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What is arch pain?

imageArch pain is the term used to describe symptoms that occur under the arch of the foot.

The arch of the foot is formed by a bridge of bones, joints, ligaments, tendons and muscles, reinforced by a tight band of tissue that connects the heel bone to the toes (plantar fascia).
The arch is important as it provides stability and postural integrity to the foot and is the foundation of the entire body.

What are the common conditions leading to pain in my arch?

  * Plantar fascia strain
  * Intermittent claudication
  * Lisfranc injury
  * Stress fracture of the navicular
  * Metatarsal stress fractures
  * Flexor muscle strain
  * Mid-tarsal joint sprain
  * Posterior or anterior tibialis tendon insertion strain

Plantar Fasciitis (pronounced PLAN-tar fashee-EYE-tiss)
Arch pain is frequently associated with an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot. The inflammation is called plantar fasciitis. It is common among those who run and jump a lot, and can be quite painful.
The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where it attaches to the heel bone.
The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area, and by the chronic irritation that sometimes accompanies an active lifestyle.
Longstanding cases of Plantar Fasciitis often demonstrate more degenerative changes than inflammatory changes, in which case they are termed Plantar Fasciosis

Treatment.
Orthotics, i.e., foot supports, are the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality.
Pain with the first steps of the day can be markedly reduced by stretching the plantar fascia and achilles tendon before getting out of bed.

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