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Mid-tarsal joint sprains are generally seen in athletes who play sport or activity where there is jumping and landing. The ligaments that are typically sparined and injured are the  calcaneocuboid ligament and the Calcaneonavicular ligament. Part of these ligaments join together as a bifurcate ligament. A April 2020 paper (1)  wrote about the undiagnosed ligament injuries in the subtalar and midtarsal joints. “Ligament injuries around the subtalar, talocalcaneonavicular, and calcaneocuboid joints are often underestimated on clinical and imaging findings during investigation of patients with ankle and foot injuries. Because a delayed diagnosis of midtarsal ligament tears may lead to chronic pain

MRIs – Useful or Useless for Knee Pain? I often receive emails from prospective patients who have an X-ray or MRI they want to send us. Sometimes they want an opinion to back up a surgical recommendation; sometimes they want an opinion to support their desire to avoid surgery. In either case, when I tell them that the X-ray or MRI may not be telling the truth about their pain source, they become surprised and confused. New findings say that many MRIs are useless. Investigators examined patients who had had an MRI for knee pain to determine whether the MRI

Many individuals that contact us have been on long-term medications to manage their chronic pain. Many times these medications were prescribed to help the patient manage until a surgery could be performed. More recently, as elective surgeries have become less available and longer wait times are being given, doctors may find it necessary to prescribe medications as “no other option.” In over two decades of service helping patients with chronic pain, we have seen our fair share of patients who were put into the “tween” group. These patients have advancing osteoarthritis but are too young for joint replacement. They come