Arthritis

Arthritis of the Talonavicular Joint

ArthritisThe talonavicular joint exists in the foot (on the top). It is one of the three joints that exist in the hind foot. The talonavicular can get affected by osteoarthritis, rheumatoid arthritis or post-traumatic arthritis. When the navicular bones are fractured (stress fractures are common), the talonavicular joint can develop arthritis.

Arthritis of the Talonavicular Joint

People who are into sports that involve a lot of running or those who run on a regular basis can develop a mild form of this arthritis in the foot, especially those runners who are in their mid forties or fifties are vulnerable to develop talonavicular arthritis.

Signs and Symptoms

Let us look at the signs and symptoms of this arthritis in the foot-

  • like in any degenerative arthritis condition, pain and tenderness, especially towards the mid-foot and in front of the ankle are common
  • the pain and inflammation would make it very difficult walking
  • some people may also start limping in order to take stress of the affected foot/feet but, this can lay stress on various other joints in the body
  • if the arthritis that the talonavicular develops is rheumatoid arthritis, then there is every chance that both the feet would get affected
  • the range of motions of the affected joint are affected severely
  • the ankle can tend to go stiff if inactive for a certain length of time
  • the swelling and inflammation would vary from person to person depending on the severity and the stage of arthritis
  • the affected joint can also feel warm when touched
  • if left untreated, the bones in the joint would become to develop abnormalities and get deformed causing one to develop flat feet or other problems like corns and bunions

It is important to ask the patients where exactly they feel the pain in their ankle, as there is a chance that they could be suffering from osteophytes and not arthritis.

Treatment

The treatment for the arthritis of the talonavicular joint can be either non-operative or operative depending on the severity and the degeneration in the joint.

  • Non-operative techniques include weight loss programs, activity modification and using shoes that offer more comfort to the joint.
  • If these non-operative techniques do not work, then a fusion surgery of the joint is required and the recovery period after the surgery is 6-8 weeks

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