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Understanding Ankle Pain: Causes and Symptoms

Ankle pain can be a debilitating condition that affects individuals of all ages and activity levels. Whether you're an athlete, a fitness enthusiast, or someone leading a sedentary lifestyle, ankle pain can strike unexpectedly, hindering your mobility and impacting your daily activities.

Causes of Ankle Pain:

Sprains and Strains: Ankle sprains and strains are among the most prevalent causes of ankle pain. These injuries occur when the ligaments or muscles surrounding the ankle are stretched or torn, often as a result of sudden twisting or rolling of the foot.

Fractures: Fractures, or broken bones, can lead to severe ankle pain. These fractures may result from accidents, falls, or direct impact to the ankle joint. Stress fractures, caused by repetitive stress on the bones, are also common in athletes.

Arthritis: Osteoarthritis and rheumatoid arthritis can affect the ankle joint, causing pain, inflammation, and stiffness. Arthritic conditions often develop over time and may worsen with age.

Tendonitis: Inflammation of the tendons surrounding the ankle, known as tendonitis, can lead to pain and discomfort. This condition can be caused by overuse, improper footwear, or certain medical conditions.

Bursitis: Bursae are small, fluid-filled sacs that cushion and reduce friction between bones and soft tissues. Inflammation of these sacs, known as bursitis, can cause ankle pain. It is often a result of repetitive motion or excessive pressure on the joint.

Gout: Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints. The ankle can be affected, resulting in sudden and intense pain, swelling, and redness.

Nerve Compression: Compression or irritation of nerves in the ankle region can lead to pain. Conditions such as tarsal tunnel syndrome involve pressure on the tibial nerve and can cause tingling, burning sensations, and pain.

Symptoms of Ankle Pain:

Pain and Discomfort: Persistent pain around the ankle joint, ranging from mild to severe, is a common symptom. The pain may be sharp, stabbing, or throbbing, depending on the underlying cause.

Swelling and Inflammation: Swelling and inflammation are typical responses to injury or inflammation in the ankle. This can make the affected area tender to the touch.

Limited Range of Motion: Ankle pain may lead to a reduced range of motion. Individuals may experience difficulty moving the ankle joint or walking without discomfort.

Bruising: In cases of trauma or injury, bruising may develop around the ankle. This is a visible sign of blood pooling beneath the skin.

Instability: Ankle instability, characterized by a feeling of the ankle giving way, can be a symptom of ligamentous injuries or chronic conditions affecting joint stability.

Numbness or Tingling: Nerve-related ankle pain may manifest as sensations of numbness or tingling in the affected area.

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Foot Pain: Intrinsic Muscles and Plantar Fascia

Foot pain can stem from various intrinsic muscles of the foot and the plantar fascia, a thick band of tissue running along the sole.

Plantar Fascia: This ligament supports the arch of the foot and absorbs shock during movement. Plantar fasciitis, characterized by inflammation of the plantar fascia, is a common cause of heel pain and is often aggravated by prolonged standing, walking, or running.

Intrinsic Foot Muscles: These muscles are located within the foot and are responsible for fine motor movements and stabilization. Conditions such as metatarsalgia (pain in the ball of the foot) and neuromas (nerve pain between the toes) often involve the intrinsic muscles. Overuse, poor footwear, or biomechanical issues can lead to pain in these muscles.

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Understanding and Alleviating Foot Pain with Acupuncture

Foot pain is a common ailment that can affect people of all ages and lifestyles. Whether it's a sharp, stabbing pain or a dull, persistent ache, foot discomfort can significantly impact daily activities and overall well-being.

Common Causes of Foot Pain:​​

Plantar Fasciitis

Flat Feet or Fallen Arches:

Flat feet can contribute to foot pain by altering the distribution of weight and pressure on the feet. This condition can lead to arch and heel pain, as well as discomfort in other areas of the foot.

Foot Injuries:

Sprains, fractures, and other injuries to the foot can cause acute pain. These injuries often result from accidents, falls, or overexertion during physical activities.

Overuse and Strain:

Overusing the feet, whether through excessive exercise or prolonged standing, can lead to strain on the muscles, tendons, and ligaments. This can manifest as generalized foot pain or in specific areas.

Footwear Choices:

Ill-fitting shoes or those lacking proper support can contribute to foot pain. High heels, for example, can cause issues like metatarsalgia, which involves pain in the ball of the foot.

Symptoms of Foot Pain:

Heel Pain:

Plantar fasciitis and heel spurs often result in intense pain in the heel, especially with the first steps in the morning.

Arch Pain:

Flat feet or fallen arches can cause pain along the arch of the foot.

Ball of the Foot Pain:

Conditions like metatarsalgia can lead to pain in the ball of the foot, often exacerbated by standing or walking.

Toe Pain:

Ingrown toenails, arthritis, or improperly fitting shoes can cause pain in the toes.

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Acupuncture can effectively help reduce ankle and foot pain.

Plantar Fasciitis:

Understanding Plantar Fasciitis: Causes, Symptoms, and Treatment Options

Plantar fasciitis is one of the most common causes of heel pain, affecting millions of people worldwide. Characterized by inflammation of the plantar fascia—a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes—this condition can range from mildly uncomfortable to severely debilitating.

What Is Plantar Fasciitis?

The plantar fascia acts like a shock-absorbing bowstring, supporting the arch of the foot. When this tissue experiences excessive stress or repetitive strain, it can develop small tears. Over time, this can lead to inflammation, stiffness, and pain—especially near the heel.

Common Causes and Risk Factors

Several factors can contribute to the development of plantar fasciitis, including:

Overuse: Long periods of standing, walking, or running (especially on hard surfaces).

Improper Footwear: Shoes lacking arch support or cushioning.

Foot Structure: Flat feet, high arches, or an abnormal walking pattern.

Age: Most common in people between 40 and 60 years old.

Obesity: Extra weight puts additional stress on the plantar fascia.

Occupational Hazards: Jobs that require long hours on your feet (e.g., teachers, nurses, factory workers).

Recognizing the Symptoms

The hallmark symptom of plantar fasciitis is sharp pain in the heel, especially:

First thing in the morning when getting out of bed.

After long periods of sitting or resting.

After (not during) exercise or physical activity.

Some people also experience tightness in the Achilles tendon or pain along the arch of the foot.

Acupuncture can effectively release plantar fasciitis pain and speed up recovery. 

Understanding Achilles Tendinitis: Causes, Symptoms, and Treatment

Achilles tendinitis is a common overuse injury that affects the Achilles tendon—the strong, fibrous cord that connects the calf muscles to the heel bone. Named after the mythological Greek hero Achilles, whose only vulnerability was his heel, this condition can significantly impair mobility and quality of life if left untreated. Though frequently seen in runners and athletes, Achilles tendinitis can affect anyone, especially those who suddenly increase their physical activity or wear improper footwear.

What Is Achilles Tendinitis?

Achilles tendinitis occurs when the Achilles tendon becomes inflamed, irritated, or degenerative due to repetitive stress or strain. It is generally classified into two types:

Non-insertional Achilles tendinitis: Affects the middle portion of the tendon and is more common in younger, active individuals.

Insertional Achilles tendinitis: Involves the lower portion of the tendon where it attaches to the heel bone. This type often affects older or less active individuals and may be associated with bone spurs.

Causes and Risk Factors

The most common cause of Achilles tendinitis is overuse, especially from activities that involve running, jumping, or sudden increases in physical intensity. Contributing factors include:

Sudden increases in exercise intensity or duration

Tight or weak calf muscles

Flat feet or high arches

Improper or worn-out footwear

Running on hard or uneven surfaces

Age-related degeneration

Certain medical conditions (e.g., rheumatoid arthritis or obesity)

 

Symptoms

Typical symptoms of Achilles tendinitis develop gradually and may include:

Pain and stiffness along the Achilles tendon, particularly in the morning

Swelling or thickening of the tendon

Tenderness when touched or moved

Limited range of motion in the ankle

Pain that worsens with activity and improves with rest

In severe cases, especially if left untreated, the tendon may rupture, causing sudden, sharp pain and difficulty walking.

 

Treatments

Acupuncture is one of the effective treatments.

 

Prevention

To reduce the risk of Achilles tendinitis:

Warm up properly before physical activity

Gradually increase exercise intensity

Stretch and strengthen calf muscles regularly

Wear appropriate, supportive footwear

Avoid excessive hill running or hard surfaces

Achilles tendinitis is a painful but manageable condition that, if addressed early, typically resolves with conservative treatment. Awareness of risk factors and adherence to preventive strategies are key to maintaining a healthy, pain-free Achilles tendon. If you experience persistent heel or tendon pain, consult a healthcare provider to determine the best course of treatment.

Dr Maggie Ju Acupuncture Kensington, Notting Hill, Chelsea, Richmond London
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