Pain in the middle of the plantar eminence of the foot mainly refers to the pain in the arch of the foot, and the possible causes are plantar fascia injury, disease in the arch of the foot, metatarsal fasciitis, metatarsal bone fracture and so on. 1. Plantar fascia injury: there is a layer of dense fascia on the bottom of the foot, probably due to long-term walking in high heels, which can lead to plantar fascia injury and easily cause tears, which can often cause pain in the middle of the plantar eminence. 2. Diseases of the arch of the foot: If the patient suffers from diseases of the arch of the foot, such as high arched feet, arch collapse, etc., deformities of the foot may occur, which can also lead to the symptoms of pain in the middle of the plantar eminence. 3. Metatarsal Fasciitis: Pain in the plantar eminence may be caused by chronic inflammation of the metatarsal fascia, which is located directly below the middle of the plantar plate, resulting in this symptom. 4. Metatarsal fracture: If the foot suffers direct trauma or sprain, resulting in metatarsal fracture of the foot, there is obvious displacement, swelling, can also lead to the symptoms of pain in the median groove of the sole of the foot. There may be other reasons for the pain in the middle of the sole of the foot, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment under the guidance of the doctor.