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San Luis Podiatry Group

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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