Podiatrist (Foot and Ankle Specialist) Questions Foot Injuries and Disorders

Foot pain in the morning

Every morning when I get out of bed the bottom of my right foot hurts like crazy for a few minutes. The pain goes away eventually but it's pretty severe when it does hurt. It can also happen at other times, not just in the morning. What might be causing this?

15 Answers

If the pain is near your heel, it may be plantar fasciitis which can cause pain with your first few steps in the morning or after periods of sitting as the heel can fill with fluid and hurt until it is worked out through stretching or walking. Can bother you through out the day as well with prolonged standing or walking. See a foot doctor for further evaluation!
This sounds like text book plantar fasciitis symptoms, an acute inflammatory condition which can progress to a chronic degenerative condition if not treated. See your podiatrist
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Pain when first getting up to walk, whether it’s in the morning getting out of bed or later in the day after setting, is most of due to either muscle, tendon, or joints. Pain along the bottom of your foot and in the heel are most commonly due to plantar fasciitis. There are many treatments for this and usually best treated with a combination of things. Professional consultation with a Podiatrist is recommended. Thanks
If the pain is localized in the arch and heel of the affected foot, you may have plantar fasciitis and heel pain syndrome. Treatment of choice: 1. Avoid bare footed ambulation; 2. Wearing a night splint while sleeping will help to stretch the tight plantar fascia; 3. Icing the affected area of the heel and arch in the evenings for approximately 5-8 minutes for the treatment of pain and inflammation. Make sure not leave ice in one place too long. Icing in a circular pattern the affected area in the evenings; 4. May take tylenol for the treatment of pain and inflammation; 5. Orthotic therapy "Power Step Orthotics" may purchase at sporting good store or online at Amazon. The are fitted according to your shoes size. The orthotics work best in tennis shoe. However, take out the shoe insole that came with the shoes, then place the prefabricated orthotics in your shoes. Start out trying to wear the device for about 60 minutes the first day then gradually increasing your wear-time in 15 minutes intervals (e.g. 60 minutes, then 1hr and 15 minutes, then 1hr and 30 minutes). This particular break-in -period is the most effective in some individuals. However, some individuals can start out wearing the orthotics all day without any problems like calf pain or increase pain in the feet because the body has to adjust to walking correctly with the orthotics in the person's shoe. Some individuals experience pain in their feet, ankles, knees, hips, and lower back while doing the wearing break in-period of the orthotics this is normal.
If the pain is on the bottom of the heel, then this sounds like classic plantar fasciitis. The most effective treatment includes stretching, ice, compression, anti-inflammatories and cortisone injections. Your local Podiatrist would be able to coach you through these options. Surgery is rarely required for this condition. Best of luck and speedy recovery!
Morning pain is often associated with plantar fasciitis. The plantar fascia is a band that runs from the metatarsal heads to the heel bone on the bottom of the foot. Sometimes there is a spur associated with plantar fasciitis but not always. Patients complain of pain when getting out of bed in the morning or after they've been seated for a while they get up and begin to walk.
An x-ray may show a spur but as I say the problem can be present without a spur. Other conditions that may MrMC plantar fasciitis can be the spur or a stress fracture or possibly a tumor in the heel bone. On occasion there may be a tarsal tunnel problem which is similar to a carpal tunnel in the hand and wrist.
The diagnosis is usually made by x-ray and excluding all other possibilities. If there are numerous treatments but since this is usually a self limited problem patience me he'll spontaneously.
You didn't identify where your foot hurts, whether it is the top, ball, arch or heel, but pain that is present in the heel first thing in the morning, or when getting up after sitting, is usually a condition called Plantar Fasciitis. This condition occurs when a ligament on the bottom of your foot, called the plantar fascia, is tight and becomes inflamed over time due to activity. The pain that you experience first thing in the morning is called post static dyskinesia, and is a classic sign of Plantar Fasciitis. When you are sleeping, your foot relaxes and rests in a plantarflexed or downward position. This position releases tension but also shortens the ligament. When you first step down, it then pulls at the insertion on your heel, causing the pain.
Plantar Fasciitis can typically be managed with stretching exercises, anti-inflammatory medications, and activity restrictions/modifications. If the condition persists for a long period of time without treatment, a heel spur can form, and other modalities to treat the condition, such as cortisone injections, physical therapy, custom orthotics, and immobilization, may become necessary.
My suggestion is for you to do a google search on "plantar fasciitis stretching exercises", and pick a couple that you can do daily. I usually recommend holding the stretch for 10 seconds at a time, and repeating 10-15 times a day. If you can do a few stretches before you get out of bed, it can reduce the pain associated with post static dyskinesia. If your symptoms do not improve with stretching after a few weeks, you should definitely schedule an appointment with your local podiatrist to have this treated.
Sounds like plantar fasciitis. It can be released with stretching your heel cord (Achilles tendon), ice, and anti-inflammatory (ibuprofen). If pain continues, you should see a podiatrist.
It sounds like you have plantar fasciitis which is inflammation of the fascia under the heel. The inflammation is what makes the first step(s) in the morning the most painful. There are ways to treat it by changing shoes, adding inserts, stretching, icing, OTC NSAIDs, injections and other options. Once the inflammation is gone the pain should go away.
There are a number of etiologies that may be playing a factor here. If the pain is localized to the heel, the most common reason for that specific pain is usually plantar fasciitis. If the pain however is of the entire foot, that is usually attributed more to arthritic changes (degenerative, osteoarthritis, rheumatoid, etc.). Keep in mind, there may be other conditions that can cause the same pain. The ones mentioned here are the most commonly seen. A clinical exam by a specialist should help make a proper diagnosis and treatment plan.
It is likely plantar fasciitis if it is coming from your heel. One of the most common symptoms is pain with first step in the morning and gets better over time. Stretching, icing, oral anti-inflammatory, and getting yourself good orthotics (arch supports) should do the trick. If not, visit your local podiatrist for more treatment options like a corticosteroid injection.
maybe caused by a old mattress causing lower back pressure. Or it may just be lower back issues. Best to have it checked out by your back specialist.
You most likely have plantar fasciitis.

My Heel Hurts! Could I have Plantar Fasciitis???

The most common cause of heel pain that I see in my practice is caused by a pathology called ‘Plantar Fasciitis.’ People usually come in complaining of pain at the inside of their heel or along the bottom of the arch that came on suddenly. Symptoms usually consist of pain that starts with the first step out of bed in the morning, after getting up out of a seated position, and pain that may extend around the back of the heel and up the back of the leg as the disease progresses.
What is Plantar Fasciitis? The plantar fascia is a ligament that runs from the bottom of the heel to the ball of the foot. A ligament is a thick, fibrous structure that attaches one bone to another bone, and is present for structural support. The Plantar Fascia is one of the major supports for holding up the medial arch of the foot.
The reason that the plantar fascia gets irritated is usually from a combination of causes. It often occurs if a patient has recently had a gain in weight, or sometimes when there has been a recent change in activity level. Often, a patient will have recently started a new exercise regimen, which causes increased stress on the ligament and along the arch. Also, peoples’ arches often begin to fall, or flatten as they get older, and this may also cause stress to the plantar fascia. This causes an inflammatory process along the course of the ligament, or at its insertion on the heel, which causes pain.
The reason the ligament hurts after periods of rest is simple. When a patient is not standing, there is no stress along the arch or on the ligament. The ligament then has a chance to begin healing. The moment the foot hits the ground, all of the healing that may have been done, gets undone, and the inflammatory response begins all over again. This becomes a repetitive cycle, and the pain may become worse and worse as the pathology progresses.
So, how do we treat Plantar Fasciitis? There is a standard regimen that I use for my patients experiencing this problem. The fastest way to get rid of the inflammatory response is to give the patient a cortisone injection. Though unpleasant, most patients are happy to try to get rid of the pain swiftly. The foot is then strapped to support the arch so the ligament does not tighten up with weight bearing and activity. A strict course of icing and stretching is instated for the patient. Further injections may be given, but a patient should generally never have more than 3 injections in the same area more than 3 times in a 12 month period. Doing so may weaken the soft tissues.
Orthotics are also very effective in preventing the problem from recurring, and help the patient with over-all function and balance. In fact, orthotics not only help to support the medial arch, but they help to balance out the knees, hips and low back, and help to prevent muscle fatigue.
Surgery is rarely indicated for Plantar Fasciitis. In fact, the current literature states that unless a patient has had this problem for a minimum of 9 months, and has been compliant with all of his physical therapy and conservative therapy, surgery should not be performed. Surgical correction of this problem involves cutting the ligament, and this will eventually lead to an over-all weakening of the medial arch, and weaken the structure of the foot, in general.
I have a great deal of success treating Plantar Fasciitis with my patients, and usually am able to make a patient pain free within 2 weeks to 2 months, in extreme cases. The longer the pain is present, the harder it is to get rid of. So, if you are experiencing heel pain, be sure to see your local foot and ankle specialist as soon as possible for the best results!

Lee Wittenberg, DPM
Apache Foot & Ankle Specialists
9710 W. Tropicana Ave, Ste 115
Las Vegas, NV 89147
(702) 362-2622
This condition is known as plantar fascia pain. This condition is secondary to a buildup of AGES products on the plantar heel. When weight /first step is applied, this substance is spread out into the plantar spaces of the foot irritating the nerves and other soft tissue attachments.
It sounds like you have a condition called planter fasciitis. This is an inflammation of a band of tissue on the bottom of the foot as it inserts into the heel. The best thing to do is to do calf stretching exercises at night before you go to sleep and after you wake up in the morning. Also icing three times a day is beneficial as well as making sure that you are wearing good supportive shoes. If these measures do not work, then you need to see a board-certified podiatric physician who can take an x-ray and further evaluate the condition.