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Oct 11, 2021 · Cuneiform bone pain can result from stress fractures, ligament sprains, tendonitis, arthritis, or trauma. These three wedge-shaped bones in the midfoot play a vital role in foot arch support. Treatments for the condition include rest, ice, and medication to manage foot pain and promote healing.
- Overview
- What is midfoot arthritis?
- Symptoms of midfoot arthritis
- Causes of midfoot arthritis
- Diagnosing midfoot arthritis
- Treatment for midfoot arthritis
- Exercise and walking with midfoot arthritis
- Outlook for midfoot arthritis
- Summary
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Midfoot arthritis is joint inflammation that impacts the middle of the foot. It can cause stiffness and pain. For some, it may cause difficulty walking.
People can develop midfoot arthritis for various reasons. It may occur due to osteoarthritis, which is the result of wear and tear. Other conditions, such as rheumatoid arthritis (RA), may also cause it. RA occurs when the immune system mistakenly attacks healthy tissue in the joints.
Midfoot arthritis does not impact the toes or the ankle. However, people can have arthritis in more than one location at the same time.
This article discusses what midfoot arthritis is, its symptoms, causes, diagnosis, treatment, and outlook for people with this symptom.
Midfoot arthritis is joint pain and inflammation that impacts the bones that make up the middle part of the foot. This includes the tarso-metatarsal (TMT) joints and naviculo-cuneiform joints (NCJ).
The TMT joints connect the tarsals and the metatarsals. The tarsals are the five bones that make up the arch of the foot. The metatarsals connect these five bones to the phalanges, or bones of the toes. The naviculo-cuneiform joints are the connection between two tarsal bones, the navicular and cuneiform bones.
People with midfoot arthritis can experience a range of symptoms, depending on the specific type of arthritis they have. These include:
•pain when the bones move, such as walking or even standing
•pain that worsens with intense activity
•swelling, pain, or warmth
•trouble walking
•tenderness or pain when pressure is applied to the midfoot
Midfoot arthritis can be the result of several types of arthritis. They include:
•Osteoarthritis: This form of arthritis occurs when the cartilage in joints wears down, allowing bones to rub directly against each other. This leads to inflammation and pain.
•Posttraumatic arthritis: Injuries that damage the joint surface can cause cartilage to wear away, resulting in similar symptoms to osteoarthritis.
•RA: This type of arthritis is an autoimmune condition, where the body’s immune system mistakenly attacks healthy joints. The feet are a common place for RA to start. Usually, RA is symmetrical, meaning a person with this condition would likely have midfoot arthritis in both feet.
•Psoriatic arthritis (PsA): PsA is another autoimmune condition that typically occurs in a portion of people with the skin condition psoriasis. It can affect multiple joints and tendons in the feet. However, unlike RA, it can be asymmetrical.
Of the above types, osteoarthritis and posttraumatic arthritis are the most common causes of midfoot arthritis.
To diagnose midfoot arthritis, a doctor will ask questions about a person’s symptoms and medical history, including if they have had injuries to the area and if so, what treatment they received. They will also perform a physical examination of the foot and ankle, and may apply pressure to certain places to see if it causes symptoms.
A doctor may ask questions about when the symptoms began, if they affect one or both feet, when the pain gets worse, and whether it worsens with physical activity.
Next, the doctor will try to identify the cause of the symptoms. They may order:
•X-rays
•CT or MRI scans
•gait analysis tests
There is no cure for arthritis. However, treatment can reduce the symptoms, improve mobility, and quality of life. What treatment entails will depend on the type of arthritis a person has.
It may involve:
•Lifestyle modifications: This could include limiting activities that worsen symptoms, maintaining a healthy weight, or replacing high-impact exercise such as jogging or running with lower-impact exercise, such as swimming or cycling.
•Cold therapy: This entails applying cold compresses or ice packs to the area to reduce pain and swelling. Avoiding hot showers or baths may also help.
•Physical therapy: During physical therapy, a person learns exercises that can improve their flexibility, strength, and range of motion.
•Assistive devices: Foot braces, orthopedic shoe inserts, or custom-made shoes that accommodate swelling and reduce pressure on the feet may help with mobility.
Midfoot arthritis can make walking and other physical activities painful. However, exercise is important for health, and helps people maintain a moderate weight. This, in turn, can reduce pressure on the feet, easing symptoms.
As a result, it is beneficial to try and find ways to stay active without aggravating symptoms. People can try forms of exercise that place less pressure on the feet, such as:
•swimming
•water aerobics
•cycling
•elliptical machines
The exact outlook for midfoot arthritis will depend on the type of arthritis a person has, and how severe their symptoms are.
For example, a person with mild osteoarthritis may find that simply making adjustments to their lifestyle and footwear are enough to reduce pain. For others, managing arthritis requires a multidimensional approach, involving a combination of medications, therapies, and lifestyle changes.
Midfoot arthritis is joint inflammation that impacts the middle of the foot – specifically, the TMT and NCJ. Symptoms may include pain, swelling, and tenderness.
Several types of arthritis can affect the midfoot, so it is important to speak with a doctor if a person has pain here. Seeking treatment may help a person regain mobility, have less pain when walking, and improve quality of life.
Midfoot arthritis is joint pain and inflammation that impacts the bones of the middle foot, including the cuneiform bones. It can be caused by osteoarthritis, posttraumatic arthritis, RA, or PsA. Treatment may include lifestyle modifications, cold therapy, physical therapy, medications, and surgery.
- Jennifer Huizen
Aug 28, 2023 · The Cuneiform bones provide attachment points for the Anterior Tibial Tendon, Peroneus Longus, Tibialis Posterior and Flexor Hallucis Longus. It is more common to fracture or injure other structures in the midfoot than the cuneiform bones. A study on adult fractures concluded that cuneiform fractures comprise 0.1-0.5% of all adult fractures.
Nov 16, 2022 · While cuboid and cuneiform fractures are uncommon, they can result in significant short- and long-term pain and dysfunction, particularly if they are missed or mismanaged. The presentation, diagnosis, and nonoperative management of cuboid fractures will be reviewed here.
Key Points. Metatarsophalangeal joint pain usually results from tissue changes due to aberrant foot biomechanics. Symptoms and signs include pain with walking and tenderness. Diagnosis is clinical; however, infection or systemic rheumatic diseases (eg, rheumatoid arthritis, psoriatic arthritis) may need to be excluded by testing.
Feb 7, 2024 · - Fractures of cuboid and cuneiform bones - Tarsometatarsal (Lisfranc) joint complex injuries - Cuboid subluxation - Stress fracture of other tarsal bones, osteochondral defect, and other uncommon injuries - Major trauma of midfoot; Chronic conditions of the midfoot - Post-traumatic arthritis - Extensor tendinopathy of the foot
Oct 30, 2023 · How many cuneiform bones are there, where are they found, and what do they do? Find the answers in this article, where we explore their detailed anatomy.
