What is Midfoot Arthritis?

Midfoot arthritis is a form of osteoarthritis affecting the middle part of the foot, where the bones of the arch connect to the front and back sections of the foot. This joint breakdown causes pain, stiffness, and swelling, often worsening with activities like walking or standing. The condition can limit mobility and make everyday activities challenging.

Causes of Midfoot Arthritis

Midfoot arthritis develops due to several factors, including:

  • Aging: Natural wear and tear on cartilage as we age can contribute to arthritis.

  • Previous Injury: Fractures, sprains, or ligament tears can lead to joint degeneration.

  • Genetics: A family history of arthritis may increase the likelihood of developing the condition.

  • Flat Feet or High Arches: Structural abnormalities can place extra strain on the midfoot joints.

Common Symptoms

  • Pain in the middle of the foot, especially when walking or standing

  • Swelling and stiffness in the midfoot area

  • Difficulty wearing shoes or finding comfortable footwear

  • A bony bump on the top of the foot (due to joint swelling)

  • Reduced range of motion and foot flexibility

How a Podiatrist Can Help

A podiatrist specializes in diagnosing and managing foot conditions, offering targeted treatments to relieve pain and restore mobility in cases of midfoot arthritis.

  1. Diagnosis and Assessment
    The podiatrist will conduct a physical examination and may use imaging tests, such as X-rays or MRIs, to confirm the presence of arthritis and evaluate its severity.

  2. Non-Surgical Treatments

    • Custom Orthotics: Specially designed inserts can support the midfoot arch and alleviate pressure on affected joints.

    • Footwear Recommendations: Supportive shoes with a stiff sole can reduce pain and provide stability to the midfoot.

    • Physical Therapy: Strengthening and flexibility exercises help reduce stiffness and improve foot function.

    • Medications: Over-the-counter or prescription anti-inflammatory medications may be recommended to manage pain and swelling.

  3. Minimally Invasive Procedures
    For more persistent pain, a podiatrist may suggest corticosteroid injections to reduce inflammation or other minimally invasive treatments to improve joint comfort.

  4. Surgical Options
    In severe cases where conservative treatments are ineffective, surgery may be considered. Options include:

    • Joint Fusion (Arthrodesis): Fusing the affected joints to relieve pain and stabilize the midfoot.

    • Bone Realignment: Correcting the bone position to restore proper foot mechanics and alleviate strain.

Importance of Early Treatment

Early intervention can help manage pain and slow the progression of midfoot arthritis, preventing further complications and improving your ability to stay active.

If you're experiencing symptoms of midfoot arthritis, consulting a podiatrist can help you regain mobility and reduce pain with a personalized treatment plan.