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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Transverse Tarsal Joint Area And Arc Of Foot, Cant Walk After Sleeping

I am having pain in my foot . Seems to be in the transverse tarsal joint area and the arch of my foot. It s been about two weeks and it s not getting much better. Do u have an idea what would cause this? I went to sleep and when I woke up it has been hard to walk since then. I m only 20.
Thu, 10 May 2012
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Psychiatrist 's  Response
This could be due to Plantar Fascitis,caused by the following:
Foot arch problems (both flat feet and high arches)
Obesity or sudden weight gain
Long-distance running, especially running downhill or on uneven surfaces
Sudden weight gain
Tight Achilles tendon (the tendon connecting the calf muscles to the heel)
Shoes with poor arch support or soft sole
++++++++++++++++++++++++++++++++++++++++++++AND
Treatment:

Acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) to reduce pain and inflammation

Heel stretching exercises

Resting as much as possible for at least a week

Wearing shoes with good support and cushions

Other steps to relieve pain include:

Apply ice to the painful area. Do this at least twice a day for 10 - 15 minutes, more often in the first couple of days.
Try wearing a heel cup, felt pads in the heel area, or shoe inserts.
Use night splints to stretch the injured fascia and allow it to heal.
If these treatments do not work, your doctor may recommend:
Wearing a boot cast, which looks like a ski boot, for 3-6 weeks. It can be removed for bathing.
Custom-made shoe inserts (orthotics)
Steroid shots or injections into the heel
In a few patients, nonsurgical treatment does not work. Surgery to release the tight tissue becomes necessary.
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Pain In Transverse Tarsal Joint Area And Arc Of Foot, Cant Walk After Sleeping

This could be due to Plantar Fascitis,caused by the following: Foot arch problems (both flat feet and high arches) Obesity or sudden weight gain Long-distance running, especially running downhill or on uneven surfaces Sudden weight gain Tight Achilles tendon (the tendon connecting the calf muscles to the heel) Shoes with poor arch support or soft sole ++++++++++++++++++++++++++++++++++++++++++++AND Treatment: Acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) to reduce pain and inflammation Heel stretching exercises Resting as much as possible for at least a week Wearing shoes with good support and cushions Other steps to relieve pain include: Apply ice to the painful area. Do this at least twice a day for 10 - 15 minutes, more often in the first couple of days. Try wearing a heel cup, felt pads in the heel area, or shoe inserts. Use night splints to stretch the injured fascia and allow it to heal. If these treatments do not work, your doctor may recommend: Wearing a boot cast, which looks like a ski boot, for 3-6 weeks. It can be removed for bathing. Custom-made shoe inserts (orthotics) Steroid shots or injections into the heel In a few patients, nonsurgical treatment does not work. Surgery to release the tight tissue becomes necessary.