The pain from plantar fasciitis is described as being dull aching or sharp and can usually be reproduced by flexing the toes upwards (dorsiflexion) and tensing the fascia. Plantar fasciitis tends to worsen after standing or exercising for prolonged periods or after getting out of bed in the morning. Morning heel pain from plantar fasciitis is one of the most common symptoms and occurs because the fascia becomes tense after a protracted rest. As the person walks, the fascia warms up and lengthens slightly, reducing the tension on the ligament and lessening pain. Pain often occurs suddenly and mainly around the undersurface of the heel, although it often spreads to your arch. The condition can be temporary, but may become chronic if you ignore it. Resting usually provides relief, but the pain may return. Heel Spurs Haglund's deformity is a bony growth on the back of the heel bone, which then irritates the bursa and the skin lying behind the heel bone. It is commonly called a "pump bump." It develops when the back of your shoe repeatedly rubs against the back of the heel, irritating the bursa and skin overlying the bone. Achilles Tendinopathy Morton's neuroma is a condition that develops when one of the nerves (especially one between 3rd and 4th toes) becomes enlarged or thickened. The exact cause of this condition is not known, however, it is believed that injury or irritation of the nerve leads to this condition. Pain in the ball of the foot, numbness, sharp pain on top of foot, etc. are the symptoms of it. Bursitis is painful inflammation of the bursae, the fluid-filled sacs that reduce friction between bones, tendons, and muscles, caused by an injury, infection or other condition. Pain may be accompanied by swelling, tenderness or loss of movement. Sprains & Strains Rarely is surgery needed, but if all other treatments fail and you are still in severe pain, then it might be necessary. Surgery is highly effective and is performed on an outpatient basis. Arthritic Conditions. Arthritic conditions, particularly osteoarthritis and gout, can cause foot pain. Although rheumatoid arthritis almost always develops in the hand, the ball of the foot can also be affected. Diseases That Affect Muscle and Motor Control. Diseases that affect muscle and motor control, such as Parkinson's disease, can cause foot problems. Nearly everyone who wears shoes has foot problems at some point in their lives. Some people are at particular risk for certain types of pain. Foot pain can be caused by increased pressure on the metatarsal heads. The cause of increased pressure in this part of the foot can be either due to anatomic differences or external factors, such as footwear. Anatomic issues usually have to do with the metatarsal bone, and the most common variation in people with foot pain is a long second metatarsal. Other variations include abnormal joint alignment (increased extension) of the joint of the metatarsal with the toe (called the metatasophalangeal joint). If you?re experiencing a ?pins and needles? sensation between your 3rd and 4th metatarsals near your toes, you?ve probably irritated the interdigital nerve. This is called Morton?s Neuroma Pain is usually worse when bearing weight, particularly when pushing off of the foot, or when wearing high-heeled shoes. The joint may be swollen and stiff. Doctors examine x-rays to confirm the diagnosis. Pain may be relieved with injections of corticosteroids and by using a splint or cast. Low-heeled shoes or inserts or other devices placed in the shoe that change the position or range of movement of the foot to relieve pressure on the affected joints or painful areas (orthoses) are helpful. Damage to the Nerves in the Foot It's estimated that more than 1 million persons in the United States suffer from heel pain at any given time. A related injury is a bone bruise, or contusion, to part of the heel where the plantar fascia attaches. Over time, a small bone spur can form on the heel from the constant stretching of the plantar fascia. Due to decreased shock absorption, it can become bruised from the heel repetitively striking the ground while walking. Symptoms include pain and swelling along the bottom of the foot, and perhaps a small bruise under the heel. Turf Toe, Strains and Sprains The good news is that while painful and annoying, metatarsalgia is generally treatable with conservative measures, particularly once the origin of the problem is identified. Metatarsalgia occurs when one of the metatarsal joints becomes painful or inflamed. People often develop a callus under the affected joint. Metatarsalgia also can be caused by arthritis, foot injury (from sports, a car accident, or repeated stress), hard surfaces (cement or tile floors), and specific footwear (rigid-soled work boots). Nonsurgical measures used in treating plantar fibromas such as custom orthotics or steroid injection may provide adequate relief of symptoms. Surgical correction can be successful under certain conditions, however complications, such as plantar nerve entrapment or recurrent fibromas can occur that may be worse than the original problem.