Arch Pain

Pain across the bottom of the foot at any point between the heel and the ball of the foot is often referred to as arch pain. Although this description is nonspecific, most arch pain is due to strain or inflammation of the plantar fascia (a long ligament on the bottom of the foot). This condition is known as plantar fasciitis and is sometimes associated with a heel spur. However, some arch pain is due to tendon inflammation and so proper diagnoses is essential.

In most cases, arch pain develops from overuse, unsupportive shoes, weight gain or acute injury. If arch pain persists beyond a few days, see a foot and ankle surgeon for treatment to prevent this condition from becoming worse.

Evaluation involves:
- Often an in office digital xray exam to rule out accessory bones or osteoarthritis. Gait exam. Clinical exam of the extremity.

Treatment may involve: Shoe education, castboot immobilization, protection of limb, inserts, custom orthotics, injection, EPAT.

Surgery: Depends on the diagnoses, and at times necessary if conservative treatment efforts fail to provide relief.