Treating Foot Pain- February 2010 blog

The feet are unique and complex in design. I often call them the “drainage grates” of the body
because with so many bones, muscles and tendons in the feet; often we have swelling and pain
because so much collects in this area because of working against gravity and the dense maze of
tissue. You may not know that the major veins of the legs actually have valves similar to the
heart valves to help return the blood supply to the torso just because it needs a little extra push
to counteract the effects of gravity.
The more time you spend on your feet the more you stretch out the tissues from body weight.
The feet are built to distribute your body weight and uses a series of arches to help you balance
and mechanically push off and absorb the shock of weight coming down. When this system
works correctly it provides a tremendous foundation for the proper function of the skeleton and
the muscles. However, it doesn’t take much to break down this system. Stub a toe, an ingrown
toe nail, poorly fitting shoes all can cause us to redistribute our weight (maybe even a limp)
which throws the entire body out of whack. Unfortunately, in our society we y custom have a
poor relationship with our feet. We rarely go around barefooted (unless you’ve adopted the
Japanese custom of leaving your shoes at the front door) and we typically abuse our feet until
they scream out for attention.
Plantar Fasciitis: is a condition of heel and foot pain caused primarily by an inflamed plantar
tendon which runs the entire sole of the foot, over the base of the heel and connects to the
Achilles tendon. The most common symptom of this condition is extreme pain the first steps you
take in the morning. Eventually, the pain lessens as you continue to move about and work out
the tissue. This was common for me when I worked as a retail sales clerk at the mall and had to
stand for hours. My feet ached all through my shift and I was constantly shifting my weight. First
thing I did when I got home was kick off my shoes and sometimes soaked my feet, but the worst
was the next morning when I woke up and got out of bed. I could barely stand and it felt like I was
walking on broken glass. Sound familiar?
Remedy: the key is to lessen the effects of overnight inflammation. As we sleep the body
attempts to repair damage and injury. The problem is that the body will sometimes overreact and
we get swelling because the bodies defenses are throwing tissue to the effected area in an
attempt to repair damage. But the inflammation and the pain associated with it, can often be
incapacitating ,which is because the body is trying to force us into a “rest” mode. It would be
ideal if you could take a break and give the body the time it requires to repair itself, but
understandably, it’s back to work the next day.
So the first action is reduce the swelling that occurs when we sleep. For at least 20 minutes
before bedtime, rest with you feet elevated above your heart. This is to reduce the effects of
gravity and to lessen the amount of blood pressure needed to push the blood back to the heart.
Now I’m not a big fan of using ice except in first aid to immediate new trauma. Most people find
the numbing, stinging effect of ice hard to tolerate so probably wouldn’t use ice if I
recommended it. However, I am a fan of using “cold” to reduce swelling by slowing down the
body’s metabolism. So a good compromise is to take 2 towels and soak them in cold tap water
and then to wrap them around the feet and ankles while you elevate them. Most people can
tolerate this for the entire 20 minutes. It may even feel good and take away the burning
sensation your tired “dogs” may have.
What this treatment does is to slow down the bodies defensive reaction so that it doesn’t throw
as much tissue (fluids and such to support new cell growth), therefore, it reduces the swelling
and pain that occurs the next morning. Warning! Avoid heat treatment as heat can increase the
amount of inflamation.
Reflexology and other types of foot massage assist the healing process. Massage helps to
break up toxins that adhere to the bones and tissues that can eventually cause joint
malfunction. The feet have as many nerve endings as the hands and in most cases are starved
for positive attention. Just as the chinese used to bind the feet of little girls so they remained
small and couldn’t grow, it’s hard to believe some of the misshapen feet I see on my female
clients from the shoes we force our feet into for the sake of fashion. So we not only ignore our
feet but often abuse them. It is no wonder then that we have so many elderly using walkers and
powerchairs. Remember to treat your feet as if you want to keep them your entire life.