腳掌痛症

Hong Kong Hiking Web: 戶外大夫專欄 Outdoor Doctor Forum: 腳掌痛症
   By Bull (221.127.161.107) on Friday, October 29, 2004 - 11:38 pm:  Edit

外大夫,近期發覺腳掌上微痛;特別在跑步後痛楚加劇並有輕微麻痺和少許腫。位置在腳掌上中央位置。請問是否因跑步弄傷及該如何處理。多謝.

   By Outdoor Doctor (Doctor) (218.103.141.83) on Wednesday, November 03, 2004 - 1:09 am:  Edit

Probably soft tissue injury.
You should take a rest and avoid heavy exercise (maybe up to 6 months, if necessary). You need a sole pad (to relieve the pressure over the painful area). Ultrasound therapy done by a physiotherapist may also be useful.

   By Bull (221.127.160.216) on Wednesday, November 03, 2004 - 10:58 pm:  Edit

would X-ray need to diagnose the painful area for any fracture exist?

   By Outdoor Doctor (Doctor) (218.103.134.228) on Thursday, November 04, 2004 - 12:45 am:  Edit

Most fractures are very painful. Fracture occurs after a serious injury.

Nevertheless, it is always good if you can have an X ray to rule out any other bone problem.

   By Bull (221.127.161.64) on Thursday, November 04, 2004 - 10:14 pm:  Edit

Thank you! doctor.

   By starry night (192.245.208.39) on Monday, February 28, 2005 - 8:25 pm:  Edit

你好!我的腳掌痛症已維持了不少日子。痛楚位置在腳趾公對下的那一部份的"璞"位.面積約五元硬幣。按下去不論力度大少也會有點痛。最痛的時候會腫了起來。
我不知那位置有什麼組織。請指教。

   By Outdoor Doctor (Doctor) (220.246.166.86) on Tuesday, March 01, 2005 - 10:54 pm:  Edit

Skin (outer layer) and the head of first metatarsal bone (inside).

   By Calvin on Sunday, June 11, 2006 - 12:32 pm:  Edit

ball of feet become painful only after <1 hr walk. I like wearing sandals for trips, but it seems most of the profile near ball have a raised profile (just behind the raised ridge under the toes) which I think pressurised against the ball and may not help at all? Plse advise what can I do to improve or what kind of shoes/sandals are better for me. Many many thanks.

   By Outdoor Doctor (Doctor) on Sunday, June 11, 2006 - 11:10 pm:  Edit

I suppose that the "ball" you mentioned is the heel. Wearing flat-shaped sandal is bad for a hiker. Much of the pressure will impose on the heel region. You should find a foot pad that fit best to your foot arch, in order to distribute the pressure equally on the foot.

   By Lo on Wednesday, January 03, 2007 - 2:58 pm:  Edit

Excuse me. I wonder if Calvin is talking about his sole instead of the heel? 'cos he's saying something about the part behind his toes.

Anyway, the Doctor's suggestion is most correct. Besides, sandals don't grip the ground well enough.


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