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More foot pain…

Jan 11th, 2014

Jen Strachan asked The Guru for the following Physiotherapy Advice:

I am a dancer, of many types. I have previously suffered from plantar fasciitis on my left foot, but believe I fully recovered from this. However I am now having pain on the inside of my left foot, just above the arch, spreading to the top of my foot. This is during walking and when placing my weight on the ball of my foot. Any advice on if this is linked to my previous injury, or if I should be concered? Thanks.

Jan 11th, 2014

The Guru Responded:

Hi Jen
.
I’d be surprised if you’ve got 2 different things wrong with your
foot. The diagnosis ie what’s it called is irrelevant to why you’ve
got it – and this is what you need to know.
.
Most PF issues are overstretch problems, because you loose control
elsewhere or something like your big toe becomes super stiff. The same
causative issue can give you pain elsewhere in your foot, and as a
dancer you’ll have worked out really clever strategies to get your
body to do what you want it to do….the problem is that it may
“cheat” and move badly in doing so. You won’t notice this until you’ve
done the same movement repetitively….
.
Feet are pretty complex things – lots of small bones and joints that
need to take repetitive body weight compression. If they are in the
wrong place, for a while, they will hurt…allover.
.
I think you’ve shifted your PF by changing your foot posture
(slightly) but in doing so haven’t dealt with the cause and now have
shifted the pain elsewhere.
.
Try wearing some shoes that have good support, avoid being bare footed
and flip flops. I’m not sure I’d dance when its painful. Get on a foam
roller and release your calf muscles, but I’d be loathed to say
stretch them.
.
No change in a week -10 days, maybe worth seeing someone who can help…

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