As the saying goes, "people always start with their feet." Walking into middle-aged and old people, people's legs and feet will be tired first. Like other organs of the body, with the growth of age, feet will undergo various degenerative changes, and foot pain is one of the manifestations of this change. A journey of a thousand miles begins with a single step. When your foot hurts, how can our life go further and more exciting?

There are many reasons for foot pain, which cannot be explained clearly in a few words. The following are some common diseases:

Developmental malformed diseases: mainly flatfoot, high arch foot, hallux valgus and bursitis, waxy osteopathy, etc. Inflammatory diseases: Inflammatory diseases can be divided into systemic inflammation and local inflammation.

Systemic inflammatory diseases: including rheumatoid arthritis, early manifestations of ankylosing spondylitis, psoriatic arthritis and so on. Local inflammatory diseases include tendinitis, plantar aponeurosis, plantar aponeurosis (also called heel pain), plantar toe joint bursitis and so on.

Neurogenic diseases: anterior tarsal tunnel syndrome, interphalangeal neuroma, etc.

Tumors: pigmented villonodular synovitis, neurofibroma, etc.

Others: fracture, foot infection, corns, metatarsal osteochondrosis, etc.

It should be emphasized here that the above disease classification cannot include all foot diseases, but all the above diseases can be manifested as acute or chronic pain of the foot. When there is foot pain, don't ignore it, don't be too nervous, and go to a regular medical institution for medical treatment in time.

Medical record discussion

Hu, a 53-year-old female, suffered from walking pain in her right foot for 3 months, which worsened for more than half a month. Physical examination: hallux valgus of the right foot, transverse arch collapse, right second toe upturned and lower callus, and second metatarsophalangeal joint ring with slight tenderness.

Diagnosis:

1. synovitis of the right second metatarsophalangeal joint

2. The right second metatarsophalangeal joint is staggered.

3. Right foot callus

4. The transverse arch of the right foot collapses

5. hallux valgus of right foot

1. Is the above diagnosis appropriate?

2. What is the main diagnosis of the patient's foot pain? What is the differential diagnosis?

3. What is the pathological mechanism that causes patients' pain?

4. What are the methods for treating foot pain?

5. How to treat this patient with standard therapy of arc-edged needle?

6. How should this patient be treated?