Click on where you have pain to find out more information about this condition.Learn the definitions and causes and the treatments that will provide immediate relief. Bones, ligaments and tendons that collectively form the ankle joint may be responsible for the pain occurring in the joint. Diseases that involve bones for example, osteoarthritis, gouty arthritis, ankylosing spondylitis etc.
The pain at the ankle joint may imply nerve compression as happens in Tarsal tunnel syndrome. The so-called Tarsal tunnel is a space or tunnel formed by a fibrous band that supports the nervovasculature of the foot as they cross the area at ankle joint; a nerve compression occurring at the site where nerve passes through the tarsal tunnel, resulting in pain, is known as tarsal tunnel syndrome.
Achilles tendon is a tendon that crosses the ankle joint and attaches the calf muscles to the heel. A doctor should immediately be reached if joint pain is extreme and affects any movements or if there are any visible changes at the joint. Bursa is a lubricating viscous fluid sac, which lies between tendon and bone or ligament and bone. Trauma, friction and repeated injury of bursa causes inflammation of the membrane lining the internal surface of the bursa.
Inflammation of bursa is extremely painful and prevents any kind of joint movements and activities. Fascia is a thin fibrous tissue that separates soft tissue in to compartments within the foot.
Narrowing of the tunnel compresses or irritates the tibial nerve and causes severe pain in foot. Tarsal Tunnel syndrome is also caused by Schwannoma of posterior tibial nerve.2 Schwannoma is an inflammatory condition of posterior tibial nerve.
Characterized by articulating cartilages degeneration and adjacent bone osteophyte or spur formation. Osteophytes or sharp protrusion of the bone adjacent to joint causes severe pain with movements of foot. Rheumatoid arthritis is an autoimmune disease that causes pain in small joint of foot and ankle joint.
Inter-phalangeal joint swelling caused by psoriatic arthritis is often associated with sausage like swelling of toes. Inflammation of the cartilage causes degeneration or cracks on the surface of cartilage resulting in severe foot pain with joint movement. Osteochondritis dissecans is an avascular necrosis of cartilage caused by lack of blood supply. Impetigo- Bacterial infection is caused by Staphylococcus aureus and staphylococcus pyrogenes.
Cellulitis is an infection of the skin and subcutaneous tissue that spreads through the connective tissue.
Septic arthritis is rare disease, but infection of foot joint is common among infection of all other joint. Primary infection may be in lung as pneumonia or urinary tract and spread into bone through blood stream.


Skin Blisters- Continuous long walking or tight fitting shoes often causes blisters and severe foot pain.
Incision or wound caused by invasive procedure like surgery, needle placement for medication may be followed by infection and severe pain.
Skin bruises and cut following domestic fall, auto accident or sports injury often is associated with tendon laceration. Direct impact following work accident or auto injury causes partial or complete tear of tendon. Laceration of ligament is painful and patient needs limited restriction of foot activities and joint movements.
Direct impact, twist of foot, twist of toes and hyperextension or flexion of the joint causes complete tear of the ligament. Severe foot pain is often caused by laceration of muscle and hematoma causing pressure on lacerated or torn muscles.
Muscle injury is accompanied by mild to severe bleeding and collection of blood between muscle and surrounding tissue. Massive blood clot may cause pressure or irritation of nerve resulting in symptoms like tingling, numbness and muscle weakness.
Incisional injury causes bleeding in subcutaneous tissue and may be associated with injury of muscles and tendon. Hyperextension often causes posterior dislocation or sliding of the distal bone towards the direction of ground.
Direct impact by heavy object or accelerated twist of the foot often causes lateral displacement of the either proximal or distal bone of the joint. Severe hematoma may result in ligament tear or separation resulting in partial or complete dislocation. Patient may complaint of fever, pain, joint swelling, increased skin temperature over joint and red discoloration of the joint. Hairline fracture often occurs after twist and pull of the phalanges, metatarsal and other foot bones. The ends of proximal and distal fragment of the fractured bone are in contact and maintain anatomical positions. Adjacent bones are stable and conservative treatment succeeds in healing fracture when joint is immobilized for 4 to 8 weeks. Blood supply to adjacent fractured bone is interrupted and may result in avascular necrosis if not treated within 6 to 8 hours following injury. Comminuted fracture is often seen following direct impact or forceful twist of foot and toes. Walking or jogging becomes extremely painful as any pressure on spurs results in severe pain. Bunions are bony swelling mostly seen on inner side of base of big toe and known as "Hallux Valgus". In Flat foot, the middle of the sole and entire foot is rested on standing surface of the ground. Biomechanics of weight transmission through foot during standing, walking or jogging depends on normal arch of the foot.


The stress on joint, ligaments, tendon and irritation of nerve causes pain spread over bottom of the foot as well as top of the foot. Weight transmission and distribution is through ankle joint to heel in the back and toes in front.
Unequal weight distribution either through ankle or toes causes severe pain during walking or jogging. Toe appears like hammer because of deformity caused by permanent bend at proximal inter-phalangeal joint of 2nd, 3rd and 4th toe.
Since this delicate joint performs a duty of transmitting weight of the body to the ground, excessive weight may put extra pressure and therefore cause pain. Also, wearing comfortable footwear, avoiding high-heeled shoes and excessive stretching or twisting while exercising along with losing some weight may help. Foot pain is either acute lasting less than 3 months or chronic lasting for more than 3 to 6 months. Injuries such as fracture or inflammation secondary to osteomyelitis (bone infection) causes severe pain. Extremely painful skin disease results in patient being unable to walk or stand on diseased foot. Injuries of the bursa with compound fracture or penetrating wound often result in infected bursitis causing foot pain. Osteochondritis dissecans of the first metatarsophalangeal joint: arthroscopy and microfracture technique. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review.
The ankle joint transmits weight of the body from the trunk to the feet and helps in the up and down movements of the feet that in turn help us in walking. These diseases develop gradually and are accompanied by swelling and erythema (redness of skin).
Inflammation of the Achilles tendon called Achilles tendinitis; or the Achilles tendon rupture may be responsible for ankle pain. Muscle contraction pulls tendon and bone causing flexion, extension and rotation movement of the joints in foot.
Pain is triggered during walk or jogging when nerve is pressed or irritated by surrounding tissue.
Deformities of curvature of arch such as flat foot, and injuries of bone or ligament are the most common cause of the foot pain. Understanding of the brief anatomy of the foot is essential to grasp the cause of the pain.



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Comments to «Causes of severe foot and ankle pain»

  1. NIGHTWOLF writes:
    Very best walking shoe for osteoarthritis includes shock absorption will lessen the amount.
  2. 101 writes:
    Discomfort is plantar fasciitis, which is the result of excess stress.