Foot pain: Understand the main causes and treatments
Have you ever felt pain in the soles of your feet in the morning? This is one of the most common complaints that leads many people to doctors' offices for help. There are pictures in which the person can not even touch his foot on the floor, size is the nuisance. But how does this problem arise? How to treat it?
The main cause of this type of pain is the use of inadequate footwear, which is one of the reasons that makes pain more recurring among women. "A very high heel and very soft, low-lying shoes are the ones that cause the most pain." The lower one leads to pain in the part of the sole of the foot near the heel, while the very high heel develops pain in the front of the foot. " the orthopaedist Marco Antonio Ambrosio, of the Samaritan Hospital of São Paulo.
The two types of pain in the soles of the feet are called talalgia and metatarsalgia. Understand the characteristics of both problems:
Talalgia is one of the pains in the feet located at the back of the plant. "Most of the time, talalgias are related to plantar fasciitis, an inflammation in the foot structure called the plantar fascia, which grows at the tip of the calcaneus and goes to the region near the fingers," says Marco.
Fascia gains one inflammation by overload and, over time, may form even a spur of the calcaneus. "Many people think that the spur is the problem, but it is actually the fascia that is inflamed," says Ambrosio.
"Metatarsalgia is a picture of pain that usually arises in the sole of the foot, located in the region below the metatarsal bones, the mid-anterior part of the foot.The most common site is below the head of the metatarsals, close to the toes, an area that is heavily loaded, "says physiotherapist Marcel Tomonori Sera of the Reactive Clinic. More than one treatment can be applied, depending on the level of pain and inflammation of the patient. Thus, the doctor can choose to prescribe medicines in conjunction with physical therapy, in addition to the use of insoles and shoe changes.
Measures to avoid these problems
Take the test: take a shoe of yours, hold with both hands , one at each end, and try to fold it. If it does, it means it is not suitable for use. "What people usually do is the opposite, they look for the softest shoe, the most suitable one being the rigid one. It may even have a padded structure in the plant, but it needs to be rigid", says Ambrosio. shoes with a small heel, between 3 and 4 cm of maximum height, and that have some type of cushioning. "It is important to be aware of the origin of footwear. For example, ABNT (Brazilian Association of Technical Standards) has a guide of comfort standards for footwear, which must be followed by manufacturers to ensure a quality shoe that does not the health, "says the orthopaedist Rogério Vidal de Lima.
How to ease pain
The most important when the pain appears is to remove the load of the feet, that is, to get as much as you can without stepping on the floor. Depending on the severity of the case, the doctor may even recommend that the person stay days without resting his feet on the floor. Orthopaedist Marco Antonio Ambrosio recommends the use of ice in the region that hurts, three times a day for 20 minutes each, and stretching of the feet, stretching and pulling the fingers back. "Some physical therapy measures to lengthen structures of the sole of the foot, generating less traction in the heel area, help a lot. Imagine a tight elastic and, with the stretching, it is as if you could loosen it, "he explains. In addition, Marco points out that patients feel a significant difference as soon as they replace inappropriate footwear.
I do physical activities, and now?
It's important to stop for awhile and consult a doctor about the best treatment. "When you use your foot too much, a stress fracture can occur. This problem is diagnosed with imaging tests," says Marco. Differently from common fractures, this lesion is "silent", it is occurring gradually, and arises from the sudden exaggeration of the exercise load. "In addition, patients tend to pause the sport they perform, observe the improvement of the pain and believe that the problem has been solved, which is not always true, so the ideal is to investigate what causes the discomfort in the soles of the feet with a specialist ", concludes Rogério.
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