The foot, like the hand and wrist is another complicated area of the body that contains many bones, ligaments, muscle and nerves. Because of its complexity, foot problems can sometimes be difficult to diagnose, so thorough assessment by an experienced physiotherapist is essential. The foot can be divided into 3 sections: the rear/hind foot (or heel), mid-foot and forefoot, with each region experiencing different problems.
The midfoot generally experiences stress fractures and tendon problems more frequently than the other areas of the foot. Stress fractures of the Navicular (one of the key bones in the arch of your midfoot) are quite common in active individuals who regularly run or jump. Pain typically develops slowly over several weeks along with tenderness on the top of the foot. Proper management of stress fractures depends on the affected bone but can include immobilisation in a boot or in some severe cases, surgery.
Tendon problems in the midfoot include extensor tendinopathies (pain on the top of the mid-foot) and tibialis posterior tendinopathies (pain running down the inside of the ankle and into the middle of the foot arch). Both of these tendon injuries are most common in runners and can lead to problematic, long-term recoveries if not managed properly. Tendinopathies are managed by strapping, footwear modification and changing training load slightly to give the injured tendon time to recover. A progressive strengthening program is then recommended.
Another common midfoot injury resulting from an acute, traumatic sports injury is a Lisfranc tear or Lisfranc fracture. The tear is a rupture of one or more ligaments that hold mid-foot bones together while the fracture involves a break to one or more bones in the area. These are commonly mistaken for simple ankle sprains but require very different management, including immobilisation and in some cases surgery.
Our physiotherapists are experienced in the assessment and treatment of foot conditions. To schedule an appointment with one of our physiotherapist, visit our make a booking page, or if you would like to ask us a question, visit our contact us page.