Foot Problems - Midfoot

Question 1

Contains:

Answer 1

Ganglia
Osteoarthritis
Plantar Fibromatosis

Question 2

What is a dorsal foot ganglia?

Answer 2

A cyst arises from a joint or tendon sheath
may be idiopathic or related to arthritis or underlying tendon pathology

Question 3

What are the symptoms of a Ganglion cyst?

Answer 3

Pain from shoe pressure +/- the underlying problem
+ a visible cyst

Question 4

How do we treat a dorsal foot ganglia?

Answer 4

Non-operatively with aspiration or “family Bible” technique

Operatively with surgical excision

50% return

Question 5

What are the subtypes of midfoot arthritis?

Answer 5

• Osteo
• Post-traumatic
• Rheumatoid

Question 6

How do we treat midfoot arthritis?

Answer 6

Activity modification
Shoewear modification
Orthotics

X-ray guided injection

Operative fusion of the joint

Question 7

Define Plantar Fibromatosis

Answer 7

Progressive thickening of the feet’s fascia/connective tissue
Its usually asymptomatic unless very large or on a weight-bearing area

Question 8

How do you treat plantar fibromatosis?

Answer 8

Non-operative use Shoewear modification and orthotics to avoid pressure

RT and/or Surgical excision