Foot / Ankle Pain

Dr. Matthew Kuik PT, DPT CSCS
Owner and Founder of San Francisco Physical Therapy & Performance
Is It Difficult for You to Walk, Run, Jump, Descend Stairs, or Perform Your Daily Tasks at Work or Around the House Because of Ankle or Foot Discomfort?
Does this apply to you?
- After a few days or weeks, you anticipated the discomfort to go away, but it didn't.
- You tried using cold packs, heating pads, and personal TENS units, but nothing helped.
- You received a few massages, but after a few days, the ache returned.
- You visited a doctor, who took some pictures, administered an injection, or gave you drug recommendations, but the relief was fleeting?
- You have attempted physical treatment before, but it was unsuccessful.
- You've decided that you'll be alright if you just stay away from the uncomfortable activities?
- You have tried different shoes and inserts, but unsure if they are right for you and if they even help
We are here to help you identify long-term fixes!
We deal with the following typical ankle and foot issues:
- Arthritis
- Ankle Sprain
- Plantar Fasciitis
- Posterior Tibial Tendinopathy
- Achilles Tendinopathy
- Midfoot Pain
- Morton’s Neuroma
The Most Popular Reasons
- Impaired Mechanics: Joint stiffness or reduced muscle flexibility causes a restricted range of motion, and muscle weakness and imbalances affect joint stability.
- A sudden impact or stress on the tissue results in injuries.
- Chronic compensations: avoiding activity in certain muscle groups while overusing other tissues may be caused by a past injury or a fear of future harm.
San Francisco Physical Therapy & Performance Approach
- By educating patients, employing manual therapy, and improving tissue mobility, the pain cycle can be broken.
- Enhance the motion of the region's joints, muscles, and nerves while doing regular tasks and engaging in exercise- and sport-specific activities.
- Increase the tissue's strength, power, and endurance so that it can withstand all demands without risk of re-injury.
- Check "upstream" to see if the foot pain is a sign caused by another part of the body.
Treatments for the Feet and Ankles
- Bracing, taping, and massage can all help to lessen tissue irritation.
- Stretching, cupping, dry needling and instrument-assisted mobilization can all be used to increase tissue mobility.
- Calf and intrinsic foot muscles should be strengthened.
- Regain full range of motion and enhance joint hydration
- Become more adept in single-limb control and balance.
- Progress should be made in plyometric and functional exercises (jumping, running, cutting, squatting, and climbing).
- Boost your aerobic and endurance fitness.
- Discuss options for proper footwear.
Important Ideas to Understand
- Tissues recover. Although the body is designed to heal itself, sometimes it gets trapped in the inflammatory stage of tissue repair and needs aid to move on to the recovery stage.
- The results of X-ray and MRI imaging are usually unrelated to the true cause of discomfort. Imaging makes it possible for tissue damage without discomfort or functional limitations. It is also possible to suffer pain that does not show up clearly on imaging, which is frequently brought on by oversensitive nerve tissue.
- Although soreness following exercise is undesirable, it is not always causing alarm. The system must be overloaded to experience true strength enhancements, which causes micro-damage. That tissue thickens and strengthens during the healing process. To evaluate whether the tissue is prepared to handle more load, whether it should continue at its current level, or whether training intensity should be reduced until the tissue is more ready, one should use soreness as a gauge.
- It is almost always possible to resume prior or desired activities with the right instruction, proper mechanics, and moderate tissue loading.