Written By: Chloe Wilson BSc(Hons) Physiotherapy
Reviewed By: FPE Medical Review Board
There are many causes of foot pain and around 20% of people will suffer from foot problems at some point in their lives.
Foot pain can have a major impact on our daily lives, so it is really important to find out what is causing the problem and start treatment as soon as possible.
Foot pain may come on gradually or suddenly, be linked to a specific injury or have no obvious cause at all.
The main causes of foot pain come from:
Here you will find an overview of the most common causes of foot pain. You can find out more about each one including the best treatment options for each by reading the full articles. They are listed alphabetically but at the end of this page you can search by how common each of these causes of foot pain are, ranging from very common to rare.
Inflammation and degeneration of the achilles tendon in the lower calf or back of the heel
Causes: Repetitive stress through the tendon, bone spurs, muscle imbalance
Symptoms: Pain, worse in the morning, thickened lump in tendon, stiffness
Full Article: Achilles Tendonitis
Irritation of a small extra bone found in 10% of the population
Causes: Genetics, injury, overuse
Symptoms: hard lump, pain and inflammation inner foot arch
Full Article: Accessory Navicular Syndrome
Reduction in blood flow to the feet causing reduced in oxygen and glucose levels
Causes: Blockages in small blood vessels from cholesterol crystals or plaque deposits
Symptoms: Sudden, intense pain, blue or red skin discoloration
Full Article: Blue Toe Syndrome
Small, outgrowths of bone that can irritate the surrounding structures
Causes: Friction on the bone from overuse, muscle tightness or tight footwear
Symptoms: Hard lump, localised pain, stiffness, secondary problems e.g. callus formation & nerve irritation
Full Article: Bone Spurs
Deformity of the foot bones causing a hard lump and toe deviation
Causes: Genetics, tight footwear, flat feet
Symptoms: Gradual and progressive toe deviation and pain, hard lump, redness & inflammation
Full Article: Bunions & Bunionettes
A progressive neurological condition affecting the transmission of nerve signals
Causes: Genetic disease affecting protein production leading to nerve degeneration
Symptoms: Weakness and decreased sensation, altered foot position, curled toes
Full Article: Charcot-Marie-Tooth Disease
Areas of thickened, hard, raised skin. Typically develop on the toes and heels
Causes: Friction, tight-fitting shoes, altered foot shape e.g. bunions, aging
Symptoms: Thickened, hardened patches. Calluses can be large but usually painless, corns tend to be small, circular and painful
Full Article: Foot Corns & Calluses
Partial dislocation of the cuboid bone on the outer side of the foot. Rare cause of foot pain
Causes: Ankle sprain (inversion injury), repetitive jumping or running, flat feet
Symptoms: Pain on outside of foot, worse on initial movement and during push-off phase of walking/running
Full Article: Cuboid Syndrome
Inflammation and damage due to the skin being unable to retain moisture. Many different types e.g. atopic dermatitis
Causes: Hyper-sensitivity to allergens and irritants, lack of protein in the skin, genetics, stress, hot weather
Symptoms: Dry, itchy, red patches of skin, spots and blistering
Full Article: Foot Eczema
A break in the long bone connecting the midfoot to the toes
Causes: Twisting injuries, landing awkwardly, direct blow to outer foot
Symptoms: difficulty walking, outer foot pain, swelling and bruising
Full Article: Fifth Metatarsal Fractures
Inflammation and degeneration in tendons, connective tissues linking muscle to bone
Causes: Overloading, over-stretching, flat feet, injury, inflammatory conditions
Symptoms: Sharp, burning pain, stiffness, swelling, hard lump
Full Article: Foot Tendonitis
Joint inflammation from build-up of uric acid crystals - common causes of foot pain
Causes: Diet, medication, genetics, medical conditions, obesity
Symptoms: Intense pain, swelling and redness. Lasts 5-10 days and often recurs
Full Article: Foot Gout
Bony growth on back of the heel which irritates surrounding structures aka Pump Bump
Causes: Rigid-backed shoes, high foot arches, calf tightness, genetics
Symptoms: Hard lump on back of heel, swelling, redness and pain around the achilles
Full Article: Haglund's Deformity
Stiffness and pain in the big toe from arthritis
Causes: wear and tear, footwear, genetics, injury, biomechanics
Symptoms: Stiff big toe, pain, difficulty walking
Full Article: Hallux Rigidus
Edges of toenail curl in, pushing into the surrounding skin aka ungius incarnatus
Causes: Tight-fitting shoes, injury, incorrect toenail cutting technique, injury, genetics
Symptoms: Progressive redness, pain and inflammation, extra skin growth
Full Article: Ingrown Toenails
Partial or full tear of one or more of the ankle ligaments. Most common ankle injury
Causes: Ligament is overstretched, typically from ankle twisting inwards when stumbling
Symptoms: Immediate pain and swelling, bruising, instability, popping noise
Full Article: Sprained Ankle
Combinations of hyperflexion and hyperextension of the various toe joints
Causes: tight, narrow, high-heeled shoes, muscle tightness, nerve damage, genetics, poor blood supply
Symptoms: Abnormal toe position, pain, stiffness, skin damage e.g. calluses
Full Articles: Hammer Toe, Mallet Toe, Claw Toe
A benign growth or thickening which places pressure on a nerve
Causes: Pressure through ball of foot, tight fitting shoes, running, climbing
Symptoms: Sharp, stabbing pain in ball of foot, tingling and numbness in foot, feels like walking on a stone
Full Article: Morton's Neuroma
An extra piece of bone that gets stuck in the ankle when walking or pointing the foot
Causes: Bone fails to fuse in childhood and becomes symptomatic due to repetitive toe pointing movements or ankle injuries
Symptoms: Pain, swelling, tenderness and hard lump by achilles tendon
Full Article: Os Trigonum Syndrome
Inflammation and damage to the thick band underneath the foot, the plantar fascia
Causes: Muscle tightness, flat feet, overuse, sudden increase in activity, poor foot wear
Symptoms: Pain on bottom of foot and around heel, worse when on tiptoes or when you start walking
Full Article: Plantar Fasciitis
Small, benign growth in the plantar fascia, underneath the arch of the foot
Causes: Genetics, diabetes, liver disease, alcoholism, epilepsy
Symptoms: Small nodule on the sole of the foot, painful when touched, toe stiffness
Full Article: Plantar Fibromatosis
Inflammation and degeneration of the posterior tibial tendon on the inner ankle
Causes: Ankle injury, repetitive strain, high-impact sports, unsupportive footwear
Symptoms: Pain inner ankle and under foot, unable to stand on tiptoes, foot arch collapses
Full Article: Posterior Tibial Tendonitis
Inflammation of the small fluid-filled sac at the back of the heel by achilles tendon
Causes: Over-training, footwear, bone spurs, muscle tightness, injury
Symptoms: Heel pain and tenderness, swelling, ankle stiffness
Full Article: Retrocalcaneal Bursitis
Inflammation of the small bones that sit underneath the big toe
Causes: Over-use, foot injury, footwear, altered biomechanics, tightness
Symptoms: Pain underneath the big toe, swelling, bruising and stiffness
Full Article: Sesamoiditis
Irritation & inflammation along the inner lower shin region from overuse
Causes: Sudden increase in activity, running, jumping, footwear, biomechanics
Symptoms: Aching and tenderness along lower half of shin, worse with exercise
Full Article: Medial Tibial Stress Syndrome
Inflammation in the sinus tarsi canal, a small tunnel between the heel bone and ankle bone
Causes: Ankle sprain, scar tissue, subtalar instability, flat feet
Symptoms: Deep pain, instability, stiffness, pain with ankle movements
Full Article: Sinus Tarsi Syndrome
Small hair-line breaks in the bones, typically metatarsals, heel, shin & navicular
Causes: Repetitive over-loading e.g. from jumping or running, sudden increase in activity
Symptoms: Common causes of foot pain, worse with activity, swelling
Full Article: Stress Fractures
Excess bone and cartilage forms a bridge between two of the tarsal bones
Causes: Genetic abnormality, injury, arthritis, infection
Symptoms: Stiffness and pain at back of foot, flat foot arches, difficulty walking
Full Article: Tarsal Coalition
Compression of the posterior tibial nerve where it passes through the outer ankle
Causes: Reduced space in the tarsal tunnel e.g. bone spurs or cysts, oedema
Symptoms: Shooting/burning pain, tingling & numbness on inner ankle and under foot
Full Article: Tarsal Tunnel Syndrome
Damage to the toe causes bleeding underneath the nail. AKA subungual hematoma
Causes: Toe being forced against front of shoe e.g. runner suddenly stopping or changing direction, tight footwear
Symptoms: Throbbing pain, nail appears red/black. Usually affects big toe or second toe
Full Article: Tennis Toe
Painful foot condition dating back to the WW1 trenches now common at festivals
Causes: Prolonged exposure to damp, cold conditions reduces blood flow to feet
Symptoms: Feet turn grey, cold, heavy, prickly & numb
Full Article: Trench Foot
Sprain of the big toe. Ligaments and joint capsule damaged when toe bends back too far
Causes: Artificial surfaces, push-off phase of sprinting, falling forwards, tackle, jumping
Symptoms: Toe pain, swelling and bruising which gets gradually worse
Full Article: Turf Toe
Foot conditions and injuries are a common problem, particularly among sports enthusiasts. Around 20% of people will suffer from one of these causes of foot pain at least once in their lives.
Anything involving running, jumping or kicking places a great deal of strain on the feet, and landing awkwardly from a fall are typical causes of foot pain from injuries.
Some causes of foot pain are more common than others:
Very Common: Achilles Tendonitis, Bunions, Corns & Calluses, Ligament Sprain, Plantarfasciitis, Stress Fractures, Hallux Rigidus, Fifth Metatarsal Fractures
Common: Bone Spurs, Bursitis, Eczema, Gout, Hammer Toe, Mallet Toe, Ingrown Toenail, Morton's Neuroma, Tendonitis, Shin Splints, Sesamoiditis
Rare: Accessory Navicular, Blue Toe Syndrome, Charcot-Marie Tooth Disease, Claw Toe, Extensor Tendonitis, Haglund's Deformity, Os Trigonum Syndrome, Plantar Fibromatosis, Tarsal Coalition, Tarsal Tunnel Syndrome, Tennis Toe, Trench Foot, Turf Toe
When trying to work out the likely causes of foot pain, it helps to think about:
In the foot pain diagnosis section, we use these to help you work out what is going on in your foot and what the possible causes of foot pain are.
Different causes of foot pain will require treatment. The first thing to do is to get the pain under control, which may require medication. Then it's a case of addressing any underlying problems.
If the foot is swollen, you will need to get the swelling under control with things like tubigrip and ice, if there is weakness or tightness in the muscles, you will need to do exercises.
There are lots of different options when it comes to treating the causes of foot pain - have a look at the Foot Pain Treatment article to find out which ones work best.
You may also be interested in the following articles:
Foot & Ankle Exercises
December 9th, 2023
Diagnosis Chart
December 9, 2024
Swollen Feet
November 21, 2024
Page Last Updated: 7th December, 2024
Next Review Due: 7th December, 2026