Midfoot Arthritis


Arthritis can affect any of the joint in the midfoot. This includes the tarsometatarsal joints and naviculocuneiform joints. Patients often present with pain in the midfoot, usually when walking. They may have a bony prominence or swelling. There may have been previous injury to the foot.


Your GP should initially request these investigations:

Weight bearing Xrays (AP & Lateral).

Your surgeon may also request the following investigations for more information or surgical planning:

CT scan and MRI scan

Conservative Treatment

Initial treatment of Midfoot Arthritis could include:

Orthotics may provide symptomatic relief. Injections of corticosteroid and local anaesthetic may improve pain for a variable length of time. They are also useful for identifying exactly which joint is causing the pain.

Surgical Treatment

Surgical treatment of Midfoot Arthritis includes:

Ostectomy - removal of the dorsal osteophyte

TMTJ or NC Joint arthrodesis (fusion) - stiffening of the joint

Condition specific risks include:

  1. Non-union
  2. Metalwork failure
  3. Arthritis of surrounding joints

General risks of surgery include:

  1. Infection
  2. Damage to nerves/blood vessels
  3. DVT / PE (blood clots)
  4. Anaesthetic risks


Recovery from Midfoot Arthritis surgery will include: