The soles of my feet are sore and swollen and I always want to massage them

The soles of the feet feel sore and swollen, you always want to press them, and your feet hurt before you can walk a long distance. You want to rest, which is a more obvious manifestation of flat feet. The foot is a very important part of the human body. If flat feet occur, it will affect a person's walking function and daily life to a certain extent, so active treatment is needed. Below we will give you a detailed introduction to the relevant knowledge about flat feet!

Introduction

Flat feet (orthopedics), flat feet is mainly caused by abnormal foot bone morphology, muscle atrophy, ligament contracture or chronic strain, which causes foot pain caused by collapse or loss of elasticity of the longitudinal arch of the foot, also known as flat feet.

Flat feet are caused by congenital factors or injuries to the muscles and ligaments of the feet, such as tendon strain, paralysis and atrophy of the calf muscles, which weaken the strength to maintain the arch of the foot and cause the arch to flatten. According to expert surveys, the incidence of flat feet among adolescent students is 11%, second only to ENT diseases such as myopia, but flat feet are often not given enough attention.

The normal heel and dorsal bone of the foot form the arch through ligaments and joints, which makes the sole of the foot more elastic, can buffer the impact and shock of external forces, and also protect the blood vessels and nerves in the sole of the foot when walking. It is for this reason that humans can run, jump, travel long distances and perform difficult technical movements such as dance, gymnastics, and track and field sports with ease. People with flat feet are prone to fatigue when walking or running long distances, and their speed, endurance and explosive power are inferior to those of normal feet. The heels touching the ground for a long time can also compress blood vessels and nerves, easily causing foot numbness and foot pain. It is not easy to reduce the impact of external forces on the spine, brain, and internal organs, causing organ damage, affecting normal development, height growth and health, making it even more difficult to be qualified for occupations such as athletes, soldiers, and pilots.

Pathological etiology

1. The muscles and ligaments of the feet lack exercise and are not strong enough. For example, if one does not like to take part in physical exercise since childhood, or wears small shoes for a long time, it will affect the muscles and ligaments of the feet and cause pain, thus hindering the normal development of the arch of the foot.

2. Excessive fatigue of the muscles and ligaments of the feet. Long periods of walking, standing, lifting heavy objects, and excessive exercise in childhood can all cause these problems. For example, long periods of weightlifting and running for unusual distances can lead to chronic injuries to the muscles and ligaments of the feet, causing the arch of the foot to collapse and form flat feet.

3. The impact of disease. Children who are bedridden for a long time due to illness may suffer from atrophy of the foot muscles and develop flat feet. In addition, children with cerebral palsy, sequelae of polio, malformed healing of calcaneal fractures, rupture of the posterior tibial tendon, tuberculosis of the calcaneus or other foot bones can all develop flat feet.

Symptoms

The main clinical manifestations are foot pain or discomfort when standing or walking for a long time, heel valgus, foot flatness, forefoot abduction when standing, swelling and tenderness at the navicular tuberosity, which are relieved by rest and develop into spastic flat feet in the late stage, and may cause complications of osteoarthritis. Some patients have a family history. This disease can occur in children and young adults. If it is congenital, symptoms usually appear after the age of 10. It is often induced by various injuries, fatigue, and obesity, and is more common on both sides. The key to this disease is prevention. Generally, non-surgical treatments are effective. A small number of patients require surgical treatment, which can also achieve good results. Most of those with poor therapeutic effects are those who have not received formal treatment or have comorbidities and complications.

1. Postural flatfoot: In the initial stage, there is no abnormality in the appearance of the arch of the foot, but the foot feels tired and painful after walking and exertion. There is pain in the ankle on the outside of the calf. There may be swelling in the center of the sole and the instep. There is obvious swelling and tenderness at the navicular tubercle. The local skin may be red, and the foot movement is slightly limited. When standing, the foot is flat and turned outward. Symptoms and signs may disappear after rest.

2. Spastic flatfoot: It often occurs in young and middle-aged people, and some of it develops from improper treatment of postural flatfoot. The main symptom is severe pain when standing or walking, and the patient may walk in a figure-eight manner. The peroneus longus muscle was in tonic spasm, and the inversion, eversion and abduction of the foot were limited. The heel becomes widened, the plantar valgus is turned outward, the Achilles tendon deviates outward, the forefoot is abducted, and the navicular tuberosity collapses completely and protrudes inward. In severe cases, the feet may become stiff. Fixed in valgus, abduction and dorsiflexion positions, with marked limitation of movement. Even after a long period of rest, the symptoms are difficult to improve. Some patients may suffer from low back pain, hip pain and knee pain.