The most common cause of pain on the outside or lateral side of the foot is a condition usually called cuboid syndrome. The cuboid is a bone that is about half way down the outside of the foot and acts as a pulley for the tendon of a large muscle on the outside of the leg. As this tendon passes under the bone, the bone is going to have to be very stable to act as the pulley. If the bone is not stable and moves when this pulley passes around it, then the ligaments of the joints around the bone are going to get strained, resulting in the condition of cuboid syndrome. The treatment for this condition usually involves some rest and strapping to help prevent the joint moving as much. Often a manipulation can be helpful to mobilize the joint and reduce any subluxation. Sometimes foot orthotics are useful.
Overpronation or excessive pronation can be a problem that leads to a range of problems, especially in athletes. Overpronation occurs when the ankle collapses inward and the arch of the foot flattens. This creates alignment and weight bearing problems that can be painful if combined with higher levels of sports activity. There are many different causes of this problem and many different treatments. The treatment has to match the cause. The treatment might involve a change in running technique; exercises for muscle retraining; foot orthotics or other forms of rehabilitation. The important thing is note about ‘overpronation’ is that there is so much nonsense written about it online that you need to be careful (see this for a good understanding and this about the problem of the myths).
These hurt and they do not look good! The thicker dry skin around the heel can often crack if not kept moist. Once the crack occurs it pulls on the normal skin below it and it is this that becomes painful and may even bleed. If it does bleed, then there is a risk for an infection. This means that the problem is potentially a serious one, so having cracks around the heel need to be taken seriously. The best way to deal with this problem is to self manage it. If it is serious, then a podiatrist is probably the best place to get help. The dry skin needs to be removed on a regular basis and an emollient applied to keep the skin moist. The use of closed in shoes is also important.
When you think of cycling at the moment, Lance Armstrong and the drugs scandal come to mind. What is less likely to come to mind are the sorts of problems that happen in the feet of cyclists. A look around the cycling communities show that problems with the feet are common and cyclists are often asking about them in forums. The biomechanics of cycling are so important to prevent injury and improve performance. The foot is the basis for that biomechanics, so every thing need to be right at that level. The shoes used for cycling are tight and large loads go through the foot when cycling, so they are subjected to a lot of force that can cause foot problems. Pinched nerves in the ball of the foot a common problem and is pain further up the leg if the foot alignment on the pedal is not optimal.
