Top of the Foot Pain:
Midtarsal Joint Sprain [Causes, Symptoms & Best Treatment]
The Midtarsal Joint Sprain pain can cause #1) top of the foot pain & #2) Bottom of the foot pain. We go over the most common midfoot pain & 100% Best FIXES!
Table of Contents
Top of the Foot Pain Picture Gallery:
The most common causes of top of the foot pain:
- Top of the foot nerve compression.
- A swollen top of the foot can also occur due to stress across the top of the foot.
- Lisfranc fracture or sprain.
- Sprained top of the foot.
- Top of the foot bone spur.
- Hallux rigidus or dorsal 1st metatarsal joint spur.
- Dorsal foot compression syndrome.
- Flat foot compression leading to osteoarthritis.
So, let’s look at the PICTURES!
Midtarsal Joint Sprain Overview:
- The Midtarsal Joint Sprain is also known as Chopart’s joint injury and it consists of the talonavicular joint (between the talus and navicular bones) and calcaneocuboid joint (between the calcaneus or heel bone and the cuboid bone).
- This can also include the Lisfranc joint and consist of a Lisfranc fraying or a Lisfranc’s fracture.
Symptoms:
- If you do have a traumatic injury, this may lead to bruising and swelling.
- Injury to the midtarsal joint is rare but is more commonly seen in gymnasts, footballers and sports involving jumping.
- The Lisfranc fracture can lead to severe pain, swelling and some severe numbness burning and tingling to the foot.
- If it is chronic pain or top of the foot pain, this may be something called dorsal compression syndrome. This will lead to a slow aching throb that gets worse during the day.
- If it is the nerves on top of your foot that are irritated, this can lead to a sharp shooting and tingling pain.
Midfoot Anatomy & Ligaments:
There are two ligaments which are most commonly injured and these may produce slightly different symptoms.
- The Dorsal Calcaneocuboid ligament connects the Calcaneus and the Cuboid, on the top of the foot.
- The Bifurcate ligament, is a Y shaped ligament, consisting of 2 parts – the Calcaneonavicular ligament (between the Calcaneus and Navicular) and the Calcaneocuboid ligament (which is a second ligament between the Calcaneus and Cuboid).
- The Lisfranc ligament The Lisfranc joints. This is your cuneiform bones and your first second third Metatarsals.
Causes:
Lisfranc injury:
- A Lisfranc fracture or Lisfranc sprain is an injury to the Lisfranc joint.
- This can be a rupture or fracture of the Lisfranc ligament.
- This is a very common injury in starting and stopping injuries.
- Specifically in football and soccer.
- This can take many months to get better and can require surgery.
Navicular fracture:
- Navicular fracture is a bone closer to her ankle from the Lisfranc joint.
- There are 2 types of fractures that can happen, one can be to the body and one can be to the accessory navicular.
- Look below for the for more details on the accessory navicular bone.
- A navicular fracture can be very common in runners and this is most likely a stress fracture.
Accessory navicular pain:
- The accessory navicular bone is common in a large portion of the population.
- This is a large lump that happens on the middle of your foot and on the inside of your foot.
- This is the insertion of the posterior tibial tendon.
- This can be related to posterior tibial tendon pain or posterior tibial tendinitis.
Posterior tibial tendinitis pain:
- The posterior tibial tendon runs on the inside of your ankle and the inside of her heel.
- This is the tendon that inserts into your navicular bone and accessory navicular.
- This can lead to aching in the inside of your midfoot.
- This is related to a midfoot sprain.
Top of the Foot Bone Spur:
- A bone spur on top of the foot is a very common cause of pain.
- If you have a lump on top of your foot this me be related to a midfoot sprain.
- This can cause lots of aching pain and rubbing on top of your shoe.
Top of the foot nerve pain:
- If you have sharp shooting and tingling pain, this can be related to a nerve injury on top of her foot
- Midtarsal joint sprains are related to this type of pain in many accidents.
- Make treat all have continuing nerve pain as this can rub against the top of your shoe and cause continued pain.
Diagnosis:
- Pain in the outside middle of the foot which may come on after an ankle sprain or similar injury.
- Pain and swelling on the outside top of the joint.
- Placing the foot into inversion may cause pain.
- An MRI scan may be done to confirm the diagnosis.
- An X-ray can be done to rule out a fracture.
Treatment
Taping the foot might help support the joint.
Doctor may prescribe NSAID’s (such as ibuprofen) to reduce pain and inflammation.
Orthotic inserts may be fitted.
A corticosteroid injection may be done if symptoms persist.
Symptoms of Bifurcate Ligament Injury
- Comes on after a severe ankle injury in conjunction with a fracture of the anterior process of the calcaneus.
- Pain on the outside middle of the foot.
- Pain is made worse by plantar flexion and supinating the foot at the same time (pointing the foot down and rolling it outwards).
- An MRI scan can confirm the diagnosis and X-rays should be done to identify a fracture, particularly of the anterior process of the heel bone.
Treatment of a Midtarsal Joint Sprain
Treatment is similar to that of the calcaneocuboid injury with immobilisation for 4 weeks.
Surgery may be considered.
For more on a Midtarsal Joint Sprain:
Top of the Foot Home Treatment:
- There are usually two phases to treating the top of the foot pain treatment.
- This doesn’t matter whether it’s an intermittent sharp pain on top of the foot, pain on top of the foot near toes, tendonitis on top of the foot, or a top of the foot bone spur. Treatment is all roughly very similar.
- The two phases of treatment include controlling the acute inflammation and correcting the biomechanics, which led to the problem in the first place.
- Great top-of-the-foot shoes and great orthotics lead to the prevention of dorsal compression syndrome. This prevents compression on top of the foot. It prevents the stretching on the bottom of the foot.
- This will also reduce your numbness, burning, and tingling pain.
Control Inflammation:
Massage & Ice Products:
- The metal ball is one of my personal favorites.
- This can work well for a bruised top of the foot.
- This is not a permanent solution. You still need to remove the stress off of the top of the foot.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This can also work as a great option for a bruised top of the foot or top of the foot extensor tendonitis.
- This is not a permanent solution. You still need to remove the stress off of the top of the foot.
Massage Sticks:
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This works best for extensor tendonitis on the top of the foot.
Removing The Stress:
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- This will limit dorsal compression syndrome and limit extensor tendonitis to the top of the foot.
Best Top of the Foot Pain Shoes:
- Getting a great supportive pair of shoes will ensure that pressure is removed from the top of the foot.
- There is much less compression appreciated.
- This is especially important if you have a swollen top of your foot, intermittent sharp pain on top of your foot, and top of the foot compression.
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
The Best Top of the Foot Pain Orthotics:
- These are our recommended orthotics.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
Best Full-Length Orthotics:
Best Dress Shoe Orthotics:
Best 3/4 Length Orthotics:
Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
Top of the Foot Pain Trauma:
- If you have a sprain Of the foot, Lisfranc fracture, or a fracture to the top of the foot, you need to protect it.
- The recommended way of doing this is to offload with a good supportive boot or cast.
- The best way to do this is, of course, to see your podiatrist and get evaluated with an x-ray, ultrasound, and potentially even an MRI or CT scan.
- If you cannot do so, it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for a very long period of time when they suffer a traumatic injury. Unfortunately, there is no other way around us in labor jobs.
- If you have a sit-down job, there are ways to get people back to work quicker, but this can be impossible otherwise.
Top of the Foot Fracture Boot Treatment:
- There are pros and cons to using a boot to treat your foot pain. The pros are that your injured heel will hopefully have a chance to heal gradually! If you are immobilized too long, the cons are that you will gradually become stiff and overworked to your other leg. r
- Our favorite fracture boots and their supplies:
Offloading and Scooter treatment:
- These are favorite knee scooters and walking devices.
- If your Achilles tendonitis pain is severe, offloading can be very effective until the pain calms down.
Top of the Foot Pain:
Top of the Foot Pain: