Understanding foot pain: causes, risks and physiotherapy treatments

Foot pain is one of the most common musculoskeletal complaints, affecting people of all ages and lifestyles. It can range from mild discomfort to severe pain that interferes with daily activities such as walking, exercising, or even standing for extended periods. Understanding the causes, identifying risk factors, and knowing when to seek help is key to managing and treating foot pain effectively.

What is foot pain?

Foot pain refers to any discomfort or pain in the foot’s various parts, including the heel, arch, toes, sole, or ankle. The foot is a complex structure of bones, muscles, tendons, and ligaments, and pain can result from issues with any of these structures. Pain can be acute (sudden and short-term) or chronic (long-lasting and persistent), and its severity can vary based on the underlying cause.

Who can be affected by foot pain?

Foot pain can affect anyone, but certain groups are more at risk, including:

  • Athletes and physically active individuals – due to overuse and trauma. There is also a risk of stress fractures for some individuals.
  • Older adults – due to age-related changes in joints and tissues.
  • People with poor footwear habits – wearing unsupportive or ill-fitting shoes.
  • Workers who stand for long hours – such as retail employees or healthcare workers.
  • Individuals with certain medical conditions – like diabetes, arthritis, or obesity.


Even children and teenagers can experience foot pain due to growth spurts, sports injuries, or improper footwear.

Common causes of foot pain

There are many potential causes of foot pain, including:

  • Plantar Fasciitis

Inflammation of the band of tissue that runs across the bottom of the foot, causing heel pain—especially noticeable in the morning.

  • Achilles Tendinosis

Overuse of the Achilles tendon, often from increased physical activity or improper footwear

  • Flat feet or fallen arches

Lack of proper arch support can lead to pain in the heel and arch area, especially after standing or walking. This is often linked with plantar fasciitis.

  • Arthritis

Osteoarthritis or rheumatoid arthritis can cause joint pain, swelling, and stiffness in the feet.

  • Bunions and hammer toes

Structural deformities of the foot that cause pain and difficulty walking.

  • Fractures and sprains

Injuries from trauma or high-impact activities can cause acute pain and swelling.

  • Nerve conditions

Conditions like Morton’s neuroma or tarsal tunnel syndrome can cause burning, tingling, or numbness in the feet.

When to seek medical attention

While some types of foot pain can be managed at home with rest, ice, and over-the-counter pain relief, it’s important to seek medical help if:

  • The pain is severe or worsening.
  • There’s swelling, redness, or an open wound.
  • You’re unable to bear weight on the foot.
  • Pain persists for more than a few days without improvement.
  • You have a medical condition like diabetes that increases your risk for complications.


Early intervention can prevent a minor issue from developing into a more serious problem.

How does physiotherapy treat foot pain?

Physiotherapy plays a critical role in diagnosing, managing, and treating foot pain. A physiotherapist can develop a personalised treatment plan that may include:

  • Manual therapy to mobilise joints and reduce stiffness.
  • Stretching and strengthening exercises to improve foot function and support.
  • Gait analysis and correction to address abnormal walking patterns.
  • Taping or orthotic support to relieve pressure and improve alignment.
  • Education on proper footwear and posture to prevent recurrence.
  • Modalities like ultrasound or TENS to reduce pain and inflammation.

With guided physiotherapy, many patients experience significant pain relief and improved mobility without the need for medication or surgery.

Foot pain is more than just a nuisance—it can seriously impact your quality of life. Whether it’s caused by overuse, poor footwear, injury, or an underlying health condition, understanding its cause and getting the right treatment is essential. Physiotherapy offers a safe, effective path to recovery and long-term foot health. If you’re struggling with foot pain, consider consulting a physiotherapist for a personalized plan to get back on your feet—literally.

Need treatment for foot pain? Find your nearest clinic:

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