Foot and Ankle Pain Advice

Foot and ankle pain 

Foot and Ankle Pain can be caused by a number of reasons including; sprains, overuse injuries, changes to the biomechanics of your foot, and osteoarthritis (wear and tear).

Most foot and ankle pain can be eased by simple over the counter pain relief and modifying your activities.  Wearing good supportive footwear all day every day with lace or velcro should also help. 

It is important to contact if:

• You are unable to put weight on your foot or ankle, making it difficult to walk. (GP or minor injury service)
• Your ankle is hot, red and swollen as this may be a sign of infection. (GP or Podiatry)
• If the pain gets worse without a reason (like increased movement) (GP or Podiatry)

You may also wish to try applying ibuprofen gel at regular intervals for pain (avoiding any broken skin) and stretch your calves twice a day to improve overall foot and ankle flexibility.

• General Footwear Advice
• General Advice on calf and ankle stretches
• Wellbeing Service. Live well, feel better As well as using the advice here, it is also important to think about other contributing factors that may be having an impact on your Musculoskeletal Pain. Sedentary behaviours, carrying excess weight, poor sleeping patterns, and smoking and alcohol intake can have negative effects on pain. There are lots of useful links to help you stay active, sleep well and have a more healthy lifestyle. Click here for more links.

 Check the information below for your particular problem for a minimum of 12 weeks. It may take several weeks until you notice an improvement and in most cases this is a realistic time frame to allow the self-help to work. 

 

Knee pain see here for advice

Ankle Sprain

               If you have sprained your ankle, it is important to initially rest, use ice, elevate the foot, and keep it moving as much as you can. This printable leaflet gives further advice and the exercises that we recommend.

Pain outside of ankle/gone over on your ankle/weak ankle on the outside/ankle instability

            Most likely to be the PERONEAL muscles. Click HERE for more information.

 

 

 

 Bunion  

Defomity of big toe. Makes the foot look wider.  Officially known as Hallux Abducto Valgus (HAV)

 

What is the problem?     Click on the small pictures for additional information	What might it look like?	What can you do?	Is surgery the solution?
Bunion (Hallux Valgus)  Defomity of big toe sometimes with hammer or clawing of lesser toes. Occasionally pain, hard skin or ulcers due to rubbing on shoes.		Bunion Patient Information Leaflet	Bunion Surgery Leaflet Hammer/claw toe surgery Leaflet
Stiff Painful Big Toe Joint (Hallux Rigidus) Sometimes with a bony lump around the joint which can rub on shoes. Can be similar to bunion but usually the big toe is straighter.		Hallux Rigidus Patient Information Leaflet	Hallux Rigidus Surgery Leaflet
Pain in Ball of Foot (Metatarsalgia) Pain in the ball of the foot. Hard skin may also be present. Commonly affects those with bunions.		Metatarsalgia Patient Information Leaflet	Metarsalgia Surgery Leaflet
Intermittent Burning/Shooting Pain in Forefoot/Toes (Mortons Neuroma) Intermittent Burning, shooting pain or ‘Pins and needles’ usually between the toes. Toes may feel numb. Worse with tighter shoes, higher heels and on standing. Usually no visible change to foot.		Morton's Neuroma Patient Information Leaflet	Morton's Neuroma Surgery Leaflet
Heel Pain (Plantar Fasciitis) Heel pain which is worse on first standing from bed or after period of sitting and may radiate into the arch. Usually no visible change to foot		Plantar Fasciitis Patient Information Leaflet	Plantar Fasciitis is self-limiting and resolves in most cases therefore surgery is a last resort and not recommended.
Fallen Arch (Adult Acquired Flat Foot) Aching inside ankle and arch. Arch may lower and foot splays. Difficulty standing on tiptoe of affected foot. Usually no visible change in early stages.		Adult Acquired Flat Foot Patient Information Leaflet	Adult Acquired Flat Foot Surgery Leaflet
Achilles Tendinopathy: Pain and Stiffness around the Achilles tendon. worse on first standing in the morning. Pain is generally worse after exercise. There may be no visible change in early stages.		Achilles Tendinopathy Patient Information Leaflet	Surgery is a last resort for insertional tendinopathy as results are variable and recovery can be prolonged.