Pain in the foot has many different causes including damage to the bones, joints, nails, soft tissues, nerves, and other health conditions. These health conditions include diabetes, peripheral artery disease, and neuropathy. There are various internal and external causes of pain. These range from poorly fitting shoes, trauma, sprains, strains to overuse such as standing walking, or running.
A diagnosis is made based on a thorough history and physical exam and imaging studies (X-ray, CT, MRI). Minor foot pain often responds to simple over-the-counter drugs (to relieve pain and inflammation), mild exercises, orthotics, lifestyle and activity modification, stretching, and physical therapy. If the pain persists and a more aggressive treatment plan is needed, there are many different treatment options. Potential treatments include steroid injections, nerve blocks, regenerative injections (PRP, bone marrow), nerve stimulation, and surgery.