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Foot HealthJan 24, 2022Hannah Sweet
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Foot Health


ARCH PAIN





Foot discomfort can be a real pain in the arch. If your foot hurts along the
arch of your foot, the ball of your foot, or on your heel, you may be suffering
from arch pain. 


CAUSES AND SYMPTOMS 

Your arch is comprised of your tarsal and metatarsal bones, along with
supporting ligaments and tendons. If you touch the top of any one  

of your toes and trace the bone down to the center of your foot, your fingers
will trace a bone called your metatarsal. Attached to your toe bones, these five
metatarsal bones help  
you stand, walk, and run by distributing your weight evenly to  
keep you balanced. Connected to your metatarsals, near the  
back of your foot, are seven tarsal bones. Together, your tarsals and
metatarsals form your foot’s arch. 

Your arch runs the length of your foot, including the inside of your foot,
giving it a distinctive contoured shape. 



Your arches help you: 

 * Absorb stress. 
 * Stabilize your body for standing, walking, and running. 
 * Adapt to uneven or sloping surfaces.  
   
   

An important structure connected to your arch is your posterior tibialis tendon.
This muscle originates behind your shin bone, runs inside your ankle, and
attaches to several of your tarsal bones within your arch. This tendon is
responsible for maintaining a healthy, supportive arch during your everyday
activities. 

When any of these arch-related bones, ligaments, and tendons are weakened or
injured from overuse, excessive activity, or wear and tear from aging, you may
experience arch pain. 


DO I HAVE ARCH PAIN? 

To determine if you have arch pain, first identify what type of arch you have. 



SELF- ASSESSMENT QUIZ 

Do this simple test on yourself: 

 1. Get your feet wet.
 2. Stand normally on a flat surface where you can see the imprint of your feet,
    such as a sidewalk or a newspaper. 
    
 3. Step away from your imprints and look at the wet marks.  

YOU HAVE A LOW ARCH IF YOUR IMPRINT SHOWS ALMOST THE ENTIRE BOTTOM OF YOUR FEET.

A low arch accompanied by arch pain may be indicative of more progressive
conditions such as excessive pronation, flat feet, or plantar fasciitis. 

IF YOU HAVE A NORMAL ARCH, YOU WILL SEE AN IMPRINT WITH THE INSIDE CURVE OF YOUR
FOOT MISSING.

Even if your arch is normal, you still could experience arch pain. 

YOU HAVE A HIGH ARCH IF YOU CANNOT SEE ANYTHING BUT YOUR HEEL AND THE TOP OF
YOUR FOOT NEAR YOUR TOES.

This means your arch pain is likely caused by your weight concentrated too much
in the ball and heel of your foot. This improper weight distribution can lead to
poor shock absorption and significant arch pain. 




IN ADDITION TO IDENTIFYING HOW YOUR ARCH TYPE MAY AFFECT YOUR ARCH PAIN, ASK
YOURSELF: 


 * Do I feel pain behind or on the inside of my ankle bone? 
 * Does this pain get worse during walking, running, or standing? 

Sometimes arch pain is a symptom of a more specific foot ailment. Read the
following articles to see if any of these ailments are the culprit behind your
arch pain. 

 * Plantar fasciitis 
 * Excessive pronation
 * Flat feet 

If none of these foot conditions seem to apply, you may have a condition called
posterior tibial tendon dysfunction (PTTD). When this tendon is weakened or
overworked, it creates a type of arch pain that stresses your plantar fascia
(the band of connective tissue that stretches from the heel to the ball of your
foot), causes gradual fatigue of your arch, and decreases the amount of support
your arch gets from the posterior tibialis tendon. 


ARE THERE ANY SERIOUS CONCERNS WITH ARCH PAIN? 

Do not let arch pain go without treatment. Because your arch supports the weight
of your entire body, arch pain tends to affect other areas of your feet, ankles,
knees, legs, and back. As with most things, early treatment can help prevent
longer-term issues. 

Arch pain is a progressive condition that may contribute to more serious foot
ailments such as: 

 * Plantar fasciitis 
 * Flat feet 
 * Lower back and hip pain
 * Knee pain
 * Achilles tendonitis 
 * Shin splints
 * Stress fractures 
 * Hammertoes
 * Heel pain
 * Bunions 
 * Contracted toes 
 * Morton’s neuroma 
 * Foot and leg aches 
 * Loss of the protective padding on the bottom of your foot 
 * Ball of foot pain


 TREATMENT AND PREVENTION 

The following remedies may alleviate arch pain and help prevent additional foot
and lower body health problems: 

 * Orthotics or shoe inserts. These will help support your arch, stabilize your
   heel, and ease some of the stress on your posterior tibialis tendon. 
   
   
 * Arch supports. Specialized arch supports help relieve arch pain and
   discomfort. Make sure you know your arch type (low, medium, or high) since
   the shape and height of your arch support should match your arch type and
   height. 
   
   
 * Strengthen your muscles. Work on strengthening your tibialis posterior muscle
   and stretching your Achilles tendon. These two muscles are instrumental in
   affecting your arch pain and any pronation you might experience. 
   
   
 * Wear comfortable and supportive shoes with insoles that fully support the
   arch. Depending on your lifestyle, your shoes and insoles need to support
   both your everyday activities (like work) and more intense activities (such
   as running, jogging, or sports). 
   
   
 * Wear night splints. Night splints help alleviate pressure on your arches by
   keeping your muscles properly positioned and strengthened while you sleep. 
   
   
 * Use cold therapy. Massagers, wraps, and other forms of cold therapy help
   alleviate arch pain and discomfort. 


THIS INFORMATION IS NOT INTENDED TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL
ADVICE, DIAGNOSIS OR TREATMENT. PLEASE CONSULT YOUR HEALTH CARE PROVIDER ON ALL
MATTERS RELATING TO THIS OR ANY OTHER CONDITION THAT MAY AFFECT YOUR HEALTH. 

 


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