The pain in the middle of the foot may be caused by plantar fasciitis, fatigue fracture, metatarsal head and other diseases, which can be relieved by rest, manipulation and repositioning, medication and surgical treatment, and the specific treatment plan should be carried out in accordance with the doctor’s instructions.
1. Plantar fasciitis: chronic aseptic inflammation of the plantar fascia often caused by exertion or long-distance walking, with pain in the middle of the foot or the whole foot when the foot is stressed, which can be diagnosed by physical examination and X-ray to exclude other diseases. Treatment includes general therapy, medication (e.g., piroxicam, lidocaine), and surgery (e.g., plantar fascia release).
2. Fatigue fracture: fatigue fracture of the metatarsal bone can be caused by walking long distances, and the pain in the middle of the foot occurs when the force is exerted, and X-ray or CT can be chosen to assist in the diagnosis. Non-surgical treatment (e.g., rest, manipulation, ibuprofen for pain) and surgical treatment (e.g., surgical incision and internal fixation) are available for fatigue fracture of the metatarsal bones.
3. Metatarsal head infection: Chronic inflammation of the metatarsal head of the foot can lead to pain in the middle of the foot when force is applied, which can be diagnosed by physical examination and relevant imaging. Treatment for metatarsal head inflammation includes rest, physical therapy and massage, medication (e.g., ibuprofen, dexamethasone), and surgery (e.g., metatarsal head revision).
There are many causes of pain in the middle of the foot, which need to be diagnosed and treated by a medical professional in conjunction with an examination. The use of the above medications should be in accordance with your doctor’s instructions.