Midfoot Arthritis

What is midfoot arthritis?

Midfoot arthritis is a condition affecting the joints in the central part of the foot, known as the midfoot. This area includes the bones and joints between the hindfoot (heel and ankle) and the forefoot (toes). The most common type of midfoot arthritis is osteoarthritis, which occurs when the cartilage that cushions the joints wears down over time. This leads to pain, stiffness, and decreased mobility in the affected area. Midfoot arthritis can also result from previous injuries, inflammatory conditions, or congenital deformities.

Midfoot arthritis symptoms

• Pain: Persistent pain in the midfoot, especially with weight-bearing activities or prolonged standing.
• Swelling: Noticeable swelling around the midfoot joints.
• Stiffness: Reduced flexibility and difficulty moving the midfoot joints, particularly in the morning or after periods of inactivity.
• Tenderness: Tenderness when pressing on the affected area.
• Instability: A sensation of instability or weakness in the midfoot, which may affect walking or standing.
• Deformity: Visible changes in the shape of the foot, such as flattening of the arch or abnormal foot positioning.

How does Dr Abramson treat midfoot arthritis?

Dr Michael Abramson adopts a comprehensive and personalized approach to managing midfoot arthritis, beginning with non-surgical treatments and progressing to surgical options if necessary. Initially, he may recommend medications to alleviate pain and reduce inflammation. Physical therapy is also a key component of his treatment plan, focusing on exercises designed to strengthen the muscles surrounding the midfoot, enhance flexibility, and improve overall foot function. Custom orthotics are often prescribed to provide better support and improve foot alignment, thereby reducing stress on the midfoot joints. Additionally, Dr Abramson may advise lifestyle modifications, such as changes in activity levels and weight management, to further alleviate strain on the midfoot.

If these conservative measures do not provide sufficient relief, Dr Abramson considers surgical interventions. Options include arthroscopy, a minimally invasive procedure that removes or repairs damaged cartilage to restore joint function. For more severe cases, osteotomy may be performed to realign the bones in the midfoot, correct deformities and alleviate pain. Fusion surgery, or arthrodesis, may be recommended to stabilize the midfoot by eliminating movement in the affected joints. In some instances, specialized implants are used to replace damaged joints and restore functionality. Throughout the treatment process, Dr Abramson works closely with his patients to tailor the approach to their specific needs, aiming to improve their quality of life and help them return to their daily activities with greater comfort and mobility.

FAQ’s

Will I be able to walk normally after surgery for mid-foot arthritis?

Yes, many patients are able to return to normal walking and activities after surgery. However, this depends on the severity of the arthritis and the surgical procedure performed. Dr Abramson’s goal is to relieve pain, restore foot function, and improve your overall quality of life, helping you return to regular activities with minimal discomfort.

How can I prevent mid-foot arthritis from worsening?

To prevent mid-foot arthritis from worsening, Dr Abramson recommends maintaining a healthy weight to reduce pressure on your feet, wearing supportive footwear, and avoiding high-impact activities that can strain the midfoot. Regular exercise, particularly low-impact activities like swimming or cycling, can help keep your joints flexible and reduce symptoms.

Is mid-foot arthritis more common in athletes?

Mid-foot arthritis can occur in athletes, especially those involved in high-impact sports like running or football. Repetitive stress on the midfoot and prior injuries, such as fractures or sprains, can increase the risk of developing arthritis in this region. However, the condition can affect anyone, regardless of athletic activity.