Foot & Orthotics Care Sports Club

We are pleased to announce the opening of a foot and orthotics care sports club under the direction of Dr. David Brown. Dr. Brown has been in practice for over 26 years. He has specialized primarily in lower back problems and lower extremities related to the knee, ankle, and foot. His special interest has been in sports injuries with emphasis on the treatment of distance runners. Almost everyone has suffered foot pain at some point of his or her life.

How is the foot designed?

The foot is an intricate structure of 26 bones, 33 joints, multiple muscles, tendons, blood vessels, nerves, and lymphatics. There are also fat pads in the foot to help with weight-bearing and absorbing impact. The foot is the foundation of movement of the lower extremity. Pain in the foot indicates that there is something wrong with either the interaction of internal structures of the foot or with how the foot is interacting with external influences. How and when the pain occurs and the locations of the pain are the primary clues to what may be causing the pain. When there is pain, the body reacts by changing the way it moves or functions in an effort to reduce the pain. These compensations or biomechanical changes may prevent the normal movement and cause further injury in the foot and/or other parts of the body.

What causes foot pain?

Foot pain may be caused by many different diseases, deformities, biomechanical conditions, improper footwear, or injuries. Biomechanical abnormalities from muscle and tendon tightness or laxity, flat feet, or high arched feet often lead to muscle imbalances, deformities and foot pain. Wearing shoes that are too tight or high heels can cause pain in the forefoot. Shoes that are tied too tight can cause bruising on the top of the foot. Improper, non-sport specific shoes for running or cycling can lead to foot pain with activities.
Poorly fitting shoes in the short term can cause blisters, bruising, and be a source of athlete’s foot. The long-term effects of poorly fitting shoes may be bunions, corns, calluses, irritation of nerves and joints, and misalignment of the toes. Morton’s neuroma cause by thickening of the tissue around a nerve between the toes can cause toe numbness and pain and may be aggravated by poorly fitting shoes as can many foot deformities such as hammertoes, mallet toes, and bunions.
Tendon pain and swelling from repetitive abnormal strain leads to “posteriortibial tendon dysfunction” and peroneal tendonopathies and can lead to tears in the tendons. Injury to the bones and joints of the foot can be caused by a single blow or twist to the foot or also by repetitive trauma that can result in a stress fracture. Delayed treatment of foot pain can lead to complications, chronic long-term pain, disability, and arthritis of the affected foot.

What other symptoms and signs may accompany foot pain?

Pain and point tenderness are the immediate indicators that something is wrong in a specific area. Swelling, redness (erythema), bruising (ecchymosis), numbness and tingling, and shooting pains may also present localized to the injured area.