Unraveling the Top Culprits Behind Persistent Foot Pain

13. Posterior Tibial Tendon Dysfunction (PTTD) – The Collapsing Arch Culprit

PTTD is a progressive condition where the posterior tibial tendon, crucial for supporting the arch, becomes inflamed and eventually fails. Often described as adult-acquired flatfoot, it starts with pain along the inside of the ankle and foot, progressing to a noticeable flattening of the arch. More common in women over 40 and those with existing flat feet, early intervention is vital. Treatment involves bracing, orthotics, rest, and physical therapy to support the tendon, as untreated PTTD can lead to significant deformity and severe mobility issues.

14. Metatarsalgia – The Forefoot’s General Discomfort

While Morton's Neuroma targets a specific nerve, Metatarsalgia describes general pain and inflammation in the ball of the foot, specifically the area surrounding the metatarsal heads (bones connecting to the toes). It often feels like walking on pebbles or a persistent burning sensation. Causes include ill-fitting shoes, high impact activities, or other foot deformities that redistribute weight improperly. Treatment focuses on relieving pressure from the forefoot through wider shoes, metatarsal pads, and activity modification, aiming to alleviate discomfort across the entire forefoot.