Foot and Ankle Anatomy

Foot and Ankle Anatomy

Foot Pain

Chronic foot pain usually comes from walking too far or standing too long. For both men and women, foot pain can also come from ill-fitting shoes, especially when worn for extended periods of time. Plantar fasciitis, stress fractures, arthritis, and pain from an inflamed nerve at the toes (Morton's neuroma) are among the most common causes.

  • Plantar fasciitis or chronic "heel" pain is one of the most debilitating forms of foot pain. The agony of plantar fasciitis is characterized by severe pain in one or both heels radiating through the proximal arch toward the toes
  • Classic symptoms: upon arising from bed, severe pain is noticeable with the first few steps. Plantar fasciitis is slow to heal, and the pain may last up to a year or more.
  • A Morton's neuroma is a thickening of nerve tissue between the bones of the foot. If you have a neuroma, you will probably have symptoms in the area of the nerve damage. Tingling, burning, numbness, pain or a feeling that something is inside the ball of the foot are common complaints.

Ankle Pain

The most common pain in the ankle is due to an acute ankle sprain from a jump, fall, or sudden loss of balance. Chronic ankle pain can result from a simple sprain. Achilles pain is a common example. Most ankle sprains heal slowly, and unfortunately the same injury tends to recur, with each new sprain taking longer to heal. Eventually, the results are weakened ligaments, instability of the ankle, chronic ankle pain, or even ankle arthritis that restricts the ankle’s range of motion.


 the foot is the only connection of a standing person to the floor

 Foot Pain and Ankle Pain Relief Treatment

Foot Pain and Ankle Pain Relief Treatment

I will re-educate the foot and ankle to contact the ground without pain. Foot and ankle pain may need support in the form of a brace or orthotics. In addition,

  • The relationship of the foot and ankle to higher structures must be addressed
  • The spine, hips, and legs must function as a system or the feet and ankles will be stressed

My approach to foot and ankle pain is systemic, as faulty interactions between body parts will strain the entire system. For example, by contributing to an altered position of the pelvis and hip, a rigid spine or old hip injury could be the cause of your foot pain. I will test the function of your entire frame to find the source of your pain, so that effective functional relationships of the foot to the floor can be restored.

As the feet are so vital to the proper function of the musculoskeletal system, you will receive therapy that involves the whole body, as well as exercises. Therapy goals are to optimize the function of the feet as they relate to the ground and the rest of the body, relieve foot and ankle pain, and prevent your pain from returning. My approach to treating the causes of your pain allows a fast and effective course of treatment. Many patients report substantial relief after just one session. The duration of your treatment and the frequency and number of visits will vary depending on your particular issues.