WHAT CAUSES ARCH PAIN?

By: Sara John, C.Ped (C)., C.Ped Tech (C)

The curved contoured area on the bottom of the foot between the heel and the ball of the foot is the arch. Some people have high arches, while some others have low arches – both affect the way your feet and legs work while walking or running.

Along with the shape of the arch, there are a few conditions that cause pain in the arch. It can develop from strain due to overuse, unsupportive shoes, acute injury, weight gain, pregnancy etc. It can be felt as a sharp, shooting, intense pain or a burning sensation in the arches, heel or ball of the foot.

The most common condition that causes the pain in the arch is plantar fasciitis. This is characterized by a sharp stabbing pain on the underside of the foot toward the heel due to the inflammation of plantar fascia. Plantar fasciitis gets worse in the morning, and after rest. It can also be triggered by long periods of standing or walking.

Flat feet or pes planus is another cause of arch pain which can be due to the over-stretching of the tissues under the foot. High arched foot or pes cavus causes arch pain as the sole of the foot does not stretch or flatten while weight bearing.

Tarsal tunnel syndrome due by compression of the tibial nerve that runs through the tarsal tunnel found along the inside of the ankle usually causes pain and tingling in the heels, ankles and lower legs, but it sometimes creates a tingly, burning sensation in the arches of the feet that radiates up to the knees.

Foot injuries, plantar fasciia tear, neuromas etc are other not so common causes of arch pain.

If the arch pain begins to interfere with your daily routine and activities, medical attention should be sought.  A combination of education, decent footwear, rest, ice, lifestyle modifications and the right orthotic inserts, most people can expect fast initial relief from arch pain and eventual recovery from Plantar Fasciitis.