midtarsal fault

by Saber MTB
(Tehran / Iran)

So actually my midtarsal is only in my left foot....

I'm a 28 year Old boy in Iran and came up here to your site via internet search.....

When i was around 16 ( don't remember exactly ) while playing football indoor bare foot i hit the sharp corner of the wall the impact was just on my lateral cuneiform and the navicular .

So i had pain for a week and every ting was ok afterwards......
besides a two week vacation that i only had a pair of flat thin sole shoes with my self ....i felt pain when using them but i did not realize it was the problem with my foot as it healed when i used other shoes .......i thought the issue was from the shoes......

now around 12-13 years after that impact we moved to a new house and the new house had a tiles floor totally flat and stiff ( our previous home was totally carpeted with a soft type of carpet ) ...

In the whole 12-13 year period the only time i felt pain was the two week vacation with those shoes but as we moved here in the new tile floored house .The pain started gradually ........

Chaining shoes didn't do anything but doing self physical therapy healed it for some weeks also decreased the pain.....
in fact i found out by experience that bending my foot or putting pressure from underneath into the spectacular area would be effective.....

But as i know it had been caused by in impact and my right foot is OK so i know i can heal it with physical therapy and i would and should as it has effected my life a lot......

By the way here are two X rays from my left foot......

The local Doctors in Iran don't pay attention and just my looking to the X-rays they says ....Your OK boy there's nothing wrong.....

I'm looking forward to see exactly what kind of physical therapy i should perform .....

Thanks for your wonderful site and useful Information on the foot field...

RESPONSE

Hi Saber MTB,

Unfortunately, neither of the two x-rays you provided gives me much help. The degree to which you suffer from a midtarsal fault is best visualized on what is known as a lateral view, which is a side view of the foot. (you provided me with a dorsal-plantar and oblique view)
A midtarsal fault is a structural deformity in the foot and although it can be aggravated by trauma such as in sports, etc. physical therapy can be helpful for short term relief. Any physical therapy that reduces inflammation would be fine and that could be left up to the physical therapist that you visit in your home country.
Since a midtarsal fault generally occurs in people who have flat feet and thus their arch collapses, the best way to approach this problem on a permanent basis is to wear an orthotic or arch support in an effort to keep the arch from collapsing.
Wearing an orthotic is the equivalent of wearing prescription eye glasses to give you better vision. As long as you wear them they will do the job; if you stop wearing them your foot pain will return.
Because of your young age you need to have conditions such as tendonitis and perhaps even a stress fracture ruled out. Midtarsal fault is a condition that most doctors not specifically trained in pathology of the foot will fail to make. So, if you try an orthotic and over a period of time your symptoms subside then you know a midtarsal fault is probably what you are suffering from.

Marc Mitnick DPM

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