Updated: Sep 29, 2019
Cause: Overuse, high arch, flatfoot, previous trauma (sprain, strain, fracture)
Appearance: Pain centered over the top of the middle of the foot (dorsal arch) with out without a “bump”. Joints are stiff, may make a grinding noise (crepitation).
How to Diagnose: Clinical exam, x-rays, CT,MRI, diagnostic injection
- Changing to a clay playing surface. Ice, compression (sleeve or sock). Oral anti-inflammatories ( if ok to take).
- Topical pain medicine, either prescription or OTC. Orthotics or bracing help support the inflamed joints.
- Corticosteroid injections can help with inflammation but over time can cause cartilage damage if overused.
- Surgical options include debridement of excess bone, fusion.
o There are reports of placing spacers in the joints, however our experience has not seen these hold up well in athletes.
Long-term prognosis: Controlling the inflammation is the key to pain relief. Once this is achieved, maximalist shoes, compression, orthotics or bracing help prevent recurrence of symptoms.
Who to call: Podiatrist, orthopedic surgeon