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Earlier this week I was fortunate to carve out a 4 hour block of time for a long cycling workout. Being new to the sport of triathlon, 50 miles was the longest bike ride of my life! It was a really long, hot ride! The funny part was the only part of my body that hurt during and after the ride were my feet! Why is it that my feet hurt instead of my butt or legs? Turns out, I am not alone. Foot pain is much more common in cyclists than most of us realize. Biking is much gentler on my body than running, but your feet do take a pounding!
Let's investigate foot pain in cyclists just a little. I experienced a burning pain in my forefoot after about 40 miles that did not go away until about 2 hours after I got off my bicycle. Why did this happen? In my case, I sized my cycling shoes too small for the training plan. My shoes fit well when I started, but as soon as my feet started to get hot; they swelled and literally got squished by the stiffness of the shoes. At 40 miles, the nerves in between my toes were pinched and all my toes went to sleep then started to burn like they were on fire! This is commonly called metatarsalgia, traumatic neuritis or parasthesias.
Foot pain like I experienced is actually not uncommon in cyclists. This can be caused by improper placement of clips, poorly sized shoes and certain foot deformities that require more support in the shoes. Luckily, most foot pain can be solved by bigger shoes, metatarsal padding, different socks or custom foot orthotics. Burning pain can be a sign of a Morton's neuroma, an early stress fracture or lumbar radiculopathy (a pinched nerve in your back), so if your burning does not go away with simple solutions, quickly seek the advise of your podiatrist or sports medicine physician.
Other foot related problems seen in cyclist are plantar fasciitis and Achilles tendonitis, which in the early stages are usually solved by raising your saddle or turning it slightly askew. Often, we wait too long to address an injury because we think it will miraculously solve itself. Long standing foot pain often requires more aggressive treatments with custom orthotics, physical therapy, injections or even surgery in severe cases.
Thankfully my foot pain completely resolved with slightly bigger shoes, a thinner sock and a small metatarsal pad. My upcoming long rides on the way to a half-Ironman triathlon in the fall should be much more comfortable and pain free!
Foot and ankle athletic injuries are very common. We specialize in sports medicine getting you back to sports as soon as possible. The most common foot and ankle sports injuries are plantar fasciitis, ankle sprains, shin splints, Achilles tendonitis, peroneal tendonitis, stress fractures, posterior tibial tendonitis, anterior tibial tendonitis, neuromas, tarsal tunnel syndrome, ankle instability, and metatarsalgia. Gait problems can also cause ileotibial band syndrome, patella tendonitis, back pain, hip pain and piriformis syndrome. Medications, injections, splinting, orthotics and/or physical therapy are often quite helpful in treating most injuries. Our doctors will discuss your injury and prescribe a course of treatment that will return you to sport stronger than when you came into the office.
Fall down, go boom? Foot and ankle trauma is extremely common no matter how young or old you are. Fractures, torn ligaments and tendons, sprain and strains, puncture wounds and toenail trauma occurs every day. Our physicians can help put you back together so that you can recover from your accident as fast as possible. Don't wait too long to seek medical advice after your accident or injury. Delaying treatment often only worsens the problem!
Foot pain related to congenital and acquired foot and ankle deformities is extremely prevalent in our society. Pain can be from flat feet or a high arched foot and associated gait problems; or be from a progressive deformity like a bunion or a hammertoe. Our doctors are extensively trained to diagnose and treat the underlying deformity to help you function at your best. We want to prevent your problems from getting worse, no matter what you inherited from your family! God may have had a sense of humor when he created your feet, but we will work with you to optimize your biomechanical function and aesthetics! No one should suffer from ugly, painful feet!
Neurological foot and ankle issues can be a burning or shooting pain, numbness, weakness or just a "pins and needles" sensation. Nerve can be affected by compression at the spine level, knee level, ankle level or in your foot. Neuropathy can be a subtle nerve degeneration from aging, diabetes, and a myriad of other causes. Do not assume your nerve issues will go away or that nothing can be done. A proper diagnosis can lead to alleviation of your nerve troubles.
Healthy Steps Shoe Store Grapevine welcomes patients and their families as well as the surrounding communities of Grapevine, Southlake, and Colleyville. Our Newest location in our Keller office serves Fort Worth, Trophy Club, Roanoke, Watauga, and beyond to help them with their therapeutic shoe gear needs. A certified shoe fitter is always available by appointment for consultation. An extensive array of prefabricated and custom orthotics as well as many foot care essentials are also readily available to compliment your shoe and sandal purchases. We carry a wide variety of comfort shoe gear that are as pretty as they are comfortable.