Foot Pain at Night

 Foot pain at night can be caused by several conditions:

Unusual amount of use

If you have spent a lot more time than usual on your feet (theme park, wedding, double shift at work), they may hurt or be extra sensitive when you try to fall asleep.  To relieve them, try elevating feet, taking an anti-inflammatory pain reliever like ibuprofen, and soaking them in an epsom salt bath.  This should decrease inflammation and pain.  


Neuropathy is the most common reason patients experience night pain.  Neuropathy is often characterized by tingling, burning, electrical shocks or shooting pains at night.  Neuropathy usually starts in the feet at the tips of the toes and works towards the body.

Ingrown Toenails            

Ingrown toenails can be very painful at night from rubbing against bedding.  If you have an ingrown toenail, make sure to protect it before going to bed.  Eventually the toenail will be sensitive even to a bandage used to protect it.  Come in at the first symptoms of an ingrown before it gets to this point. 

Injury (Strains, Sprains or Fractures)

Strains, sprains and fractures can all hurt worse at night.  After moving around all day, injuries are swollen and can throb at night.  Remember to RICE: rest, ice, compress and elevate the foot.  This can offer some relief.  Either try over-the-counter pain killers or prescription medication to manage the pain.


Infections can also throb and hurt at night.  If an area is inflamed and painful, there may be an infection.  Make sure to get it checked out if it persists.  Your podiatrist may prescribe antibiotic, antiviral, or antifungal medications to promote healing.

Foot Deformity

Bunions, bone spurs and hammertoes can all cause pain in the feet.  When these bones are out of place, or growing too large, they can put pressure on the nerves in your feet or cause swelling of joints, which both can cause the pain.  There are products you can use to support and align feet to decrease this pressure.  If these options don’t help, surgery is a last resort that is effective at relieving this discomfort. 

Chronic Inflammation- Plantar fasciitis

Patients with plantar fasciitis may experience pain at night after being on their feet all day.  One of the classic signs of plantar fasciitis is foot pain in the morning when you first get out of bed.  

Poor circulation

Due to decreased blood flow to the legs or feet, poor circulation can cause foot pain too.  Increased pain will be more apparent when you walk, but night pain (especially on busy days) is quite common.

Come into our office to get the source of your night pain diagnosed.


Brandt R Gibson, DPM
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Podiatrist, Neuropathy Doctor, Father of 11 and Founder of Mountain West Foot & Ankle Institute