Lateral Mid-Foot Pain

Pain, on the lateral side of the mid-foot, is quite common. There are several conditions that can lead to pain here. Here are a few of the more common ones to make note of:

Peroneal Tendinitis

Pain from the Brevis at its attachment to the 5th metatarsal or Longus just before it courses medially happen for various reasons. A tear from chronic pain isn’t uncommon.

Arthritis

Several mid-foot joints can become arthritic from genetics, obesity, wear and tear and flat feet. This is one of the more difficult mid-foot conditions to get under control.  

5th Metatarsal Base Fracture

Edema on the lateral aspect of the mid-foot should be investigated for a fracture. Those with high arches are prone to extra stress on this part of the foot.  

Cuboid Stress Fracture  

Obesity and faulty biomechanics can overload the lateral column of the foot leading to this condition. An MRI is indicated if pain persists in-spite of a negative plain film x-ray.

Accessory Cuboid

Pain from this accessory bone or the tendon it sits within is common when unusual forces are placed on the lateral column.

Pain with or without edema on the lateral aspect of the mid-foot can be quite debilitating. Early intervention can help avoid months of suffering. A person who experiences pain anywhere from the ankle to the toes on the lateral half of the foot should be evaluated for one of these mid-foot maladies. 

Ibrahim Haro, DPM
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NJ podiatrist helping Clifton area patients with diabetic foot care, foot pain, flat feet, and neuropathy.
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