Midfoot Arthritis
Midfoot arthritis typically causes aching across the top of the foot and can make walking on uneven surfaces uncomfortable. Many patients notice swelling around the midfoot joints, and pain often increases throughout the day or after longer periods of activity. This can quietly limit daily function, as every step places load through the affected joints.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment of foot movement and weight-bearing patterns. High-resolution ultrasound is then used to identify which specific joints are inflamed, assess joint lining irritation, and check whether surrounding tendons are affected by compensatory load.
Conservative Management
Initial management often includes:
- Activity modification and pacing to reduce stress on the midfoot
- Targeted exercises to maintain joint mobility and strengthen supporting muscles
- Footwear guidance and orthotic advice to offload painful joints
- Education and reassurance about the condition and expected progression
These strategies often help reduce pain, maintain mobility, and improve comfort during daily activities.
Ultrasound-Guided Injection
For persistent symptoms, an ultrasound-guided injection may be offered. Using local anaesthetic and steroid, the medication is delivered precisely into the inflamed joint. This helps reduce pain, improve comfort, and allows rehabilitation exercises to progress more effectively. Ultrasound guidance ensures accurate placement for maximum benefit and safety.
Recovery and Ongoing Care
Following assessment and injection, a structured programme is provided to guide exercise, load management, and long-term strengthening. Many patients notice gradual improvement in walking comfort, reduced pain, and increased confidence in daily activities, supporting sustained midfoot health and mobility.
