Midfoot arthritis, a condition affecting the central region of the foot, plays a crucial role in foot and ankle functionality. This area, comprising multiple small bones, facilitates weight transfer from the heel to the forefoot during walking and provides the necessary push-off power and flexibility to adapt to varied terrains.

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Arthritis, a condition where joint cartilage deteriorates, similar to the wear and tear of car tires, leads to painful motion and swelling. Midfoot arthritis manifests as pain and swelling in the midfoot, exacerbated by standing or walking. Pain may intensify while pushing off on toes while walking, and individuals may experience discomfort from bony prominences on the top of the foot, especially in ill-fitting shoes. Although symptoms may develop gradually, midfoot arthritis can also result from significant midfoot injuries like Lisfranc injuries.

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While there are no proven methods to repair damaged cartilage in midfoot arthritis, non-surgical treatments focus on pain reduction and symptom alleviation. These approaches include anti-inflammatory medications, injections, activity modification, and footwear adjustment. If non-surgical interventions fail, surgical fusion of affected midfoot joints may be recommended. Unfortunately, there are no replacement joints available for the midfoot.

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Symptoms

Symptoms of midfoot arthritis include discomfort in the midfoot, particularly during prolonged standing or walking, exacerbated by certain shoe types. Pain may worsen during toe-off while walking, or upon taking the first steps after periods of rest. Causes of midfoot arthritis include injuries such as fractures or dislocations, gradual joint wear and tear, and conditions like Charcot arthropathy in individuals with diabetes.

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Diagnosis

Diagnosis involves a physical examination and X-rays to assess joint pain, alignment, and extent of arthritis. Treatment typically begins with non-surgical methods, including supportive footwear, activity modification, weight loss, and anti-inflammatory medications. In severe cases, surgical fusion of affected joints may be necessary to alleviate pain and reduce movement.