Definition
Pain when it occurs can be felt in some areas of the body. Often they are in the foot. However, due to the strain during the occurrence, injuries and diseases in the ankle, knee or even hip can also cause pain in the respective affected region.
It is not uncommon for additional radiating pain to exist, so that some patients with a hip disease have pain on occurrence not only in the hip, but also in the entire thigh and knee. Sometimes, in addition to the pain on onset, there is also pain at rest, which is worsened by the load. In addition to orthopedic diseases, foreign bodies or warts can also cause pain on occurrence.
Localization
If there is pain in the heel when it occurs, it is important whether it occurs at the back of the foot at the transition to the Achilles tendon or under the heel on the sole of the foot. In both cases a heel spur is often responsible. A heel spur is an ossification of a tendon attachment.
There is the upper heel spur, which is located at the Achilles tendon attachment. The lower heel spur is located under the heel, at the transition to the plantar aponeurosis. This is a flat tendon that connects the heel bone with the midfoot and forefoot and forms the longitudinal arch of the foot.
The heel spur is very common in the population. Often there are no complaints, in which case there is no need for treatment. Plantar fasciitis often accompanies a lower heel spur.
This is an inflammation of the plantar aponeurosis, which is usually caused by incorrect posture and positioning or overstraining and the associated microtraumas. The pain occurs after prolonged rest and is located in the inner sole of the foot and the heel. Above all, the stretching of the plantar aponeurosis by pulling the toes upwards has a pain-increasing effect.
Pain when occurring in the metatarsus can be caused by incorrect loading due to unsuitable footwear during prolonged walking or sports. However, there are also serious diseases that are said to cause such pain. If the foot has been repeatedly subjected to excessive strain over a long period of time, a marching fracture may occur.
This is a fracture of one or more metatarsal bones due to repeated overloading. This results in pain when the metatarsal is affected, which increases when walking. A metatarsal fracture can also occur due to an accident.
Frequent accidents include twisting or a direct impact injury to the foot, for example during soccer or as an accident at work. Another disease of the metatarsus that causes pain when it occurs is called Köhler’s disease. This disease is accompanied by a reduced blood supply to part of a metatarsal bone.
Primarily affected are teenage girls and young women. The diagnosis can be made with the help of an X-ray. The forefoot is formed by the toes.
In the course of life, wear and tear in the toe joints can lead to arthrosis, which then causes pain when stepping and walking. Malpositioning of the toes such as hammer toes or claw toes can also cause pain when walking in the forefoot. The ball of the foot is a common location of warts, which can be just as painful due to inward growth.
Broken bones in the area of the toes are often the result of an accident. If a toe is broken, this is usually accompanied by swelling, pain and possibly bruising. The occurrence and normal rolling of the foot while walking is then often almost impossible due to the pain.
If pain occurs in the big toe, a distinction must be made as to exactly where the pain lies. A frequent cause of pain in the base joint of the big toe is the hallux rigidus. In this disease, arthrosis develops due to wear and tear.
This is accompanied by an inflammatory reaction that leads to a successive stiffening of the metatarsophalangeal joint of the big toe and accompanying pain. Pain when occurring in the big toe can also be caused by incorrect footwear. Ladies’ shoes in particular are often cut too narrowly at the front, so that the toes become constricted and pain develops.
