The human foot was originally 'designed' to travel on soft, natural surfaces like earth and sand. Achilles Tendonitis commonly occurs from shearing and stretching (tractional) forces placed on the Achilles tendon at the back of the hell. This condition commonly occurs with women, however many men suffer from pain the ball of the foot. Orthotics control the internal rotation of the shin bone (tibia) and furthermore the rotation on the knee & hip joint via the in-built 4 degree rearfoot varus wedge. Morton's Toe is a common forefoot disorder where the second toe is longer than the Big Toe (the Hallux).
Morton's toe leads to excessive pressure on the second metatarsal head (behind the second toe at the ball- of-the-foot) resulting in pain similar to the discomfort associated with metatarsalgia. Unfortunately, instead of soft earth, we now spend every day walking and standing on unnatural hard, flat surfaces like pavements and floors. Excess Pronation causes the heel bone to tilt excessively and places extra strain on the tendon. As a result, the pelvis is forces to tilt forward, which can cause an increased curvature of the lower back (see illustration). Sometimes a callous develops in the centre of the foot and footwear may wear out in a similar fashion.

Orthotics redistribute the weight evenly over the foot to prevent (or reduce) the gradual growth of a bunion. Excess Pronation - or rolling over of the foot - causes the lower leg (the tibia & fibia) to rotate internally. This condition commonly exhibits a gradual but rather several pain on the outside knee joint and less commonly on the outside hip section. Thereby, reducing stretching (tractional) and frictional forces on the Ilio-tibial band muscle. The constant pressure placed on the longer second toe while walking or standing can lead to callus formation under the second metatarsal head due to this excessive pressure.
These surfaces force our feet to roll over to gain ground contact and our arches to flatten. The common cause of this condition is a combination of genetic factors and oor foot function.
Excess Pronation causes the foot's arch to collapse & elongate giving the appearance of a flat foot.
As the foot pronates, the arch collapses and the muscles (plantar fascia) and supporting structure are forces to stretch and elongate. In turn, this will put excessive forces on the knee cap and over time it will weaken the muscles and ligaments in the knee joint.

It may be necessary to buy footwear a half size to a size larger to accommodate the longer second toe. Rolling over of the foot - or 'Excess Pronation' is believed to affect over 70% of the population! Orthotics that feature arch support to keep the foot aligned, and a metatarsal pad to reduce stress on the ball-of-the-foot are often recommended when treating this condition. Interestingly, although the foot rolls inwards, often the shoe will wear excessively on the outside edge of the heel.
In turn, the heel bone 'responds' by developing a bony growth right in the centre of the heel - the 'heel spur'. Proper footwear combined with a effective orthotic will provide relief from pain associated with Morton's Toe. This is because the foot normally 'lands' on the outside edge first and consequently rolls over causing excess pronation as a compensatory motion.

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Comments to «Pain in the arch of my foot and big toe»

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