The Foot Briant W. Smith, MD Orthopedic Surgery TPMG Santa Rosa General Considerations VERY common problems. Systemic disease is a major player (diabetes, vascular and neurologic diseases, inflammatory arthritis) Divide the Foot into Thirds
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Briant W. Smith, MD
TPMG Santa Rosa
Hindfoot Midfoot Forefoot
Dorsal midfoot pain occurs secondary to arthritis. Bony prominence=‘bossing’
Plantar midfoot pain is rare. Can be plantar fasciitis or fibromatosis.
Pain is under a metatarsal head (usually 2nd) as opposed to between the heads for neuromas.
Often associated with hammertoes and calluses.
Get wider shoes, use metatarsal pads or cut-outs, shave the calluses.Metatarsalgia