Child Foot Pain At Night: Growing Pains
The most common cause of child foot pain at night is growing pains. Most people assume that growing pains are caused by spurts of growth in the bones that outpace muscles, tendons, and ligaments, but bones grow at an approximately even pace throughout development.
In many cases, growing pains are actually caused by other mechanical issues, such as:
- Gait imbalances
- Flat feet or feet that point outwards
All of these can lead to what feels like shooting, stabbing pains in the feet at night. Typically, growing pains are more severe at night and ease with activity.
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Refine Your Nighttime Routine
Consider revamping your entire nighttime routine to set the scene for a good night of sleep. Keep your bedroom cool and dark, and reserve it only for intimacy, sleep, and reading before bed.
Develop a consistent nighttime routine that gets your body ready for sleep.
- Drink a relaxing herbal tea
- Give your feet some attention before bed by trying yoga for feet at night or self-massage
- Go to bed at the same time every night and wake up at the same time, too
- Turn all screens off at least one hour before bedtime
A nighttime routine helps you mark the end of the day and signals your brain to rest. This alone can go a long way towards a better and more healing night of sleep.
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Preventing Runners’ Outer Foot Pain
Dr. Richardson says you can make several modifications to your running routine to prevent outer foot pain:
- âChoose the right shoes.â “Appropriate shoe wear is important to prevent and treat thisform of foot pain,” Dr. Richardson says. Be sure to spend some time tryingdifferent options and finding the right ones for you at a specialty runningshoe store.
- âChange your running technique.â Dr. Richardson adds that high-impact running is another reasonfor these injuries. You can help by focusing on shorter, quicker strides thathave a lower impact.
- âFind a softer surface.â If unyielding concrete is causing problems, you could try runningon a softer surface. “Running on softer, even surfaces such as awell-maintained grass field may help,” Dr. Richardson says.
- âLook into orthotics.â If you’re still having problems, you can talk to a podiatristabout the right orthotic options for your running. “If your foot has aflexible, high arch, there are certain orthotics that will help balance anddistribute weight across the entire foot,” Dr. Richardson says. “Theseorthotics typically have a recess for the first toe and lateral post at thebase of the heel.”
What Are Heel Spurs
A heel spur is a bone growth on the heel bone. It is usually located on the underside of the heel bone where it attaches to the plantar fascia, a long band of connective tissue running from the heel to the ball of the foot. This connective tissue holds the arch together and acts as a shock absorber during activity. If the plantar fascia is overstretched from running, wearing poor-fitting shoes, or being overweight, pain can result from the stress and inflammation of the tissue pulling on the bone. Over time, the body builds extra bone in response to this stress resulting in heel spurs. Treatment options may include:
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Treating Outside Foot Pain
Treatment for lateral foot pain will depend on whether the symptoms are mild, moderate, or severe. For mild pain, people can gain relief with R.I.C.E. This stands for Rest, Ice, Compression, and Elevation. The idea is to try to ease the pain and inflammation as well as reduce the chances of further injury. Many people find that it is effective in speeding up the healing process.
Heres a look at some other treatments for lateral foot pain:
There are other treatment options, including massage therapy and light therapy, but it is important to have a discussion with a physician before starting treatment.
What Is A Foot Fracture
With 26 bones in a single foot, almost any of them can be broken. Many fractures do not require surgery, or even a cast, as they will heal on their own with some support. When a foot is fractured, the site of the fracture usually is painful and swollen. The site of the fracture will determine the course of treatment, if needed, including:
Ankle joint fractures. These fractures may be serious and require immediate medical attention. Ankle fractures usually require a cast, and some may require surgery if the bones are too separated or misaligned.
Metatarsal bone fractures. Fractures of the metatarsal bones, located in the middle of the foot, often do not require a cast. A stiff-soled shoe may be all that is needed for support as the foot heals. Sometimes, surgery is needed to correct misaligned bones or fractured segments.
Sesamoid bone fractures. The sesamoid bones are 2 small, round bones at the end of the metatarsal bone of the big toe. Usually, padded soles can help relieve pain. However, sometimes, the sesamoid bone may have to be surgically removed.
Toe fractures. Fractures of the toes normally can heal with or without a cast.
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How To Help Prevent Ball Of Foot Pain
Obviously, staying off your feet just isnt an answer to prevent a sore ball of foot. But there are steps you can take to help prevent pain or discomfort. For example:
- Try arch supports: insoles with cushioning and arch support can help minimize the stress on the balls of your feet. Explore Dr. Scholls Arch Support Solutions.
- Wear comfortable and supportive shoes: your shoes should provide cushioning and support for your feet. Shoes with a thicker sole and a wider set toe area can help by redistribute your weight effectively across your foot.
- Wear shoes built for the activity that you use them for. For example, use proper shoes when exercising to evenly distribute weight throughout your feet.
- Maintain a healthy weight: Excess weight can put unnecessary stress and pressure on your feet, and increase your risk of pain and inflammation.
Symptoms Of Foot Pain
The foot is a complicated anatomical structure that carries the weight of the body, and pain can manifest in different ways depending on the cause. Pain may be in the arch of the foot, along the outer side of the foot, on the sole of the foot, in the ball of your foot, in the toes, heels, ankles or tendons of the foot.
The pain may be an ache, a burning sensation, inflammation or tenderness, or a sharp pain, depending on the cause. It may come and go, depending on your activity.
Here are some of the top 10 causes of foot pain.
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Ask About Prescription Medications
Although opioid therapy is not indicated for most types of chronic foot pain, there are prescription medications that may offer some relief.
For example, pregabalin, gabapentin, and duloxetine are medications that are used to treat nerve pain, including nerve pain in the feet. Depending on the cause of your pain, your doctor may also recommend muscle relaxers.
Pain On Outside Of Foot
Pain on the outside of the foot is a common problem we treat in our Seattle foot and ankle clinic. In most cases outside of the foot pain responds well to treatment.
Call or use our Patient Portal to schedule an appointment for an evaluation and treatment recommendations.
If you cannot visit us at our Seattle clinic, you can find self-treatment suggestions for pain on the outside of the foot at the bottom of this page.
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Physical Therapy For Foot Pain
Physical therapy is often one of the main ways to treat the symptoms of foot pain from many different causes. Gentle stretching of the foot often helps to alleviate the discomfort felt due to the above disorders.
Your physical therapist can also offer strategies to help treat your pain and improve your foot function. For example, an ice bottle massage may help control pain and inflammation. A PT may also be able to help you correct walking and running mechanics that can alleviate and prevent foot problems.
Treating Runners’ Outer Foot Pain
If lateral foot pain does occur as a result of running, the American College of Foot and Ankle Surgeons says treatment will vary based on its severity.
If it’s mild pain, then rest, ice and over-the-counter pain medications can be helpful. More severe circumstances may require foot bracing or physical therapy to help heal the injury. Surgery is typically only required in instances of severe outer foot pain. Be sure to talk to your doctor about the right treatment for your specific circumstances.
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What Is A Bunion
A bunion is a protrusion of bone or tissue around a joint. Bunions may occur at the base of the great toe or at the base of the little toe, and often occur when the joint is stressed over a period of time. Women get bunions more often than men do because they may wear tight, pointed, and confining shoes. Bunions can also be a result of arthritis, which often affects the big toe joint.
Treatment of bunions may vary depending on the pain and deformity. Treatment may include:
Wearing comfortable, well-fitting shoes
Applying pads to the affected area
Medications, such as ibuprofen
A bunion, also known as hallux valgus, develops on the big toe joint when the bones of the big toe become misaligned. It looks like a large bump on the side of the toe. The big toe angles in toward the second toe, and, in severe cases, may overlap or tuck beneath the second toe. Bunions are more common in women than in men.
Pain On The Foot’s Outer Edge
The outer edge of your foot, the fifth metatarsal bone, is a commonly broken bone in the foot. Pain, swelling, and bruising along the outer foot edge after an injury are symptoms. If you think you may have broken a bone, see a doctor and have an X-ray.
To treat it:
- Rest, ice, and elevate your foot.
- Donât walk on it.
- Ask your doctor if surgery is necessary.
- A cast may be necessary in some circumstances.
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Can You Get Arthritis In Your Feet
The short answer is yes. Arthritis can affect any joint in the body, including those joints in the foot and ankle, causing inflammation and pain. While there is no cure for arthritis, there are treatment options to help manage discomfort, including physical therapy, medications, and some surgical options.
What Causes Ball Of Foot Pain
As we age, we generally lose the fat pad underneath the ball of the foot, causing abnormal pressure and shock to the area. Ball of foot pain, also known as metatarsalgia, can also be caused by:
- Certain foot abnormalities, such as hammertoes, which can cause incorrect pressure distribution and abnormal pressure to the ball of the foot
- Having high arches or having a second toe thats longer than the big toe, which can put more weight on the ball of your foot
- An increase in high-impact activities such as running, jumping, or long periods of standing
- Arthritis or joint inflammation in your feet, such as with rheumatoid arthritis or osteoarthritis
- Wearing shoes that dont fit well or provide adequate support.
- High heels, which transfer your weight onto the front of your foot, can lead to ball of foot pain.
- Shoes that are too tight can also compress your toes and cause pain.
- Athletic or walking shoes that dont provide adequate support can put you at risk for ball of foot pain.
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What Is Morton Neuroma
Morton neuroma is a buildup of benign tissue in the nerves running between the long bones of the foot. Morton neuroma occurs when two bones rub together and squeeze the nerve between them. Most often, neuromas develop between the bones leading to the third and fourth toes. Morton neuroma often causes swelling, tenderness, and pain. If the pain becomes severe, it may cause tingling, numbness, and burning in the toes. It usually occurs after standing or walking for a long period of time. Treatment for this condition may involve rest or a change in footwear that does not restrict the foot. If the problem persists, cortisone injections or surgery may be considered.
This condition is a thickening of the nerve sheath that surrounds a nerve in the ball of the foot. It most commonly develops between the third and fourth toes. It also commonly occurs between the second and third toes.
What To Do When Stubborn Pain Just Wont Go Away
If persistent ball of foot pain is making life difficult, especially if symptoms reoccur frequently or have lasted for a few days without improvement, give the experts at Family Foot and Ankle Center a call.
Our first step will be evaluating the foot to determine the cause of your pain. A digital X-ray or other imaging scan can quickly reveal whether a problem such as Mortons neuroma, stress fractures, or a sesamoid injury are to blame.
Ultimately, the cause will dictate the treatment method. The vast majority of ball of foot pain cases, however, are solved via conservative measures. In many cases, simply a little bit of rest and ice combined with a switch to better, more supportive shoes designed to fit your foot type are all you need.
If youre still struggling with painful symptoms even while wearing good shoes, you may benefit from metatarsal pads, arch supports, shock-absorbing insoles, or a custom orthotic to redistribute the weight across your foot. Well take measurements and help you find out which kind of insert would be most helpful.
In rare cases surgery may be the best course of action, but only in certain cases and after conservative options have been exhausted.
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Th Metatarsal Stress Fracture
Your 5th metatarsal is the little bone that runs along the outside of your forefoot. The little bump that you can feel on the outside of your foot is the head of the 5th metatarsal bone. This is by far the most common area for stress fractures, but it can develop in any part of the bone. The pain is located on the outside of the foot and can sometimes be mistaken for peroneal tendonitis. It’s also possible to have both conditions at the same time.
I discuss the diagnosis and treatment in detail in this video:
Stress fractures are overuse injuries that develop when your bones can’t recover quickly enough after exercise, either because you are training too hard, or not eating enough, or sometimes due to other conditions or deficiencies. Find out more about the causes of stress fractures here.
Our top 3 fixes:
Have it assessed by a sports doctor or a medical professional who is experienced in dealing with stress fractures. If you don’t follow the correct treatment regime, it can delay healing and even mean that you may require surgery.
You will have to take your weight off your foot to allow the bone to heal. Depending on how bad your case is, your doctor may still allow you to walk around on it, but you’ll likely be required to wear a boot and not place much weight through it.
Make sure that you eat a healthy diet and that your Vitamin D levels are adequate. Your bones can only repair if you provide them with the tools to do so.
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What Causes Foot Pain At Night
We might be used to foot pain after a long hike or a grueling day on our feet, but there are other foot pain causes that arent necessarily connected to these common events. Foot pain can occur in anyone at any age. Child foot pain at night, in particular, can be especially challenging.
Here are the most common causes of foot pain, in adults and children alike.