Home » Midfoot and Rearfoot Conditions
Midfoot and rearfoot conditions are often complex conditions due to the shape of the bones and soft tissues structures.
The way the rearfoot and midfoot move is unique and is a major component to our overall stability when we are walking.
Injuries to these areas can impede our patients being able to play sports or even perform activities of daily living. The bones through the midfoot and rearfoot are responsible for absorbing loads when we walk and run.
Most people associate pain in their midfoot to the height of their arch and a comment we often hear at the beginning of a consultation is ‘I think I have low/high arches’. However, this is just one of the presentations that we see in regards to midfoot and rearfoot pain.
Similarly, most people will self diagnose their heel pain as plantar fasciitis, however this is not the only condition that can cause pain in the rearfoot. In some cases, the position of the rearfoot can impact on the midfoot and cause pain in these areas.
Structures that originate in the lower leg can also be the cause of midfoot and rearfoot pain.
In a normal gait cycle, the rearfoot (heel) is the first part of the foot to contact the ground. The muscles in the lower leg help to guide the heel to contact the ground properly and efficiently.
The position of the rear foot at heel contact can affect how the rest of the foot moves through the gait cycle. If it is positioned in either inversion or eversion, it will affect the way in which the midfoot and forefoot proceed through the gait cycle.
From heel contact, we then move into midstance, where the whole foot is on the ground. This is where the midfoot is able to stabilise the body, absorb impact and help to prepare the foot for propulsion. Pronation through the midfoot often gets a bad wrap. It is true that excessive pronation can lead to a range of issues within the feet and lower leg. However, pronation is also necessary to assist with shock absorption and preparing the foot for the next phase of the gait cycle.
Our podiatrists commonly assess and treat the following conditions: