Up next in 10
A midtarsal fault may be the most common cause of pain on top of the foot. This pain seems to occur for no apparent reason.
Read the full article at https://www.foot-pain-explained.com/midtarsal_fault.html
@marcbarry1000
Show More Show Less View Video Transcript
0:00
mid tarsal fault what is ami DT ARS al
0:04
fault this is a fairly common condition
0:07
of the foot it is basically an arthritic
0:10
spurring on the top of the foot due to a
0:12
foot that is flattening out too much
0:14
this type of arthritic degeneration is
0:17
generally but not always caused by
0:19
excessive pronation or / flattening of
0:22
the foot as the arch collapses it causes
0:25
a jamming of the foot bones on the top
0:27
of the foot and eventually the bones
0:29
will begin to form bone spurring as a
0:31
result of the constant pressure of the
0:33
two bones against each other a patient
0:36
will usually come into the office
0:37
complaining of pain on top of the foot
0:40
where there is no history of trauma many
0:43
times they will complain that the pain
0:45
is worse when they are barefoot or in
0:47
flimsy type shoes and the foot will feel
0:49
better when they are in sneakers there
0:51
are those that will state that in shoes
0:53
they may also experience a tingling type
0:55
pain in the area what is happening is
0:58
twofold one as the patient walks and the
1:02
two bones keep jamming into each other
1:04
pain and soos since there is now
1:07
spurring and bone growth irregularity
1:09
the pain becomes an ongoing saga
1:12
secondly as luck would have it there is
1:15
a cutaneous nerve superficial nerve that
1:18
runs right over the bony prominence
1:20
every time the patient wears a shoe the
1:23
top of the shoe presses the nerve into
1:25
the irregular bony prominences and the
1:27
tingling or irritation from the nerve
1:29
begins treatment of MI d t AR si el
1:33
fault conservative care as mentioned
1:37
earlier sometimes just eliminating the
1:39
shoes that seemed to aggravate the
1:41
condition avoid going barefoot too
1:43
frequently and taking some
1:45
anti-inflammatory medication for a short
1:47
duration will solve the pain associated
1:49
with a mid tarsal fault at least for the
1:52
short term along with that you may also
1:55
want to try an arch support to support
1:57
the arch and keep it from flattening out
1:59
and avoid the bone to bone pressure if
2:01
your symptoms are more nerve oriented
2:04
than bone pain wearing a doughnut pad
2:06
with the center placed over the center
2:08
point of nerve irritation will go a long
2:10
way in reducing shoe pressure against
2:12
the nerve
2:13
over time should improve your symptoms
2:16
medical care prescription orthotics
2:19
if conservative care does not work it is
2:22
time for medical attention it is
2:24
imperative to alleviate the underlying
2:26
cause which is the over flattening of
2:29
the foot that part is usually addressed
2:32
through the use of an orthotic which
2:33
needs to be worn all the time it is also
2:37
worth noting that when wearing an
2:38
orthotic you must wear shoes that
2:40
accommodate both the orthotic and your
2:42
foot if the shoe is too shallow from top
2:45
to bottom then the raising of the arch
2:47
through the use of the orthotic may
2:48
actually creating more pressure from the
2:50
shoe pressing on top of the foot a
2:53
deep-seated shoe is usually necessary
2:56
prescription anti-inflammatory
2:58
medication may or may not work better
3:00
than what you are presently taking
3:03
cortisone injections can be very helpful
3:05
for a mid tarsal fault particularly if
3:08
the superficial nerve is entrapped in
3:10
the area and is inflamed physical
3:13
therapy for a mid tarsal fault may also
3:15
help but again it is important to note
3:18
that the underlying pronation has to be
3:20
adequately addressed in order to have
3:22
sustained relief surgical care when
3:26
conservative measures for a mid tarsal
3:28
fault fail it is time to consider
3:30
surgical intervention there are a few
3:34
different techniques available but
3:36
basically the goal of surgery is to
3:38
remove the bone spurs and free the nerve
3:40
from any fibrous tissue that may have
3:42
surrounded it from all the inflammation
3:44
the surgery is a simple outpatient
3:47
procedure read the full article at WWWF
3:53
o ta ing exp la ing decom slash mi dt
3:59
ARS al underscore FA ult HTML
#Arthritis
#Pain Management
#Other