A common term used when looking at the psychology of birth order is “middle child syndrome.” The concept was first developed by an Austrian psychoanalyst (Dr. Alfred Adler) who not only considered the effect of birth order on personality, but was also a middle child himself. In his observations, Dr. Adler noted that middle children were more likely to feel “invisible” or left out. To combat this, middle children need to be flexible and vocal to receive attention.
Of course, that doesn’t apply to all middle children. Some are fine simply doing their thing and not receiving attention. This could describe your midfoot, too. Usually this part of your foot just does its job, but midfoot injuries can remind us exactly how important this area is for your mobility.
Part of your foot structure contains the Lisfranc joint complex. In this area there is a cluster of small bones which form an arch on the top of your foot. This is where the long metatarsal bones start as they extend down to the toes. Everything is held in place by ligaments stretching across and down the foot.
There are essentially three categories of injuries in this complex:
- Sprains – This injury happens when a ligament is twisted or stretched beyond its intended range of motion, resulting in pain and swelling.
- Fractures –There are various ways bones in the midfoot can be broken, including direct trauma (like a fall from height).
- Dislocations – In some Lisfranc injuries one or more metatarsals have become dislocated due to physical trauma.
These injuries can exist either by themselves or in conjunction with any of the other two. They all share common symptoms, including swelling and pain in the top of the foot, bruising on the top and bottom of the foot, and pain that worsens when you are either standing or walking.
Your first step in properly identifying which midfoot injury is causing your pain is to come to Richardson Podiatry Associates. We will evaluate your affected foot to provide an accurate diagnosis before creating a treatment plan that works for you. Contact us for more information or to schedule an appointment by calling (972) 690-5374.