The foot and ankle are complex structures consisting of numerous bones, the joints between them, the ligaments that keep them stable, and the muscles that generate strength and motion. Your foot and ankle take a lot of stress in a given day from standing, walking, running, or going up and down stairs. The muscles within the foot help the bones provide structure and support.
Your foot is the base of support for your entire body. If the alignment of your foot is off because of weakness or structural issues it can cause many problems to occur up your entire leg. Foot or ankle problems can be caused by overuse, traumatic injury, or changes that occur naturally in your body.
Suffering from foot and ankle pain? Contact us to learn about treatment options.
How Your Foot and Ankle Works
The foot consists of three parts: the forefoot, midfoot, and hindfoot. The forefoot is made up of your toes and metatarsals, or the long bones that many of us think of as our foot. There are five metatarsals, each made up of two bones. The midfoot consists of five small bones called the navicular, cuboid, and first, second, and third cuneiform bones. The hind foot is made up of the heel bone (calcaneus) and the talus bone, which sits on top of the heel bone. The talus meets the two bones of the lower leg (tibia and fibula) to create the ankle joint.
Bones are connected to other bones by ligaments which help provide stability. Many ligaments go between each of the bones in the foot. Each of these can be injured and cause pain and instability. The ankle has three main ligaments on the outside of the ankle and one broad band of ligaments on the inside of the ankle, all connecting the two leg bones to the foot. There is also a ligament in the ankle, which connects the shinbone (tibia) to the outside lower leg bone (fibula). When this ligament is injured, it is referred to as a high ankle sprain.
Within the foot, many muscles help flex and extend each of the toes. Some of these muscles have tendons that travel up the ankle and attach on the tibia or fibula; others remain entirely in the foot. The ankle has a series of muscles that allow the ankle to move in, out, up, and down. The Achilles tendon attaches to the heel and turns into the calf muscles ending behind the knee.
Evaluating Foot and Ankle Pain
Evaluation for foot and ankle pain starts with you telling us when and how it started, how it currently feels, and which treatments you have tried so far. We ask about other medical conditions that may contribute to your pain and do a physical exam to test your foot and ankle structures. Then we check your foot or ankle’s range of motion and strength, and do special tests that can uncover specific problems.
Based on the findings of your physical, we may use a cortisone injection as a clinical test and pain treatment. The injection’s numbing medicine helps us determine the source of your pain, while the cortisone can provide pain relief. Sometimes we order X-rays or MRIs to visualize your bones and soft tissues. X-rays can show fractures, spurs, and changes from arthritis. MRIs can show us more bone detail as well as soft tissue damage like ligament or muscle tears.
Whatever the cause of your foot and ankle pain, we are dedicated to helping you find the best treatment. Request an appointment today.
Causes of Foot Pain
- Less common causes– infection, tumors, or nerve problems
Treating Ankle and Foot Pain
Treatment of ankle and foot pain is specific to the diagnosis and severity of your symptoms.