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FOOT PAIN? 6 REASONS WHY YOU SHOULDN’T IGNORE IT
PAIN IN THE FOOT CAN POINT TO A NUMBER OF HEALTH ISSUES, EXPERTS SAY
--------------------------------------------------------------------------------
By
Hallie Levine,
AARP
En español
Published May 09, 2022
/Updated June 07, 2023
Anupong Thongchan / EyeEm
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If you are over the age of 50, you’re likely no stranger to foot pain. About 20
percent of older adults experience it on a regular basis, according
to results from the Framingham Foot Study, published in the journal Gerontology.
And there are several reasons why.
Being overweight can cause your feet to hurt; so can years in poor footwear.
Even just the wear and tear that comes with activity and advancing age can
contribute, says Sean Peden, M.D., a foot and ankle specialist and an assistant
professor of orthopaedic surgery at Yale University School of Medicine.
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But foot pain should never be ignored, as research suggests it can impair
balance and foot function, and may even increase a person’s risk of falling.
It’s also important to know that not all foot pain is the same, Peden says. In
particular, there’s a difference between muscle soreness from a hard workout and
sharp pain that comes from a bone or a joint — that’s the kind that warrants a
call to the doctor for a diagnosis and proper treatment, he stresses.
Your pain may even point to other, potentially serious health issues. Here are
six to put on your radar.
1. STRESS FRACTURE
Older adults are particularly vulnerable to stress fractures, or tiny cracks in
the bone, because the trabeculae (the spongy tissue that connects your body’s
bones) thin with age. The most common symptom is pain with activity that
subsides with rest.
“We saw a lot of stress fractures throughout the pandemic. People were barefoot
more because they worked from home, and they gained weight, which together is
not a good combination,” says Jacqueline Sutera, a podiatrist in New York City.
It’s important to realize that the symptoms of a stress fracture are more subtle
than those you’d experience with an actual broken bone. In fact, a lot of people
don’t even realize they have one, Sutera says. “There’s usually not much
swelling or bruising, they don’t remember hurting themselves, and they usually
can still walk, albeit with pain,” she explains.
If pain lasts for more than a few days and doesn’t seem to get better with ice
and rest, see your doctor. And keep in mind that not all stress fractures show
up right away on an X-ray, so you may need an MRI (a magnetic resonance imaging
scan), Sutera adds. Treatment is rest for six to eight weeks; you may also need
a special shoe insert or braces to help the injury heal.
If you are diagnosed with a stress fracture in your foot, talk to your doctor
about whether you should undergo screening for osteoporosis. It may be a sign
that your bones are thinning, according to the American College of Foot and
Ankle Surgeons.
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2. PERSISTENT HEEL PAIN
Plantar fasciitis is a common condition where the plantar fascia — the thin
ligament on the bottom of your foot that connects your heel to the front of your
foot — becomes irritated and inflamed. It often resolves on its own with icing
and rest, but if it continues, you should get it checked out, Sutera says. “If
it’s torn, it won’t get better by itself,” she cautions.
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While an X-ray can reveal problems like osteoarthritis or a stress fracture, an
MRI is needed to diagnose an actual ligament tear. First-line treatment is
usually a short leg boot cast combined with crutches. If that doesn’t work, you
may need surgery.
3. PSORIATIC ARTHRITIS
Foot pain can be a common symptom of psoriatic arthritis, an inflammatory
disease that causes pain and swelling in the joints. Most people with psoriatic
arthritis also have psoriasis, a skin condition that causes red, scaly, inflamed
skin. You may notice that one or more toes are so swollen that they look like
little sausages, a condition known as dactylitis. Other signs include heel pain,
bottom of the foot pain, and thick, pitted toenails.
“If you have a lot of pain in the morning and it’s focused on one side of your
body — your right ankle, your right toes, your right foot — it may be a sign of
psoriatic arthritis,” Peden says.
It’s diagnosed with a physical exam, imaging such as X-rays and MRIs, and blood
tests to rule out other conditions. It’s important to catch psoriatic arthritis
early, before joints deteriorate. Treatment includes disease-modifying
anti-rheumatic drugs such as sulfasalazine (Azulfidine) or biologics like
adalimumab (Humira).
4. DIABETES
About half of people with diabetes develop neuropathy, or nerve damage, a
condition that leads to tingling, burning or stinging pain, and even foot
numbness and weakness. But neuropathy can have other causes, ranging from
alcohol overuse to undiagnosed infections such as Lyme disease — even cancer.
So, it always needs to be checked out, Peden says.
Regardless of the cause, you’ll need to monitor your feet carefully. Check them
every day for cuts, redness or swelling, and never go barefoot — not even inside
(wear socks or slippers instead). If you see corns or calluses, have a
podiatrist remove them rather than trying to remove them yourself. And keep your
toenails trimmed. If you have trouble doing that, your podiatrist can do it for
you.
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5. GOUT
Gout — a form of inflammatory arthritis where high levels of a substance known
as urate build up in your body, leading to joint pain and swelling — often
begins in your big toe, but it can be misdiagnosed and overlooked, Peden says.
“People will go to the emergency room because their toe is killing them, and
they’re told they have an infection or a fracture even though there’s no real
history or symptoms to look for those things,” he says. The condition usually
develops in middle age and is more common in men than in women.
If the pain is so severe that it keeps you up at night, there’s a good chance
it’s gout, Peden says. Ask your doctor to do blood work to check your urate
levels or take a fluid sample from the painful joint to look for urate crystals
under a microscope. An ultrasound of the affected area can also offer a clue.
Most of the time, gout can be treated either by your primary care provider or by
a rheumatologist. There are certain medicines, such as colchicine, that help
treat gout pain.
Lifestyle measures like losing weight and following a specific eating plan known
as the DASH diet, which is rich in fruits, veggies, whole grains and low-fat
dairy, can also help lower blood urate levels.
6. BLOOD CLOT
When you think of deep vein thrombosis, you may automatically think of leg
swelling and leg pain. But this condition, where a blood clot forms in one of
the body’s deep veins, can also cause sudden and severe pain in the ankle or
foot, Sutera says. You’re more at risk if you’re a smoker, overweight or over
the age of 60, particularly if you are sedentary. If you notice leg or foot
swelling and pain that doesn’t seem to have a cause, see your doctor right away,
especially if the area feels warm to the touch and is discolored (usually a pale
red or blue). “These blood clots can break off and travel to the lung or brain,
where they cause a fatal pulmonary embolism,” Sutera warns.
Editor’s Note: This story, first published May 9, 2022, has been updated to
include new information.
%{postComment}%
Hallie Levine is a contributing writer and an award-winning medical and health
reporter. Her work has appeared in The New York Times, Consumer Reports, Real
Simple, Health and Time, among other publications.
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MEMBERS ONLY
Restaurants
Corner Bakery
10% off dine-in and carry-out orders
Learn More
See more Restaurants offers >
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MEMBERS ONLY
Health & Wellness
AARP® Prescription Discounts provided by Optum Rx®
Free Rx discount card for use at over 66,000 pharmacies nationwide
Learn More
See more Health & Wellness offers >
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AARP MEMBERSHIP
Join or Renew Today
Save 25% when you sign up for automatic renewal
Learn More
See more Health & Wellness offers >
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234
*
*
*
*
* Health & Wellness
BMI Calculator
Determine your healthy weight
Learn More
See more Health & Wellness offers >
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* MEMBERS ONLY
Restaurants
Corner Bakery
10% off dine-in and carry-out orders
Learn More
See more Restaurants offers >
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* MEMBERS ONLY
Health & Wellness
AARP® Prescription Discounts provided by Optum Rx®
Free Rx discount card for use at over 66,000 pharmacies nationwide
Learn More
See more Health & Wellness offers >
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* Health & Wellness
AARP Online Fitness powered by LIFT session
Customized workouts designed around your goals and schedule
Learn More
See more Health & Wellness offers >
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