The foot is a highly detailed and intricate part of the body, with close relationships between the many bones, ligaments, tendons and other soft tissues. A problem in one area of the foot can quickly lead to problems not only elsewhere in the foot, but also the knee, hip and lower back.
Like the hand, the foot is a very intricate and proper testing is needed. We strain and stress all the structures (like muscle, tendons, ligaments, joints, etc.) to determine what needs to be done. We don’t simply treat the symptoms, our goal is to identify, address and correct the underlying cause of the problem to get you back on your feet as soon as possible.
The foot is an amazing anatomical structure. One quarter of all the bones in your body are in your feet. Each foot contains 28 bones, 33 joints, 107 ligaments, 10 muscles; and over 250,000 sweat glands that produce as much as 250mls of sweat per day.
Our professional experience with foot pain
Pain in the heel are the most common foot pain we treat. This is usually due to shortening of the calf muscles that pull on the heel bone (calcareous).
We play a vital role in accelerating the healing of metatarsal fractures, assessment and mobilization of joints. We have made significant improvement with patients suffering from plantar fascitis (pain in the heel and arch of the foot, very stiff and uncomfortable in the morning or after rest), to metatarsalgia (pain under the ball of the foot, especially painful after a period of walking/running).
Symptoms of foot injuries
Mild
- Pain in the arch of the foot
- Limping
- Pain after activity
- Stiffness in the morning
- Swelling
Moderate
- Bleeding in arch of foot
- Unable to put weight on foot
- Pain at rest
- Unable to move the toes
Diagnosis
Physiotherapist are trained to test and examine the intricate structures in the foot. We will be able to guide you if further investigations are necessary and send you for any necessary scans that may clarify the problem. Our Physiotherapist will determine if X-rays, Sonar, CT-scan or MRI is necessary to determine the cause of your foot pain.
Foot injuries – Initial treatment
PRICE protocol
KEY | ACTION |
P – Protect | Protect the ankle by taping, splinting or using a brace to prevent pull on the injured ligaments. Using crutches with partial weight bearing will rest the ligament and aid in the healing. Crutches will help you to get around without putting weight on your ankle. |
R – Rest | Using crutches with partial weight bearing will rest the ligament and aid in the healing.Crutches will help you to get around without putting weight on your ankle. |
I – Ice | This reduces pain & inflammation and speeds up the healing process. For at least the first 3 days or until the swelling goes down, apply an ice pack for 20 minutes every two hours. Always keep a towel between the ice and your skin (to prevent a clod burn), and press the ice pack firmly against all the curves of your ankle. |
C – Compress | This can be done either with taping or tube grip bandage and helps to control swelling.In our experience, ankle taping/ strapping is much more effective at preventing certain ankle movements compared to generic ankle braces. |
E – Elevate | Elevation during rest periods also helps to control swelling, bruising and promote healing. Raise your ankle above the level of your heart for 15 minute intervals during the day. |
Foot Pain can be …
- Gastrocnemius muscle tear or strain
- Soleus muscle tear
- Achilles tendinitis /Tendonitis
- Retrocalcaneal Bursitis
- Pinched Sciatic nerve
- Shin Splints
- Flexor Digitorum muscle strain
- Stres Fracture (Tibia – Medial Traction Periostitis)
- Flexor Hallucis Longus muscle strain
- Compartment syndrome
- Flexor group tendinitis
- Sciatica – pinched Sciatic nerve
- Referred pain from Lower back (Lumbar)
- Flexor Hallucis Brevis muscle strain
Foot Pain Treatment
- Acute injury treatment
- Ultrasound
- Medications
- Soft tissue massage
- Electrotherapy treatment
- Laser (Low Level Laser therapy)
- Acupuncture & Dry Needling
- Heat packs (Thermal therapy)
- Kinesiology Tape
- Rigid Strapping or taping
- Neurodynamics (Nerve tissue mobilizations)
- Dynamic Strapping
- Strengthening exercises
- Guided loading protocol
- Stretches (Static, dynamic and ballistic)
- Moon boot
- Brace
- Compression Bandage or Sleeve
- Supportive strapping and taping
- Biomechanical Analysis
- Gait Analysis
- TENS
Why is your foot pain lasting longer than expected?
Experiencing these situations or applying similar advice and not getting results is a good thing. Why? Because these experiences help you know what doesn’t work for you. It means that you are closer to finding out what does work for you!
We invite you to book an appointment with a Physiotherapist (at our Pretoria practice). During an appointment we assess your symptoms, diagnose the cause, educate you about what is happening in your body and then start treatment. See our FAQ for more in depth information about what to expect from a physiotherapy session.
Alternatively, click the link below to book a FREE phone call. The phone call is complimentary and there is no obligation to book any appointments with us after the call is over. This is an opportunity to get an expert’s advice about your situation. Our goal is to help you make an informed decision about what to do next concerning your muscle pain.
4 steps to get rid of foot pain quickly.
If you would like to know how the Physiotherapy team at Cilliers & Swart can help you, we invite you to book a FREE, no-obligation, risk-free “Call me back” phone call.
Note: This Free Call is a service we offer to people who are nervous or unsure. You might not know if Physiotherapy is the right treatment for you. If you are unsure, please fill out our online form. We will contact you to find out what is wrong and how we can help. There is no financial obligation or risk on your part. You have nothing to lose except your pain.