I recently got a question from a twenty-something you mother who was starting to run again. She had her baby about a year ago. Shortly after taking up running again, she started having pain on the outside of the foot. She explains, "I started back at the gym again. But recently my right foot hurts when I run. It practically leaves me crippled for a day or so afterwards. The pain is at the outside middle area of the foot where it ridges out." She wants to know if this is normal.
First of all, foot pain is never normal. Not before pregnancy, during pregnancy, or after pregnancy. The area of the foot that she is describing is most likely the base of the fifth metatarsal bone. This can be concerning for several injuries. The first concern would be a fracture or broken bone. This could have begun as a stress fracture during pregnancy. It is important to make sure that a stress fracture doesn't get worse. Stress fractures can usually be treated with rest and immobilization or support. If it gets worse and progresses to a more complicated type of break, they sometimes will need surgery.
Another possibility is a different type of foot fracture known as an avulsion fracture. This is where the tendon (peroneus brevis tendon) that attaches to that bone actually pulls so hard that it yanks a small piece of bone off. This injury is common among people who sprain their ankles. In effect, the peronues brevis muscle causes the injury during a failed attemept to stabilize the foot and ankle as it starts to roll. Unfortunately, it causes a fracture instead.
Still another possibility would be a torn peroneal tendon. If the peroneus brevis tendon was stretched out and weakened from the hormones related to pregnancy, it could have become torn. Most of these tears are really splits along the course of the tendon. If your run on them, they will usually get worse.
All of these conditions can easily be diagnosed by your local podiatrist, or podiatric foot surgeon. Under no circumstances would it be a good idea to run and just hope the pain will just go away. The more serious conditions can be diagnosed with and exam, x-rays, and if necessary, and MRI.
Although pregnancy is often related to many different types of foot pain, it is best to seek treatment early. The earlier treatment can begin, the better the outcome.
Dr. Christopher Segler is an Ironman Triathlon Finisher and award winning foot doctor specializing in elite athletes. He also specializes in the unique needs of pregnant women with foot pain. His podiatry practice is at the Ankle & Foot Center of Chattanooga. You can order a FREE copy of his informative book about common causes of foot pain at http://www.AnkleCenter.com.
Showing posts with label shoe size. Show all posts
Showing posts with label shoe size. Show all posts
Sunday, January 4, 2009
Wednesday, December 24, 2008
Can Pregnancy Cause Flat Feet?
Pregnancy is related to many different types of discomfort and foot pain. One of the more worrisome problems that can develop during pregnancy is flat feet. Flat feet can be normal, but pain associated with flat feet is never normal. Women who already have a slightly flat foot are more at risk of developing painful flatfoot deformity while pregnant.
Your foot has a number of strong ligaments and tendons that support the arch and help to maintain your normal foot structure. The spring ligament and the posterior tibial tendon are two very important arch supporting structures that can be damaged during pregnancy.
A number of hormones are increased throughout your body during pregnancy. Relaxin is one of the hormones that your body produces in order to help with vaginal birth. In order to deliver a baby, it is necessary to relax the ligaments that hold the pelvic bones. This allows for a slight separation of the hip bones in order to allow the fetus to move through during birth. Unfortunately, this hormone also affects other structures made of collagen, including the tendons and ligaments in the feet. This can lead to fallen arches.
It is not just the ligamentous laxity that leads to fallen arches. It is really the combination of weakening of these structures combined with the normal increase in weight associated with pregnancy. When these structures become stretched out, you can develop over pronation of the foot. This actually further increases the stress on the foot and joint supporting structures that maintain the stability of the arch.
As the arch collapses, the foot will elongate. Many women will notice that their shoe size increases one half to one full size either during pregnancy or immediately thereafter. This elongation of the foot and collapse of the arch can also lead to a common condition called plantar fasciitis, which results in pain in the bottom of the heel. This kind of heel pain is usually worse when you get up and step out of bed.
To prevent flat feet while you are pregnant, make sure you wear good supporting shoes. You should also try to avoid standing for long periods of time or walking barefoot, if possible. Make sure you take a break whenever your feet began to feel tired. Elevating the feet can also make them feel better by decreasing swelling in the feet andand ankles.
Over-the-counter arch support and custom orthotics are extremely helpful in stabilizing the foot. By holding your foot in a better position, the bones will do more of the work and reduce the stress on the tendons and ligaments that can become stretched out.
If you notice any of these types of changes in your feet, you should see a podiatrist in order to discuss custom orthotics before you get permanent damage.
You certainly have enough to think about when pregnant. You shouldn’t have to deal with worries about foot pain or collapses of the arch. Prevention and early treatment are essential to keeping your feet healthy during pregnancy.
Dr. Christopher Segler is an author, inventor and award winning foot surgeon with a surgical podiatry practice in Chattanooga. He invented and a patented surgical instrument designed to simplify bunion surgery and flatfoot surgery. He publishes articles teaching other foot doctors about his methods to prevent pain after foot surgery. You can order a FREE copy of his informative book about common causes of foot pain at http://www.anklecenter.com.
Your foot has a number of strong ligaments and tendons that support the arch and help to maintain your normal foot structure. The spring ligament and the posterior tibial tendon are two very important arch supporting structures that can be damaged during pregnancy.
A number of hormones are increased throughout your body during pregnancy. Relaxin is one of the hormones that your body produces in order to help with vaginal birth. In order to deliver a baby, it is necessary to relax the ligaments that hold the pelvic bones. This allows for a slight separation of the hip bones in order to allow the fetus to move through during birth. Unfortunately, this hormone also affects other structures made of collagen, including the tendons and ligaments in the feet. This can lead to fallen arches.
It is not just the ligamentous laxity that leads to fallen arches. It is really the combination of weakening of these structures combined with the normal increase in weight associated with pregnancy. When these structures become stretched out, you can develop over pronation of the foot. This actually further increases the stress on the foot and joint supporting structures that maintain the stability of the arch.
As the arch collapses, the foot will elongate. Many women will notice that their shoe size increases one half to one full size either during pregnancy or immediately thereafter. This elongation of the foot and collapse of the arch can also lead to a common condition called plantar fasciitis, which results in pain in the bottom of the heel. This kind of heel pain is usually worse when you get up and step out of bed.
To prevent flat feet while you are pregnant, make sure you wear good supporting shoes. You should also try to avoid standing for long periods of time or walking barefoot, if possible. Make sure you take a break whenever your feet began to feel tired. Elevating the feet can also make them feel better by decreasing swelling in the feet andand ankles.
Over-the-counter arch support and custom orthotics are extremely helpful in stabilizing the foot. By holding your foot in a better position, the bones will do more of the work and reduce the stress on the tendons and ligaments that can become stretched out.
If you notice any of these types of changes in your feet, you should see a podiatrist in order to discuss custom orthotics before you get permanent damage.
You certainly have enough to think about when pregnant. You shouldn’t have to deal with worries about foot pain or collapses of the arch. Prevention and early treatment are essential to keeping your feet healthy during pregnancy.
Dr. Christopher Segler is an author, inventor and award winning foot surgeon with a surgical podiatry practice in Chattanooga. He invented and a patented surgical instrument designed to simplify bunion surgery and flatfoot surgery. He publishes articles teaching other foot doctors about his methods to prevent pain after foot surgery. You can order a FREE copy of his informative book about common causes of foot pain at http://www.anklecenter.com.
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