Foot pain can be frustrating and disruptive, especially when it affects the bottom of your foot. Whether you’re experiencing discomfort while walking, standing, or resting, there are several possible causes for this pain. Understanding these causes can help you determine the best course of action for relief.
Get in touch with Paul Miller Podiatry to book an appointment, we have offices in Strood and Sidcup. With over 30 years of experience in the industry, Paul will be able to help you out with any foot pain that you might have.
1. Plantar Fasciitis
One of the most common causes of pain in the bottom of the foot is plantar fasciitis. This condition occurs when the plantar fascia—a thick band of tissue that runs along the bottom of your foot—becomes inflamed. It often causes a sharp, stabbing pain in the heel, especially in the morning or after long periods of inactivity. For more info on this, please read our post Understanding and Managing Plantar Fasciitis: Tips for Relief.

2. Heel Spurs
Heel spurs are bony growths that develop on the underside of the heel bone. They can form due to prolonged strain on the foot muscles and ligaments, often associated with plantar fasciitis. Heel spurs may not always cause pain, but when they do, it can feel like a sharp or aching sensation in the bottom of the foot.
3. Metatarsalgia
Metatarsalgia is pain and inflammation in the ball of the foot, typically caused by excessive pressure or overuse. This condition is common among athletes and individuals who frequently wear high heels or poorly fitted shoes. Symptoms include a burning or aching pain in the ball of the foot.
Pain in the ball of the foot
What should you do if you have a pain in the ball of your foot? According to the NHS website you should do the following:
- rest and raise your foot when you can
- put an ice pack (or bag of frozen peas in a towel) on the painful area for up to 20 minutes every 2 to 3 hours
- wear shoes with plenty of room for your feet, which have a low heel and soft sole
- use soft insoles or pads in your shoes
- try to lose weight if you’re overweight
- try regular, gentle foot and ankle stretching exercises
- use painkillers such as paracetamol or ibuprofen gel (or ibuprofen tablets if needed)
4. Neuropathy
Nerve damage, such as peripheral neuropathy, can cause burning, tingling, or numbness in the feet. This condition is often linked to diabetes but can also result from injury, alcohol abuse, or vitamin deficiencies. If your foot pain is accompanied by a loss of sensation, it’s essential to seek medical advice. If you experiencing numbness in your feet or you have a loss in balance you should contact your doctor. At Paul Miller Podiatry, we will always advice our customers with the best medical care, so if you have any questions please contact us today.
5. Tarsal Tunnel Syndrome
Similar to carpal tunnel syndrome in the wrist, tarsal tunnel syndrome occurs when the tibial nerve is compressed inside the tarsal tunnel in the ankle. This can lead to pain, tingling, or burning sensations along the bottom of the foot and toes. If you want some more information on this subject please read here.
6. Flat Feet or Fallen Arches
People with flat feet or fallen arches may experience foot pain due to improper weight distribution. Without proper arch support, the plantar fascia and other foot structures can become strained, leading to discomfort and fatigue.
How to Fix Flat Feet
- Custom Orthotics: Specially designed shoe inserts can provide the necessary arch support to reduce strain and alleviate pain. We can help with this, click here for more info.
- Supportive Footwear: Wearing shoes with proper arch support and cushioning can help improve foot alignment and reduce discomfort.
- Physical Therapy & Exercises: Strengthening exercises, such as toe curls and heel raises, can improve foot stability and reduce pain.
- Weight Management: Maintaining a healthy weight reduces the pressure on your feet, preventing further strain.
- Bracing or Taping: In some cases, supportive taping or bracing can help provide additional stability to the foot arch.
- Medical Interventions: For severe cases, a podiatrist may recommend more advanced treatments, including injections or, in rare cases, surgical correction.
7. Stress Fractures
Small cracks in the bones of the foot, known as stress fractures, can develop due to repetitive impact activities like running or jumping. These fractures often cause localized pain that worsens with activity and improves with rest.
8. Overuse or Poor Footwear
Wearing unsupportive shoes, standing for long hours, or engaging in high-impact activities without proper footwear can contribute to foot pain. Shoes that lack cushioning and arch support can strain the foot muscles and ligaments, leading to soreness and discomfort.
Why Contacting a Podiatrist is the Best and Quickest Solution
Seeking help from a podiatrist is the most effective way to diagnose and treat foot pain. A podiatrist has the expertise to identify the root cause of your discomfort and provide tailored treatment options. Unlike at-home remedies, which may only offer temporary relief, a podiatrist can develop a comprehensive treatment plan that may include custom orthotics, physical therapy, medication, or minor procedures if necessary. By consulting a specialist early, you can prevent your condition from worsening and ensure a faster recovery, allowing you to get back to your daily activities pain-free.
When to See a Podiatrist
If your foot pain is persistent, worsening, or interfering with your daily activities, it’s important to seek professional advice. A podiatrist can assess your condition, provide an accurate diagnosis, and recommend the most effective treatment options, such as orthotics, physical therapy, or lifestyle adjustments.
Final Thoughts
Pain in the bottom of your foot can have many possible causes, from simple overuse to underlying medical conditions. Understanding the source of your discomfort is key to finding relief and preventing further issues. If you’re struggling with foot pain, Paul Miller Podiatrist in Strood and Sidcup can help diagnose and treat the problem so you can get back on your feet comfortably.