What Are the Most Common Causes of Midfoot Pain?

Nya Bruce

Pain in the middle section of the foot, or the midfoot, has a number of potential causes. Common causes of midfoot pain include arthritis, injury and a condition known as Kohler's disease. To best resolve any issues of pain, a doctor will need to first determine its exact cause.

Falls are a common cause of midfoot breaks, known as a Linsfranc fracture, in seniors.
Falls are a common cause of midfoot breaks, known as a Linsfranc fracture, in seniors.

A midfoot sprain is one type of injury that can occur when there is a sharp, unexpected twist. This is a common injury for active people such as dancers and athletes, although anyone can experience this type of injury. Sprains are characterized by immediate midfoot pain, which develops into swelling and even some bruising. When this occurs it is often the result of minor stretching of the ligaments in the midfoot, however the severity can vary from over-stretched to torn ligaments. This type of pain can be treated with Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and can also be relieved by icing the affected area.

Midfoot pain may be treated with rest and elevation.
Midfoot pain may be treated with rest and elevation.

Another source of midfoot pain is an injury that is known as a Linsfranc fracture. This can be a serious injury that involves fractured or dislocated midfoot bones and torn ligaments. Often this type of injury presents the same type of pain and other symptoms that a person experiences with a midfoot sprain. It is also frequently a result of twisting the foot and it may occur if the foot is directly hit or crushed by an object.

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Pain in the midfoot section of the foot may stem from arthritis or a sprain.
Pain in the midfoot section of the foot may stem from arthritis or a sprain.

For some people arthritis is a source of chronic midfoot pain. When this is the case, pain may be lessened by taking NSAIDs. Special shoes or shoe insoles may also be helpful in stabilizing the foot and in reducing pressure that may be causing some of the arthritic pain. In severe cases, a person may require surgery to help relieve midfoot pain and other symptoms related with this type of arthritis. Typically surgery is an option only after all other attempts to provide relief have failed.

Surgery is sometimes necessary to relieve midfoot pain.
Surgery is sometimes necessary to relieve midfoot pain.

Children who are suffering from midfoot pain and potentially some swelling may have a condition that is known as Kohler's Disease. This is a bone disorder that occurs as a result of a loss of blood supply to certain bones in the foot. It typically affects children that are no older than nine years old, and it is a condition that they will generally grow out of. Pain may be treated with the help of NSAIDs and by resting the foot as much as possible. In some cases a walking cast might be necessary to alleviate the pain.

Shoe insoles can help alleviate midfoot pain.
Shoe insoles can help alleviate midfoot pain.

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