What could be causing my Foot pain?

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Cold Feet, Many Culprits

If your toes are always cold, one reason could be poor blood flow — a circulatory problem sometimes linked to smoking, high blood pressure, or heart disease. The nerve damage of uncontrolled diabetes can also make your feet feel cold to you. Other possible causes include hypothyroidism and anemia. A doctor can look for any underlying problems — or let you know that you simply have cold feet.

Foot Pain

When your feet ache after a long day, you might just curse your shoes. After all, eight out of 10 women say their shoes hurt. But pain that’s not due to sky-high heels may come from a stress fracture, a small crack in a bone. One possible cause is exercise that was too intense, particularly high-impact sports like basketball and distance running. The weakened bones of osteoporosis increase your risk.

Heel Pain

The most common cause of heel pain is plantar fasciitis, inflammation where this long ligament attaches to the heel bone. The pain may be sharpest when you first wake up and put pressure on the foot. Arthritis, excessive exercise, and poorly fitting shoes also can cause heel pain, as can tendonitis. Less common causes include a bone spur on the bottom of the heel, a bone infection, a tumor, or a fracture. There are many available treatments including shockwave, exercise and manual therapy. If you have it in both feet make sure your therapist checks your back and pelvis.

Foot Spasms

A sudden, sharp pain in the foot is the hallmark of a muscle spasm or cramp, which can last from a few seconds to many minutes. Overwork and muscle fatigue are common causes. Other causes include poor circulation, dehydration, or imbalances in potassium, magnesium, calcium, or vitamin D levels in the body. Low back or pelvic issues can affect nerve (electrical) and blood / lympth (the plumbing) can affect the supply to the feet adn cause spasms. Changing hormone levels of pregnancy or thyroid disorders may also play a role. If spasms are frequent or severe, see a doctor or therapist. Strengthening exercises can help with muscle fatigue.

Clubbed Toes

In clubbing, the shape of the toes (and often the fingers) changes. The nails are more rounded on top and curve downward. Lung disease is the most common underlying cause, but it also can be caused by heart disease, liver and digestive disorders, or certain infections. Sometimes, clubbing runs in families without any underlying disease. As our exercise and movement specialists how we can help.

Yellow Toenails

Your toenails tell a lot about your overall health. A fungal infection often causes thickened yellow toenails. Thick, yellow nails also can be a sign of an underlying disease, including lymphedema (swelling related to the lymphatic system), lung problems, or rheumatoid arthritis. Consult our chiropodist if you have any concerns.

White Nails

Injury to the nail or illness anywhere in the body can cause white areas in the nails. If part or all of a nail separates from the nail bed (shown here), it can appear white — and may be due to an injury, nail infection, or psoriasis. If the nail is intact and most of it is white, it can sometimes be a sign of a more serious condition including liver disease, congestive heart failure, or diabetes. Talk with your health care team about any concerns.

Pitting of the Nails

Pitting, or punctured-looking depressions in the surface of the nail, is caused by a disruption in the growth of the nail at the nail plate. It affects as many as half of people with psoriasis.

Burning Feet

A burning sensation in the feet is common among diabetics with peripheral nerve damage (neuropathy). It can also be caused by a vitamin B imbalance, athlete’s foot, chronic kidney disease, poor circulation in the legs and feet (peripheral arterial disease), or hypothyroidism.

Pain in the Big Toe

Gout is a notorious cause of sudden pain in the big toe joint, along with redness and swelling (seen here). Osteoarthritis is another culprit that causes pain and swelling. If the joint is rigid, it may be hallux rigidus, a complication of arthritis where a bone spur develops. Finally, turf toe is an ailment of athletes, particularly those who play on hard surfaces. It’s caused by an injury to the ligaments surrounding the joint. Our TCM and osteopath can help with treatment of the liver, lymphatics and ANS regulation to allow you stay pain free.

Itchy Feet

Itchy, scaly skin may be athlete’s foot, a fungal infection that’s common in men between the ages of 20 and 40. A reaction to chemicals or skin care products — called contact dermatitis — can cause itching, too, along with redness and dry patches. If the skin on your itchy feet is thick and pimple-like, it may be psoriasis, an over-reaction of the immune system. Medicated creams can relieve the symptoms.

About Thomas Hein


Thomas Hein is a Physiotherapist, Osteopathic Practitioner and Clinical Director at Physioactive Orthopaedic and Sports Injury Inc., He has extensive post graduate training in manual therapy and works closely with high level athletes and chronic pain and those who want to really know where their pain is coming from, their underlying factors and solutions to live and move optimally. He s commited to patient recovery and optimal performance. Graduating with a Physical Therapy degree from Queen’s University in 1995, Thomas has continuously evolved his expertise through postgraduate education and hands-on experience.

Zach Apter
Zach Apter
2024-06-05
I saw Pooria. He was great all 4 sessions and so were the rest of the staff. Got me back to normal in no time! Highly reccomend.
Leonora Buskin
Leonora Buskin
2024-05-05
I highly recommend Chiropractor Zachary Starr. Highly professional and his treatment resolved my TMJ for the long-term. He also supported with supplying exercises to carry on the treatment at home in relation to treatment of TMJ and improvement of posture.
Bayla Perelman
Bayla Perelman
2024-05-02
After many months of being in pain and countless of doctor’s appointments and tests, no one was able to understand my pain or help me. However, during my first appointment with Thomas he was able to locate and finally ease my pain! Thank you!
Li You
Li You
2024-04-22
After finishing treatment from Monica. I have felt that any symptoms of sourness and stiffness in me just disappeared by themselves. During the miracle treatment, I feel her kindness and passion for medical treatment methods. Beyond, those, her combined knowledge of acupuncture and massage is the fact that she is so focused on the results of the treatment that after one or two sessions, I have already gotten the best outcome that I have ever experienced. I would say that she has an angel's fingers. It is an incredible wonder. It is an ancient way that she understands and practices so well to heal your health from the physical body to the eternal soul. I highly recommend this rehabilitation center and Monica to someone who is looking for the best medical treatment from the most caring practitioner.
Inna Kakoian
Inna Kakoian
2024-04-08
Highly recommend PhysioActive. Winnie (physiotherapist) helped me a lot following my knee injury (injured ACL & MCL). She is very knowledgeable and one of the areas she specializes in is nerve work all over the body. Words can’t describe how amazing Winnie is at what she does. Originally she did ultrasound massage to reduce inflamation and swelling in my knee. Then she started doing some work with her hands. At the end of each appointment she would put my legs into a magnetic wheel that works at a cellular level and actually helped reduce pain. She also assigned exercises to do at home which helped too. Later I also started seeing Mina (osteopath), and he’s also very talented, knowledgeable and gentle. My foot, even though it wasn’t injured, was having trouble adjusting after many months of inactivity and was achy, so I ordered orthotics to put inside my shoes, which made a huge difference, and this was done through their chiropodist Vincent (the pair of orthotics he ordered for me is perfect). The front desk staff is great too, especially Negin and Armine. If you’re newly injured and lost, please hang in there as it will get better, and this is one great clinic that can help.
Melanie Heilbronn
Melanie Heilbronn
2024-03-20
Nicholas Biasini is the man with magic hands. Thanks so much for your exercises and hands on work. Really appreciate the speedy and effective resolution of my neck pain.
Melissa Custoreri
Melissa Custoreri
2024-03-14
I have been a client at Physioactive since 2010 and continue to have a wonderful experience. My bookings are always easy and efficient via telephone and in person, through Physioactive’s organized, knowledgeable and friendly staff members. Appointment booking emails and reminders are always provided, as well as follow-up check ins between longer visits. The clinic is clean and organized. Physiotherapists, Nick and Aparna, and Massage Therapist, Shirley, have been critical in my physical healing from injuries and and preparation and recovery postpartum. I constantly leave the clinic AMAZED by their knowledge, ultimate care, and physical relief. I would HIGHLY recommend Physioactive to all!
Sheena Weisman
Sheena Weisman
2024-03-14
Amazing clinic, would highly recommend! After a very sudden onset of severe sciatica, Thomas and the physioactive team were increadible. No appointments were available for 5 days, but once Thomas realized the degree of discomfort I was in he made extra appointment time to see me that same day and the next few days. His assessment was thorough and treatment very quickly reduced my nerve pain. He explained in detail the physiology likely causing the problem, and his plan to tackle not only the acute pain but over time to eventually resolve the underlying musculoskeletal problems that were likely causing it. I am increadibly grateful to him and his team and would definitely recommend Physioactive.
Amanda Chan
Amanda Chan
2024-03-13
Since my left fibula fracture was cleared for physio, while I was in crutches I have been going to Physioactive since last November. I cannot say anymore good things about this place, each physiotherapist I had seen in the beginning were good at working together to ensure my file was consistently up to date. Fast forward March, I walk now as if I have never sustained a fracture. Highly recommend and lots of exercises that cater to each phase of healing!!
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