Did you know that the human foot consists of 26 bones, 33 joints and hundreds of muscles, nerves and ligaments? Yet this marvelous, complex structure is often taken for granted. Most feet endure hours of punishment every day. Snug shoes, repeated pounding and cramped positions are all in a day’s work. Not surprisingly, pain spreads throughout the foot, including the toes, ball of the foot, arch, instep, heel and ankle.
Dr. Greif would like to share some research about common causes of foot pain and how chiropractic can help.
Simple Annoyance or Serious Problem?
Some foot discomfort may seem like a mere minor annoyance. Other pain, which interferes with work, exercise or maneuverability, is more serious. However, any foot pain, whether it is small and intermittent or sharp and constant, deserves attention. Fortunately, chiropractic care may help.
The Chiropractic Approach…
Doctors of chiropractic thoroughly investigate the nature of foot pain to determine the underlying source. This examination typically begins with diagnostic tests, such as examining one’s gait and foot function and testing range of motion.
Dr. Greif will identify the origin of foot discomfort and determine the best course of care, including referral to another health-care professional if necessary.
Dr. Greif knows that all structures within the body are intrinsically connected. Pain in any region should not be viewed as separate and treated in isolation. Foot pain is frequently linked to dysfunction in other structures, such as the spine, hips and legs.
Consider the relationship among the foot and legs, hips and spine as a “chicken or egg” conundrum. Problems in one often contribute to or cause problems in the other. Why? The large muscles that move the extremities also move the spine, and the spine anchors the extremities.
That’s why, to start, Dr. Greif may search for areas of the spine where motion is limited or spinal bones (vertebrae) are slightly out of place. This common condition is called vertebral subluxation, and is corrected with specialized maneuvers, known as chiropractic adjustments.
Foot and Ankle Adjustments
In addition to adjusting the spine, doctors of chiropractic may adjust other joints throughout the body. Extremity adjustments involve adjusting the joints of the shoulder, elbows, wrists, hands, hips, knees, ankles, and feet. Extremity adjustments directly to the foot and ankle are frequently extremely effective in resolving pain.
In addition to chiropractic adjustments, the doctor may recommend shoe inserts, known as orthotics, to help solve certain foot problems. Ask Dr. Greif for additional information about this option.
Doctors of chiropractic stress how essential exercise is to wellbeing. Try to get at least 60 minutes of exercise each day. Don’t forget to stretch, especially the muscles connected to the foot.
Causes of Foot Pain
The following are some of the most common causes of foot pain; along with some information about how chiropractic will address each cause, and how successful it’s been in alleviating these issues.
Plantar Fasciitis is marked by inflammation of the plantar fascia, which is the tissue along the bottom of the foot that connects the heel bone to the toes. The pain is usually worse in the morning because the fascia contracts overnight.
The good news is that research shows that chiropractic care may help. One study included 15 patients with plantar fasciitis who had undergone surgery to correct the problem. Each patient had lateral foot pain after the operation and “suboptimal improvement” after four or more weeks of nonsteroidal anti-inflammatory drugs, show padding and rest.
After chiropractic care consisting of joint mobilization, chiropractic adjustments and exercise instruction, 11 patients noted “significant” improvement, three experienced “moderate” improvement and only one reported no change.[i]
Osteoarthritis (OA) is the most common form of arthritis. It occurs when cartilage in the joints wears down over time. OA can affect any joint in the body, including those in the foot. If left unaddressed, the condition gradually worsens with time.
Chiropractic adjustments to correct subluxations may help. Subluxations stress the joints, causing them to move out of alignment. In response, the joints form bone spurs, which are jagged bits of deposited calcium. Bone spurs irritate surrounding muscles, tendons and tissue.
In one study, researchers divided 252 patients with OA into two treatment groups:
- Moist hot packs plus chiropractic care
- Moist heat alone.
The chiropractic patients “reported greater and more rapid pain reduction and greater and more rapid ROM [range of motion] improvement than the moist heat group.”[ii]
Bursitis is an inflammation or irritation of the small, fluid-filled sacs (bursae) near or involving a joint or bony protrusion. The bursae lubricate and cushion pressure points between bones, tendons and muscles.
Bursitis most often affects the joints in the hips, shoulders, elbows and knee; but it also occurs in the foot (by the heel and base of the big toe).
Doctors of chiropractic commonly care for patients with bursitis. Patients report improvements in symptoms, including reduced pain and increased range of motion (ROM). In addition to spine, foot and ankle adjustments, the doctor may recommend other therapies, such as massage and ultrasound. In addition, the doctor may also suggest gentle exercise, such as yoga, to increase flexibility and reduce muscle tension in the area of the bursa.
Ankle sprains are the most common orthopedic injuries. They can happen anytime – simply planting the foot awkwardly can spark the condition. Many people are not aware that an ankle sprain involves the ligaments of the ankle joint, whereas an ankle strain involves tendons and muscles. Sprains ensue when the ankle ligaments are stretched beyond their limits.
Fortunately, chiropractic care may be even more beneficial than standard ultrasound therapy for healing ankle sprains.
In one study, researchers divided 30 patients with ankle sprains into two groups: 15 received ankle adjustments and 15 underwent ultrasound treatment. After eight sessions spanning four weeks, the chiropractic group showed a greater reduction in pain and increased ankle range of motion and function, compared to the ultrasound group.[iii]
Any physical injury, even a simple fall, can spark joint dysfunction in the spine and other joints. This dysfunction often triggers enduring problems long after an injury appears to have healed.
That’s why chiropractic care after any injury is vital, including foot traumas. In one study, a 17 year old chiropractic patient suffered foot pain following a jumping injury, which prevented him from walking. Two medical doctors recommended resting.
The patient’s doctor of chiropractic detected several dysfunctional joints in his foot, neck and sacroiliac joint. (The sacroiliac joint is the joint between the sacrum, at the base of the spine, and the ilium of the pelvis, which are joined by ligaments).
After four chiropractic sessions, the patient was able to stand by holding himself up on furniture and walk with a limp. After nine chiropractic visits, he could walk unassisted, and even run. The authors of the study conclude that “this case provides supporting evidence on the effectiveness of chiropractic care in children with jumping injuries through subluxation detection and correction.”[iv]
Focus on Prevention
Here at West Mesa Wellness we teach patients about the connection between mind, body and spirit. We know that pain in any segment of the body is connected to the whole system. That’s why Dr. Greif encourages you to focus on preventing dysfunction in the body prior to the onset of pain. We’re your partners in health and want you to be well – from heat to tow including the foot!
[i] J Manipulative Physiol Ther 2006;29:398-402.
[ii] J Manipulative Physiol Ther 2006;29:107-14.
[iii] J Manipulative Physiol Ther 2001;24:17-24.
[iv] JVSR 2008;1-6.