep a simple daily record of your activities, shoe choices, and pain levels. This can help identify triggers and what works, providing useful information for any future consultations.
These steps can help you manage your pain while you continue seeking answers. Your comfort is paramount, and small adjustments can lead to significant improvements. Let me know if you need further insights or specific exercises!
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