Pregnancy & Foot Pain

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Of all things, foot pain is usually one of the least expected problems of expecting mothers. Foot pain however affects a large number of "expecting mothers" and is commonly one of the top 5 discomforts of pregnancy. Most expecting mothers begin experiencing foot pain during the end of the second and throughout the third trimester. Pregnancy related foot pain occurs in part because of the hormone, postural and anatomic changes that occur during pregnancy. Pregnancy results in hormone changes that cause ligamentous laxity in the pelvis to allow the child to pass through the birth canal. The hormone changes also result in ligament laxity in the foot that can promote foot strain and pain, particularly in the heel along a ligament called the plantar fascia. This type of foot pain is commonly refered to as plantar fascitis. Foot strain also occurs as one's body mechanics and center of gravity change with the baby's size and position in utero. The change in body mechanics alters the way one's feet distribute the pressures of walking and standing. Pressure of the baby on the pelvis and venous system of the lower extremity can also cause swelling in the legs and feet that further add to the discomfort.
One of the greatest challenges for mothers with foot pain during pregnancy is that most medications typically prescribed to treat inflammation in the foot should not be taken while pregnant. This can leave many expecting mothers with the false expectation that they have to suffer with foot pains associated with pregnancy. This is not necessarily the case. Custom orthotics, devices molded to the foot to support foot function, can be used to support the foot and improve foot mechanics during pregnancy. Orthotics can help reduce foot strain and provide support during this period when ligamentous laxity and postural mechanics are less favorable for foot function and comfort.


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