Conditions We Treat
Metatarsalgia
What Is It?
Metatarsalgia refers to pain and inflammation in the ball of the foot, typically involving the metatarsal heads. It results from excessive pressure or repetitive stress on the forefoot, often caused by high-impact activities, ill-fitting footwear, or foot deformities.
Symptoms
- Burning or aching pain under the ball of the foot
- Pain worsens with standing, walking, or running
- Sensation of walking on a pebble or marble
- Possible numbness or tingling in the toes
Diagnosis
- Physical exam: Palpation of metatarsal heads and assessment of foot alignment
- Gait analysis or footwear evaluation
- X-rays: To rule out stress fractures, arthritis, or alignment issues
- MRI or ultrasound: If soft tissue pathology, such as a Morton’s neuroma, is suspected
Treatment
Conservative Options:
- Footwear changes with proper arch and metatarsal support
- Metatarsal pads or orthotics to redistribute pressure away from the painful area
- Activity modification: Switching to low-impact exercises
- Physical therapy: Strengthening, gait training, and biomechanical correction
- Ice and NSAIDs for pain and swelling
Surgical Options:
- Surgery for structural abnormalities (like a hammer toe or bunion) or persistent pain that does not respond to conservative care
Experience Personalized Care & Expertise Today