Patient Education

 
 

Metatarsal Arthralgia

Pain at the junction of the metatarsal bones and the midfoot bones including the cuneiform bones first, second and third metatarsal and the cuboid-fourth and fifth metatarsal bones.

Symptoms

• Pain to the top of the midfoot region noted with initial weight bearing activity


• Pain relieves after short warm up period


• Rare associated swelling to the top of the foot


• Achy quality discomfort noted


• Increase pain with barefoot ambulation

Radiography

• Plain film radiographs can demonstrate joint space narrowing between the metatarsal and cuneiform and cuboid bones.


• X-rays are difficult to interpret because of the overlap of bones in this area


• CT scan can be used to demonstrate potential arthritis in the midfoot level as needed based on continuing symptoms

Treatment

• Use of over the counter or custom orthotic


• Supportive shoe with torsion stability to decrease foot pronation


• Shoe with removable innersole to accommodate orthotic device


• Use of shoe and orthotic at all times with NO barefoot walking during recovery period


• Activity limitation/modification


• Non steroidal antinflammatory therapy


• Ice twice daily

(This article is a stub from the referring page in the SLPG Foot Chart.  Article needs to be added.)



















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