One of the most common complaints we get here at Syracuse Podiatry is morning foot pain. While a healthy night’s rest should leave your whole body feeling refreshed, foot pain in the morning often signals an underlying condition that tightens up overnight. Let’s explore some of its most common causes.

Plantar Fasciitis

This is hands down the most common cause of morning heel pain. While you sleep, the plantar fascia naturally shortens and contracts, which is why when you take your first steps in the morning, you feel that sudden, forceful stretch that causes intense pain.

While it tends to lessen as you move around and the fascia stretches out, it might return after periods of rest during the day.

Achilles Tendonitis

Pain at the back of your heel or just above it, especially stiff and achy in the morning, often points to Achilles tendonitis. Like the plantar fascia, the Achilles tendon can shorten and stiffen overnight, so your first steps put immediate tension on this inflamed tendon.

Tight calf muscles are a major contributing factor, so those who do not stretch before workouts may be at risk.

Arthritis

Various forms of arthritis can contribute to morning foot pain and stiffness. Whether it’s osteoarthritis, rheumatoid arthritis (an autoimmune condition), or gout (which causes uric acid crystal buildup), inflammation within the foot’s many joints tends to worsen during periods of inactivity.

For those with arthritis, inflammatory chemicals can accumulate in the joints overnight. The consequent stiffness, especially with rheumatoid arthritis, can last longer than 30 minutes. Gout, in particular, is notorious for causing excruciating morning pain in the big toe.

Metatarsalgia

If your morning pain is more focused on the ball of your foot, it could be metatarsalgia. Specifically, inflammation of the ball of the foot could point to Morton’s neuroma, as it involves an irritated nerve between the toes.

Overnight, pressure or slight immobility can allow inflammation around these areas to settle. When you then stand, the pressure on the nerve can cause sharp pain, burning, or tingling in the ball of the foot and toes.

Tight Calf Muscles

While not a direct diagnosis of foot pain, tight calf muscles are a silent contributor to many morning foot woes. These muscles connect to your Achilles tendon and indirectly affect your plantar fascia.

If your calf muscles are tight, they exert a constant pull on your heel and arch, which can be particularly noticeable after a night of rest.

For advice concerning any podiatric concerns you’re dealing with, the expert team at Syracuse Podiatry is here to help guide you. Contact us today so Dr. Ryan L. D’Amico, Dr. Donal M. Erickson, Dr. Keith Sherman, and Dr. Nicholas Cronin can elevate your foot health and help your feet feel their best.