Mid Foot & Hind Foot Archives - Dr Bothma

Midfoot Pain

Dr Bothma — Mon, 01 May 2023 09:38:47 +0000

Spontaneous onset pain in the arch of the foot, the top of the foot or the side of the foot, is mostly due to arthritic changes but there are many other conditions such as foot strain, overuse, injury, deformity and nerve related problems that may cause midfoot pain.
Investigation of midfoot pain includes a detailed history, clinical examination and special investigations such as x-rays, blood tests and scans.
Dr Bothma will discuss the diagnosed condition and treatment options with you in great detail.

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Dr Bothma — Mon, 01 May 2023 09:37:59 +0000

Pain in the heel region or the area below the ankle may be due to injury, arthritis, inflammation of the soft tissue structures around the heel or inflammation of the adjacent tendons such as the Achilles tendon. Occasionally, heel pain may be nerve related.
Apart from the clinical examination, special investigations such as x-rays, blood tests and scans may be required to complete the diagnostic process.
Dr Bothma will discuss the diagnosis and management options in detail with you.

Dr Bothma — Mon, 01 May 2023 09:37:27 +0000

Degenerative arthritis of the midfoot and hindfoot joints occurs commonly. Symptoms vary from mild weight-bearing discomfort to disabling pain.
The arthritis may be caused by ageing or previous injury / overuse of the foot. There is sometimes a hereditary factor. Less commonly, arthritis may be caused by systemic inflammatory conditions such as rheumatoid arthritis.
Swelling and pain of the midfoot or hindfoot may also be caused by conditions such as inflammation of the adjacent tendons and rarely, tumours or infections.
The investigation of midfoot or hindfoot pain and dysfunction requires clinical examination by a specialist and x-rays of the foot.
Dr Bothma will determine whether additional special investigations are required and once a diagnosis has been made, he will discuss management options comprehensively with you.

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Dr Bothma — Mon, 01 May 2023 09:36:55 +0000

A high foot arch occurs naturally in many feet but may be associated with childhood foot deformities, nerve related problems or arthritic conditions.
A painful high foot arch should be investigated, especially so if the arch increases in height over a period of time or if there is in-turning of the foot.
Dr Bothma will do a physical examination of the lower extremities with x-rays and frequently, additional examinations may be required.
Treatment will depend on the nature and severity of the problem. This will be discussed in detail with you.

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Dr Bothma — Mon, 01 May 2023 09:36:25 +0000

A flat foot can be an innocuous and natural occurrence but in many cases the flatfootedness can be disabling due to weight-bearing problems and pain.
The causes are manifold and may be due to ligament laxity, muscle imbalance or weakness, inflamed tendons, arthritic joints or nerve related problems.
Treatment may be nonsurgical or surgical depending on the underlying problem.
Dr Bothma will do a clinical assessment with the required special investigations and will then advise you in this regard.

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Dr Bothma — Mon, 01 May 2023 09:36:02 +0000

Injuries of the midfoot and hindfoot are common and are usually due to severe twisting of the foot, falls from a height, sporting activities such as contact port injuries, cycling and vehicular or motorcycle accidents.
Injuries vary from sprains and strains to soft tissue injuries to fractures and dislocations.
There are many pitfalls in the diagnosis and treatment of midfoot and hindfoot injuries and a specialist’s evaluation and opinion is strongly recommended. Incorrect management may have dire medium and long-term consequences.
Dr Bothma will assess your injury or injuries and will advise you on optimal management, non-surgically or surgically.

Dr Bothma — Mon, 01 May 2023 09:35:35 +0000

Occasionally, even well planned and correctly performed midfoot and hindfoot foot surgery may develop complications with undesirable results.
Revision surgery (minor adjustments or re-do) may be required.
Dr. Bothma has extensive experience in the assessment and revision of adverse outcome midfoot and hindfoot procedures.
Review cases may be complex in nature and require detailed planning and consultation.

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