Due to interosseus compression forces at dorsum of midfoot (mostly metatarsocuneiform joints) inflames dorsal structures
Pain on palpation of dorsal met-cuneiform joints
Stabilise calcaneus with one hand – plantarflex forefoot on rearfoot often produced pain
Pain often during early propulsive phase of gait (which is when windlass starts plantarflexion moment of forefoot on rearfoot)
Treatment: RICE; strapping; change position of shoe laces to avoid lumps; orthoses; heel lift (important to take pressure of dorsal joint surfaces); calf muscle stretches.