| JOINTS IN THE ARCH OF THE FOOT | 
                The joints in the arch of the foot 
                  adapt the foot to the ground surface. As a result they work 
                  very hard and can wear out - developing painful arthritis. 
                 | 
              
               
                | SYMPTOMS OF ARTHRITIS | 
                Arthritis of these joints often goes unnoticed 
                  until it has become quite advanced. There are many types of 
                  arthritis but osteoarthritis is the most common 
                  type to affect these joints. Early symptoms can include “aches” 
                  within the joints often occurring after activity. In later stages 
                  there may be persistent swelling around the 
                  joint or hard lumps around the edge of the 
                  joints.In some patients these lumps (called “osteophytes”) 
                  are the cause of additional symptoms because they cause pressure 
                  on adjacent soft tissue structures.  | 
              
               
                | DIAGNOSIS | 
                Your consultant will be able to make a provisional 
                  diagnosis based up careful examination of the joints together 
                  with your history of symptoms. Further investigations with x-rays 
                  and more advanced scans such as MRI or CT can be necessary when 
                  assessing the foot due to the complex anatomy of this area. 
                  Generally osteoarthritis is progressive (gets worse with time). 
                  In the foot however it is believed that bracing and splinting 
                  may help protect painful arthritic joints. Such measure may 
                  help the local symptoms but also aid in protecting the joints 
                  from increased damage. It is not possible to “undo” 
                  damage caused by osteoarthritis.  | 
              
               
                | TREATMENT OPTIONS | 
                 Simple analgesics and anti-inflammatories
                  Joint injections using cortisone
                   Foot orthoses / bracing
                   Surgery to “clean-up the joints”
                   Surgery to fuse joints which are very badly arthritic |