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Foot and ankle myths (MSK Patient Portal)

Myth: My feet are too flat

Fact: There is no such thing as perfect foot posture. Some people have high arches, some are low and others have arch heights somewhere in between. Studies have shown that arch height is not a predictor of foot health problems.

Myth: I need insoles for my flat feet

Fact: In most cases low arched feet (flat feet) do not cause any problems and pain and therefore do not need corrective insoles (also known as Orthoses). Orthoses are prescriptive devices and best prescribed by your Podiatrist after a full consultation about your presenting symptoms.

Myth: Insoles will fix my pain

Fact: Similar to above, orthoses are usually part of a treatment plan to manage your symptoms and can assist in managing your symptoms along with other treatments and life style changes.

Myth: I have bunions and therefore need corrective surgery

Fact: Most of the time, surgery is not needed. Often a mixture of footwear advice, exercises and sometimes orthoses are successful in managing your symptoms.

Myth: Surgery is the only option for my foot pain

Fact: Surgery isn’t always the answer in managing your pain. Surgery is never guaranteed to work and often it does not solve the reason you had the issue in the first place. In most cases surgery should be the last resort for those who have not responded to all other treatments.

Myth: Expensive shoes are best

Fact: Good footwear comes in all price ranges. Do not fall victim into thinking that you need to spend more to get more.

Myth: Exercise is bad for my pain

Fact: Exercise is recommended as a safe and effective treatment for everyone. There will be differences regarding the amount and intensity of exercise that an individual can tolerate. It is important that you get into a regular exercise routine.

Myth: Rest will help with my pain

Fact: Rest has often been used to tackle pain. In most instances, rest and avoidance of exercise makes pain worse – especially in the long term.

Myth: I need a scan

Fact: In most cases, a scan is not needed in the first instance and diagnosis can be by clinical assessment alone. Often scans can find incidental findings that have no relevance in explaining an individual’s pain.  Furthermore structural changes found on a scan does not always correlate with the amount of pain and disability as there are other factors which also contribute to a person’s experience of pain.

Myth: Pain means I am damaging my foot / ankle

Fact: The most important thing you should know is that pain does not always mean harm. We can experience pain as a result of tissue damage, however it’s also possible to feel no pain with damage to the tissues in our body. It’s also possible to experience significant amounts of pain even when there has been no damage to our body.

Other factors

We know now that pain is far more complex than solely what is going on in our bodies and can be influenced by other areas in your life. These include:

  • Moods and emotions
  • Beliefs about pain
  • Avoidance of meaningful activities / social contact
  • Lifestyle choices

This is often referred to as the biopsychosocial model of pain, meaning all areas of your life can influence pain. It is important therefore to look at your life as a whole when dealing with foot and ankle pain, to see if there are other contributing factors.

See our Pain Management Service section for further information on understanding pain.