A 57 year old healthy patient injured herself when younger, fracturing her (second/third) metatarsals. It is wise to bear in mind any athletic person engaging in performance activities stands a chance of having problems later on. While the fracture healed, the small joints in the mid foot were loosened so the ligaments failed to control chaffing over several more decades. A ridge of bone made the top of the arch look high and yet this was only protective spurring. The joint at surgery (second MCJ) was open and very damaged. Our investigation considered her bone scan which lit up like a christmas tree. The heavy inflammation settled a little with a steroid injection but the damage was irreparable. The foot was stabilised by a small plate and screws plus a small bone graft to make the joint solid. Injuries can be managed earlier to avoid such degeneration arising. After all if we want to be active for longer we must look after our injuries sooner – and feet are no exception. The procedure mentioned here is called a mid foot arthrodesis.