If your foot pain is chronic or particularly severe, then seeing a podiatrist is a good idea. Podiatrists are foot specialists who can treat a variety of conditions, sometimes with simple surgical techniques, but more often with conservative approaches such as custom orthotics, orthopedic shoes, braces or taping.  A podiatrist can tell you if you're suffering from common foot conditions such as plantar fasciitis, athlete's foot (fungal infection), flat feet, turf toe, bunions, or gout — which all cause foot pain to varying degrees. A podiatrist is a great source of information on what types of shoes are best for your feet and gait (the way that you walk). Medical specialists may be needed to rule out the most serious causes of chronic foot problems, such as diabetes, infection, venous insufficiency, bone fracture, rheumatoid arthritis or cancer. These conditions are obviously not common causes of tired and tender feet, but if home care and conservative therapies are not effective for soothing your feet, then more serious problems need to be considered.  X-rays, bone scans, MRI, and CT scans are modalities that specialists may use to help diagnose your upper back pain. Your doctor may also send you for a blood test to rule out diabetes, rheumatoid arthritis, or a chronic infection. An injection of steroid medication near or into the inflamed tendons or muscles of your foot can quickly reduce inflammation and pain, but this approach is usually reserved for athletes who need quick and temporary relief that enables them to keep performing. The most common preparations used are prednisolone, dexamethasone, and triamcinolone.  Potential complications of corticosteroid injections include infection, bleeding, tendon weakening, local muscle atrophy, and nerve irritation/damage. If corticosteroid injections fail to provide adequate resolution, then surgery should be considered as a last resort, depending on the diagnosis of your foot condition.
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