Foot Pain: Common Causes and When to See an Orthopedic Specialist

Whether you’re on your feet all day for work, training for your next race, or simply trying to enjoy a walk around the neighborhood, foot pain can make everyday activities feel like a challenge. While occasional soreness isn’t always a red flag, persistent or worsening foot pain could be a sign of something more serious.

At Motion Orthopaedics, we see patients every day who struggle with foot pain that interferes with their mobility, lifestyle, and performance. The good news? Many causes of foot pain are treatable with the right diagnosis and care plan.

6 Common Causes of Foot Pain

Your feet are made up of 26 bones, over 30 joints, and more than 100 muscles, ligaments, and tendons. With so many working parts, it’s no surprise that foot pain can stem from a wide range of issues.

Here are some of the most common culprits:

1. Plantar Fasciitis

This is one of the most frequent causes of heel pain, especially in runners or people who spend long hours on their feet. It occurs when the plantar fascia, a thick band of tissue that supports the arch of your foot, becomes inflamed.

Symptoms include:

• Sharp pain in the heel, especially with the first steps in the morning
• Pain that worsens after prolonged standing or activity
• Stiffness in the arch of the foot

2. Achilles Tendinitis

The Achilles tendon connects your calf muscles to your heel bone. Overuse, tight calf muscles, or sudden increases in activity can lead to inflammation of this tendon.

Symptoms include:

• Pain or stiffness in the back of the heel
• Swelling or tenderness along the tendon
• Pain that increases with walking or climbing stairs

3. Stress Fractures

Tiny cracks in the bones of the foot can occur due to overuse or repetitive impact, which is common in runners, dancers, and athletes.

Symptoms include:

• Localized pain that worsens with activity and improves with rest
• Swelling and tenderness
• Difficulty putting weight on the affected foot

4. Flat Feet or Fallen Arches

When the arches of the feet collapse or never develop fully, it can affect alignment and lead to pain throughout the feet and even up into the knees, hips, and back.

Symptoms include:

• Tired or achy feet after standing or walking
• Pain in the arches or heels
• Overpronation (feet rolling inward while walking)

5. Arthritis

Arthritis can affect the joints in the foot, especially in older adults or individuals with a history of joint injuries. The most common forms include osteoarthritis and rheumatoid arthritis.

Symptoms include:

• Joint stiffness or swelling
• Persistent aching or throbbing pain
• Limited range of motion

6. Nerve Issues (e.g., Morton’s Neuroma, Tarsal Tunnel Syndrome)

When nerves in the foot become compressed or irritated, it can lead to burning, tingling, or shooting pain.

Symptoms include:

• Numbness or tingling between the toes or in the heel
• A feeling of walking on a pebble
• Burning pain that worsens with activity

When to See an Orthopedic Specialist for Foot Pain

While many cases of foot pain resolve with rest, ice, stretching, or better footwear, some situations call for professional care.

Here are signs it’s time to make an appointment with an orthopedic specialist:

• Pain that lasts longer than two weeks despite home treatment
• Swelling, bruising, or redness that doesn’t go away
• Difficulty walking or bearing weight
• Recurring pain with specific activities like running or jumping
• Visible deformities like bunions or collapsed arches
• Numbness, tingling, or shooting pain that may indicate nerve involvement

An orthopedic foot and ankle specialist can perform a detailed physical exam, order imaging (like X-rays or MRIs if needed), and determine the root cause of your pain.

How Foot Pain Is Treated

The right treatment depends on your specific condition, activity level, and goals. At Motion Orthopaedics, we tailor treatment plans to meet your needs with options ranging from conservative care to advanced procedures.

Common treatment options may include:

• Rest and activity modification
• Orthotics or supportive footwear
• Physical therapy to improve strength and flexibility
• Anti-inflammatory medications or cortisone injections
• Surgical intervention (for cases involving fractures, tendon tears, or deformities)

The earlier we identify the cause of your foot pain, the more likely we can prevent long-term complications and keep you moving pain-free.

Protecting Your Feet from Pain

Even if you’re not currently dealing with foot pain, taking care of your feet is essential for long-term health and mobility. Here are a few preventive tips:

• Wear well-fitting, supportive shoes for your activity
• Stretch your calves and feet regularly
• Avoid sudden increases in physical activity
• Cross-train to avoid overuse injuries
• Replace worn-out shoes, especially if you’re a runner
• Listen to your body and don’t push through pain

Find Relief from Foot Pain at Motion Orthopaedics

Your feet carry you through life, so don’t let pain slow you down. If you’re experiencing persistent or worsening foot pain, our specialists at Motion Orthopaedics are here to help. We offer comprehensive evaluations and customized treatments to get you back on your feet comfortably and confidently.

Meet Our Foot Specialist

Mitchell Tarka, MD, is an orthopedic surgeon specializing in foot and ankle surgery. His research includes articles on Achilles tendon ruptures, lower extremity anatomy, and sport-specific injuries. Click here to learn more about Dr. Tarka.  

Click here to request an appointment and take the first step toward lasting relief from foot pain.