How to Best Treat Foot Arthritis with Seattle Podiatrist Larry Huppin
Hi. So today we're going to talk about arthritison top of the foot or what's called midfoot arthritis. That's arthritis in these jointsthrough here. This is the second most common cause that we see causing pain on the topof the foot. The first one is a condition called dorsal compression syndrome, whichjust means that the foot is collapsing down and all these bones get pressed together toomuch but there's no actual damage to the joint. For information on that problem, go to ourwebsite and do a search for quot;dorsal compression syndromequot; or quot;top of foot pain.quot; However, today we're going to talk about arthritisin these joints. So longterm, this foot flattening
out too much can start to damage these joints.As the foot goes down, all these bones get pressed together. Initially it just causespain, but over time, it starts to wear away the cartilage on the inside of these joints,and that can cause a lot of pain. So after that occurs, almost any motion in this areawill start to cause pain. Also, a lot of times people will see a bump, a bone occurring ontop of the foot associated with that arthritis. When we look at treating it, our first goalis to avoid surgery and still eliminate a 100% of the pain. You really should look atsurgery as only the very, very last resort. And in most cases, in fact, in almost allcases, we can treat this without doing surgery.
Our goal here is to limit motion in thesejoints, so what we're going to do is put something under the arch of the foot. We're going totake an orthotic device, put it underneath there, and we're going to try and use thatto stop the motion in that joint. For that to work the best, we want that orthotic toconform extremely close to the arch of the foot. It's called a total contact orthotic.Again, you can look up quot;total contact orthoticquot; on our website. That type of orthotic doesthe best job of limiting motion in this area. If that's not enough, we can actually do someshoe modifications where we put what's called the rocker on the bottom of your shoe to limitthe motion in that foot. This is a big orthotic
that we might use in a men's dress shoe orin anybody's athletic shoe. For women's dress shoes, we can use much, much smaller devices,as we aren't going to a flat or a heel, but the key is that still conforms very closeto the arch of the foot. So if you think you might have arthritis inyour midfoot, what you want to do first is find a podiatrist in your area who specializesin orthotics and biomechanics. If you're in our area, go to our website and you can findcontact information there. If you're not in our area, look for someone who has that specialty. If you want to try and treat this yourself,go to our website and do a search for quot;selftreatment
for midfoot arthritisquot; or quot;selftreatmentfor foot arthritisquot; and you'll find all kinds of hints there, we'll recommend some overthecounterarch supports you can try instead of the custom ones. We'll recommend some types of shoesyou can use and a number of different things you can do initially to try and treat thisproblem.
KT Tape Top of Foot
I'm Chris Harper, and with me is Makayla, and we're here to demonstrate an application for top of foot pain. This is when you have pain across the top of the foot and ankle. Some causes of this may be overuse, tight poorly fitting or worn out shoes, running on uneven surfaces may also be a cause. KT Tape helps treat this condition by relieving pressure to reduce pain,
relaxes associate muscles, and may increase circulation. For this application, I'm actually going to place a red dot just on top of the foot. Your pain may vary by location, but we'll just use this as a reference. Okay, and position wise, we're actually going to place the foot in plantar flexion, or in other words, toes pointing away from the shins. For the first part of this application we're gonna take a full strip of KT Tape. Folding that in half.
We will take a pair of scissors and cut rounded corners on the folded end of the tape. Rounding the corners helps prevent the tape from rolling up or catching on clothing. We're then going to twist and tear the backer paper right in the middle of that first piece. Peeling that paper back, being very careful not to touch the adhesive part of the tape.
We're then going to apply this over that point of pain with eighty percent stretch. So we're going to stretch that all the way out and then back that off just a little bit, and then place that over the point of pain. We're going to just pinch off the ends and lay the ends of that tape down with absolutely zero stretch. So the only stretched portion of that piece is in the middle. We're going to give it a good rub especially on the edges so it sticks well, that creates a little heat. Okay, we're going to take our second piece,
and we're going to tear again right in the middle. This is from that first piece we cut. We're going to apply nice even pressure with our thumbs, going over at that point of pain once again, just a little bit higher. Eighty percent stretch, peeling off the paper, and laying down the ends with absolutely zero stretch. And for our last piece, we're going to take a full strip. This time we're going to tear the tape down by the logo end.
This creates an anchor point that we will place just beyond those first two pieces on the skin, but behind the toes. We're also going to flex the toes to stretch the skin over that area. We're going to peel the paper back, but again handling the tape with the paper only. We're going to now put a fifty percent stretch on this, so a