Auteur: Podiatre Montreal
Midfoot arthritis can be a very debilitating disease. However, properly made orthotics can help relieve pain and prevent surgery. Should surgery eventually become necessary, specially designed orthotics to support the midfoot can make your recovery a more comfortable process and help you resume your activities sooner.
If you have midfoot arthritis, contact us today to schedule an appointment at our podiatric clinic in Montreal.
What is midfoot arthritis?
Simply put, it is damage to the midfoot joints. This can be seen on the X-ray images.
What does it feel like?
There is moderate to severe pain in the middle of the foot. Most patients feel as if the pain is on the top of the foot. Sometimes pressure causes pain on the top of the foot.
What causes midfoot arthritis?
The most common causes include flat feet and being overweight. In both cases, the foot is flattened in some way. As the foot flattens, the bones on top of the foot are pushed against each other. Over time, this increased stress causes damage to the joints. Another cause is trauma. If you have experienced a bone fracture or a bad sprain of the foot at some point in your life, you may develop arthritis later in life.
How is midfoot arthritis treated?
To eliminate pain, we must support the foot and reduce the movement of damaged joints. This can be achieved by using a very special type of orthosis, shoe modifications or by surgical fusion of the midfoot joints. Surgery should be considered only as a last resort.
Can I treat it myself?
It is a disorder that needs to be treated professionally. The more we do now to protect your joints, the more likely we can stop or slow down further joint damage. For example, the orthotics we make for patients with midfoot arthritis must adhere strongly to the arch of the foot to reduce midfoot movement and reduce pain. Prefabricated orthotics may not provide sufficient support to protect the joints optimally.
How should orthotics be made to better treat arthritis?
Orthoses for midfoot arthritis should stabilize the midfoot joints and limit their movement as much as possible. Movement is what causes pain in arthritic joints. If we can limit joint movement, we can limit pain. To do this, the orthosis must adhere very well to the arch of the foot. This type of orthosis is called a “strong adhesion orthosis”. If there is a gap between the orthosis and the arch of the foot, it allows the arch to flatten and increases the pain of arthritis foot by allowing too much movement.
The essentials in the preparation of an orthosis for midfoot arthritis :
- The impression of your foot that is used to make the orthotics must be taken by laser scanning or casting without any loading. If the doctor allows loading during the impression, this loading will cause the arch to flatten and the orthotic that is prepared from this impression will not adhere well to the arch.
- Your doctor should be the only one to perform the laser scanning or casting of your foot, not an assistant. In order to obtain the best possible result, correct positioning of the foot is essential. Go elsewhere if an assistant is casting your foot.
- The Podiatrist must know how to write a prescription for orthotics that explains to the orthotics laboratory how to make them in a way that limits the movement of the arthritic joints in your feet.
- The doctor must use a very high quality orthotics laboratory. Some labs are good, but unfortunately many labs have low standards. Many orthotics do not adhere sufficiently to the arch of the foot. These devices do not restrict movement adequately.
Other treatments for midfoot arthritis
Other treatments for midfoot arthritis include pediatric leg orthotics and cradle shoes. Surgery is also a possibility as a last resort.
If you are experiencing pain caused by midfoot arthritis and would like an examination, make an appointment and come see us at our podiatry clinic in Montreal. If you already have orthotics, bring them with you so we can examine them.2021