Foot Arch Pain and Tendonitis Sioux City

Foot Arch Pain and Tendonitis Sioux City

There are several common sources of pain on the arch or bottom of the foot. Our foot absorbs a tremendous amount of stress and strain with every step, jump, or running stride that we take. These forces can be magnified with improper heel strike, foot mechanics, or knee angles. The end result is that the muscles, tendons, ligaments, and bones on the foot will need to absorb that force. The excessive force leads to foot fractures, sprains, and strains.



The foot and ankle are made up of several larger and smaller bones. The large calcaneus or heel bone is in the back of the foot. Moving forward, we have the navicular, cuboid, and cuneiform bones. Next are the long and narrow metatarsal bones and phalanges. Any of these bones can absorb too much force, which can then result in a stress fracture. There are several common stress fractures that can occur on the bottom of the foot throughout the navicular bones, cuboid bones, metatarsal bones, or phalanges. The location of the pain and the activity that resulted in the pain will provide indications of the possibility of a fracture. An X-ray may be utilized to evaluate the small bones for fractures; however, some fractures will not show up immediately and may take up to 10 days to be fully apparent on an X-ray. If a stress fracture is still suspected after negative X-rays, then an MRI may be utilized to evaluate the soft tissues of the foot and determine the possibility of subtle fractures or stress reactions.


Muscles, tendons, and ligaments in arch of foot.

The arch of the foot is created by several bones. Muscles, tendons, and ligaments support the arch and absorb force during running.

The small muscles or tendons can be overwhelmed while walking, running, or jumping, which can result in tendinitis. This is especially common when people increase their walking or running miles. Increased distance overwhelms the weakest tissues. Very common places of tendinitis on the foot include the posterior tibial insertion on the navicular bone (arch of the foot), the fibularis longus insertion on the fifth metatarsal (outside of the foot) bone, and the toe extensors (top of the foot).


Unfortunately, foot tendons absorb a significant amount of stress during our normal walking movements. Every step further increases the strain on these tendons, which then causes damage to them on a daily basis. Treatment goals are to decrease the pain, inflammation, and irritation to the tendons. Treatment will also find ways to accelerate the repair and healing process. Commonly, rest and ice help in the healing process.


All muscle and tendon injuries respond very well to the Graston Technique and Active Release Technique. These muscle therapies help break up the scar tissue and fascial adhesions that develop in the muscles and tendons. Scar tissue is a cheap patch that has temporarily formed on the tendons. However, this cheap patch is aggravated every day, which can result in extra scar tissue formation. Larger amounts of scar tissue do not properly heal, and a weak spot is created in the tendon. These weak spots lead to pain, inflammation, and injury.


Graston Technique for foot pain.

Graston Technique, Active Release Technique (ART), and massage therapy are used in arch tendinitis treatment.

Active Release Technique (ART) and the Graston Technique break up scar tissue patches and enhance the normal healing processes in the tendon. This is why you see ART and the Graston Technique utilized by all college and professional sports teams to address the muscle and tendon sprains that develop in their athletes.


These treatments also help plantar fasciitis, which extends from the heel bone toward the front of the foot on the bottom. Plantar fasciitis is a very common condition causing a sharp stabbing pain first thing in the morning. The pain decreases after a few steps or minutes. The pain will then increase whenever a person sits for an extended period of time. Plantar fasciitis tends to slowly get worse over a few months before becoming serious enough to seek treatment.


Knee and Ankle Exercises

Leg exercises combine unstable surfaces to enhance foot and ankle recovery, strength, and endurance.

Injuries that occur on the bottom and arch of the foot respond very well to treatments conducted in a chiropractic office. Therapy goals are to decrease pain and inflammation and restore strength and endurance to the muscles and tendons. People usually respond to treatment within a few sessions and note a significant improvement within a few weeks.


More information on foot injuries can be found at;
Stress Fractures
Plantar Fasciitis
Posterior Tibialis
Shin Splints
Knee, Ankle and Foot Pain Conditions