Foot Pain Treatment

Foot Pain Treatment in Hyderabad.

The foot is a strong mechanical structure made up of 26 bones, 33 joints and more than a hundred muscles, ligaments and tendons that fit together meticulously along two crossing arches. The ankle joint connects the foot to the lower leg.

Many things can cause foot pain (or feet pain) but the most common causes are trauma, injuries and diseases.

Foot pain is often short-term or acute, lasting a few days to a few weeks and being mild in nature. It usually improves on its own with self-care and simple measures. It is called subacute foot pain if it lasts between 4 and 12 weeks.

Chronic foot pain, on the other hand, lasts for 3 months or longer, even after the initial injury or underlying cause of pain has been treated. Chronic foot pain can occur in a small group of people that get acute foot pain. This means that the pain can continue for much longer than expected and in some of those cases the chronic lower foot pain can be difficult to treat.

FOOT PAIN SYMPTOMS :

Foot pain can occur suddenly or slowly, depending on the cause. Foot pain usually occurs immediately after an injury although sometimes the onset of symptoms can be delayed.

Symptoms may include a ankle pain or a stiff foot. Restrictions in certain movements might include inability to bring the foot up (heel walk) or down (walking on toes). Foot weakness may also be present. Foot pain may radiate anywhere in the region and even up into the leg. Sometimes pain may radiate down into the foot. There might be tingling, numbness, pins and needles and weakness.

Common causes of foot pain include:

  • Ligament damage
  • Soft tissue damage
  • Muscle strains
  • Fractures
  • High arches or very flat feet
  • Bunions and Corns
  • Arthritis
  • Diabetic feet

Process of Treatment

Medications to reduce the pain. These may be simple over the counter medications or can be medications prescribed by a pain specialist. Medications might include muscle relaxants or anti-neuropathic (nerve pain relief) medications. Sometimes analgesic compound creams are used to ease pain.

Injection therapies can be used to target, diagnose and manage chronic pain caused by muscle, joint and nerve pain. It includes interventional therapies like nerve blocks (saphenous nerve, sural nerve, superficial and deep peroneal nerves, tibial nerve, lumbar nerve roots, the sciatic nerve and lumbar plexus) radiofrequency ablation (RFA), pulsed radiofrequency (PRF) to the nerves previously blocked and mentioned above. Epidural and nerve root steroid injections. Sympathetic nerve blocks can also be performed.

Platelet-rich plasma can also be used in some locations around this area. Botox injections can be considered for certain types of muscular or nerve pain. For muscular pain, it can be injected into the muscle and for nerve pain it is usually injected under the skin of painful areas and can be helpful in providing pain reduction that can last many months at a time.

Nerve stimulation, also called neuromodulation or spinal cord stimulation are advanced pain reduction techniques that can work really well for severe foot pain Some forms of spinal cord stimulation are high frequency stimulation (HF10), tonic stimulation, multi-waveform stimulation. Spinal cord stimulation is a commonly used treatment for foot nerve pain that does not respond to other forms of treatment.

Surgery is generally recommended when tests show structural changes that need corrective surgery.  Types of foot surgery include repair surgery, removal (excision) surgery, remodelling (arthroplasty) surgery, stabilisation/fusion (arthrodesis) or replacement. Surgery is not a common treatment for chronic foot pain.

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