[26M] Experiencing intermittent arch pain in right foot

Patient Description

A 26-year-old male reports a 2-3 month history of pain in the arch of the right foot, describing it as a sensation that the top of the foot is bruised. The pain is initially rated at a 4 out of 10 upon first standing, which then decreases to a 1-2 as he continues to walk. The pain reportedly 'resets' after periods of rest. The patient also feels a need to 'crack' or adjust the mid-foot area but has not experienced any recent injuries. The pain is noted to be worse when barefoot. There are no associated symptoms of heel pain, swelling, color change, numbness, tingling, or burning sensations in the affected foot.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Plantar Fasciitis: This is a common cause of pain in the arch of the foot. It's caused by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes. The pain is usually worse after rest, such as when you get up in the morning or after sitting for a long time, and improves with activity. However, it can become worse again after long periods of standing or when you get up after sitting.

    • Treatment typically involves rest, ice, over-the-counter pain relievers, and physical therapy. In some cases, your doctor might recommend wearing a splint at night or using orthotics.
  • Flat Feet (Fallen Arches): This condition occurs when the arches on the inside of your feet are flattened, allowing the entire soles of your feet to touch the floor when you stand up. This can lead to foot pain, particularly in the arch or heel. It can worsen with activity.

    • Treatment can include arch supports (orthotic devices), stretching exercises, supportive shoes, or physical therapy.

Please remember that this is not an exhaustive list of all possible conditions, and other causes may be possible. A healthcare professional should be consulted for an accurate diagnosis.

What you can do

Here are some general suggestions that may help alleviate your symptoms:

  1. Rest and elevate your foot when you can, and avoid activities that worsen your pain.
  2. Apply ice to the painful area for 15-20 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Wearing shoes with good arch support and a cushioned sole can be helpful.
  5. Gentle stretching exercises for your foot and calf may help relieve the pain and improve flexibility.

What you should look out for

Please seek immediate medical attention if:

  • Your foot pain is severe or accompanied by swelling or discoloration
  • You have an open wound on your foot that is not healing, or is associated with increasing pain, redness, or swelling
  • You have diabetes and are experiencing foot pain or unexplained foot symptoms
  • Your foot pain does not improve with rest and home remedies

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

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People Also Ask


What are the common symptoms of plantar fasciitis?

Common symptoms of plantar fasciitis include sharp pain in the heel or arch of the foot, especially noticeable in the morning or after periods of rest. The pain often decreases with activity but can return after long periods of standing or sitting.


How can flat feet contribute to foot pain?

Flat feet can lead to foot pain because the lack of arch support can cause strain on the muscles and ligaments in the foot. This can result in pain in the arch or heel, and it may worsen with prolonged activity or standing.


What are some effective home remedies for foot arch pain?

Effective home remedies for foot arch pain include resting and elevating the foot, applying ice to reduce inflammation, taking over-the-counter pain relievers like ibuprofen, wearing supportive shoes with good arch support, and performing gentle stretching exercises for the foot and calf.


When should I see a doctor for foot pain?

You should see a doctor for foot pain if it is severe, accompanied by swelling or discoloration, if you have an open wound that is not healing, if you have diabetes and experience unexplained foot symptoms, or if the pain does not improve with rest and home remedies.


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