Throbbing pain in middle-inner arch of foot

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Hi Everyone,

 I’m a 27 yr old male in relatively good shape, other than this debilitating foot problem I’ve had for almost two years, of course.  Whenever I walk or stand (especially walk), I have a throbbing pain throughout the arch of my foot and up to the metatarsals – basically everywhere north of the heel.  It gradually gets worse the more I walk/stand.  More recently, the pain has been localized in the middle area of the inner part of my arch.  The pain is so bad that I cannot walk anymore.  I have to limp to get around, and even that causes excruciating pain.

Things that trigger pain in the middle-inner arch of my foot.  Note that I have this pain bilaterally, but it’s far worse in the left foot:

-walking more than a couple of steps

-standing for more than 5 minutes

-clenching my toes (especially big toe -- this instantly triggers the pain)

Any thoughts?  I’m stuck in my apartment for the unforeseeable future until I can figure this out.  Dr has ruled out neurological and rheumatological issues from recent testing.  Also have a morton's neuroma in 3rd webspace (other side) but I'll save that issue for another day.

4 likes, 74 replies

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  • Posted

    Talk to dr about strong anti inflammatory plan for 4 weeks .. do this till swelling goes down. Use orthotics.. eat right lose weight.. then test for gait.. uric acid infammation.. get pills aspirin.. try those have pills ready .. eat right .. no purines no junk food pop ..no processed no no shrimp or booze .. chineese etc... This might help..
  • Posted

    If the gait slash diet isnt it try wearing shoes all time to counteract planar.. but wesr evrn in house support shoes.. .. sorry im late hope all is ok

  • Posted

    I’ve just managed to find this thread today, even though I’ve discovered that my arch pain has been going on for more than 5 years now. But it seems to be getting worst to the point I can’t walk on my feet (after more than a half-hour walking), and have to be pushed around in a wheelchair for at least two days, or am bedridden with arch pain, migraine and nausea. I have just been in for blood work, so wait to hear the results of that, in the meantime I will try some of the recommendations put forward and report back. Appreciate this thread though as it has been enlightening, but it seems I’m the only one who has mentioned the addition of migraines and nausea, hope it’s not a sign of something more sinister:-(
  • Posted

    I found a really nice fix for my issues on this.

    1 I started wearing sketchers with memory foam which comforted the area. 

    2 I read Ming Chews book on facia tissue and started doing the lower back stretch and I did trigger point Work slowly on my arches.

    3 I gently stretch my calves and ham strings as per Ming chews recommendation but also sat on my butt, legs straight, toes pulled back and breath in and hold the stretch, breath out go deeper into the stretch.

    4 I went to the chiropractor and my hips were out of alignment and my neck and shoulder so I had these aligned and did strengthening exercises to help everything. 

    5 I stretched my hip flexors, released my  psoas too. 

    Basically I was out of position with my hip, neck and shoulder. Super tight in all my muscles which needed releasing and plenty of facia hotspots which needed releasing. 

    I’ve started couch to 5k and my arches are holding up ok. If they hurt too much the next day I go easy. But overall they are getting a little stronger each time. 

    Sitting all day in an office is not good and it had taken its toll.

    Good luck everyone. 

    • Posted

      Thanks Jon1234567 for those tips, I will give it a go and let you know later how I get on. I do believe that stretching will help. Also I wear 2-4inch block heels, as flats kill me. Thanks.
  • Posted

    i experience the same exact thing. It began 3-4 months ago and just a couple of weeks ago it got worse and caused me to visit the ER because i couldn't walk on it at all. i had to walk on crutches for 2 days, then i began wearing a medical boot that the ER physician gave me. This is the only semi-tolerable way i can get around. What can i do to help manage this and walk normally again?

  • Posted

    I have the same exact injury. Mine came from driving a truck barefoot. By putting the brake on while coming down a hill I strained the inner arch on my left foot. This happened seven years ago. I have struggled with the same symptoms as you. I can't walk more than a block or two. But I did find something that has helped.

    I wear boots with high heels and sweeping arch support. I also use hi-steps inside the boot. Whenever I walk somewhere I wear three pairs of socks to immobilize the foot so that the heel doesn't flex when I walk.

    I do not believe this is PF. I know when I injured it and how I injured it. I had never had PF prior to the injury. A Podiatrist did an MRI on the injury and there is no tear. Luckily, I have slowly gotten the arch to respond to some healing so that I was able to walk quite a bit, up to four miles a day, though I don't think I'll ever be able to run again. Sadly, the podiatrist did a cast of my foot and had customized arch supports made for me. I wore them for a week, and lo and behold, I re-injured the foot. Now I am limping again.

    This is very frusturating because last time I hurt my foot it took four years to heal. I hope it doesn't take that long again.

    It has been a life killer for me. I was such an active person before the injury. I hiked 30-40 miles a week in the Colorado Rockies. I belonged to a dance club. I boxed in the ring. I was as active as a person could be. In the last six years I have been relugated to the couch. I see couch potatoes and I think to myself "how could you? Look, you have your health. Go out and recreate." And there I sit, a couch potato who doesn't have a choice but to be a couch potato. Sometimes I drive out to trailheads that I used to hike and I just sit there in my Jeep and remember when I used to hike to the top of those 14,000 foot peaks.

    My social life now belongs to the bars because I can only do such things as sit.

    Does this sound like a sob story? It is. Someone once told me a broken bone is better than any muscle injury. I wished my ankle would have snapped that day rather than strain my arch.

  • Posted

    Footwear my friend. Don't wear shoes that compress your toes, have no support, and make you uncomfortable. Also for the neuroma, you could be walking wrong because of the original pain, which then caused the neuroma to form (exact same thing happened to me).

    1. Get an insole made custom by a podiatrist
    2. RICE. Rest. Ice. Compression. Elevation
    3. Get an ultrasound, if that doesn't show anything, get an MRI
    4. I wouldn't recommend physical therapy until you rule out some things as stretching of your fascia may make it worse for you.
    5. Treat this as early as possible. Do not leave it for longer or you will be where I am with so many more debilitating symptoms.
    6. Because actually stretching your fascia is causing pain, I do not recommend walking barefoot at any given time. While you're walking around the house etc there's plenty of nifty socks you can get that have gel on the bottom right in the middle where the fascia band stretches. It'll reduce the amount of stretch your fascia is doing considerably, and allow the fascia to heal without getting new tears constantly
    7. I believe the reason you may be getting pain in as little as 5 minutes is because you may have thickening. When you make micro tears on your fascia from stretching, it will naturally get inflamed (large amount of blood sent to repair). The cells will deposit within not a lot of time but in random chunks. It actually takes months for them to even out smoothly & completely heal. But because you're consistently re-tearing it, you're not allowing the cells to smooth out & instead adding to the build up every time, causing a thickening of cells on the fascia

    It really just sounds like an inflamed plantar fascia from over stretching causing micro tears to it. If you rest it enough, it'll heal on it's own but it'll take a long time especially due to it being the bottom of your foot.

    ps, I am no professional. Just someone who has experienced the same & spoken to many Drs about food pain

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