Metatarsalgia is a condition characterized by inflammation and pain in the ball of the foot, often caused by excessive pressure on the metatarsal bones (the bones located between the toes and ankles). This condition typically causes sharp pain and discomfort, particularly in the area between the arch and the toe joints. People with metatarsalgia often describe the sensation as feeling like they are walking on pebbles. The condition is common among athletes but can also affect people who wear poorly fitting shoes regularly.

Request an Appointment

Causes of Metatarsalgia

Metatarsalgia develops when the mechanics of the foot are altered, putting excessive pressure on the metatarsal bones. Several factors can contribute to the development of this condition:

  • Age: As we age, the cushioning pads on the feet tend to thin, increasing the pressure on the metatarsals.
  • Arthritis: Joint inflammation can contribute to foot pain, including in the metatarsals.
  • Athletic Activities: Activities like running can increase the risk of developing metatarsalgia, as repetitive pressure is placed on the forefoot.
  • Foot Deformities: Conditions such as hammertoe, high arches, and bunions can alter foot mechanics, leading to excessive pressure on the metatarsals.
  • Fractures of the Metatarsals: A past injury to the metatarsal bones can lead to chronic pain and inflammation.
  • Morton’s Neuroma: A thickening of the tissue around a nerve in the ball of the foot can contribute to metatarsalgia.
  • Obesity: Excess weight increases the pressure on the forefoot, exacerbating the condition.
  • Poorly Fitting Shoes: Tight, narrow shoes can place added pressure on the ball of the foot, increasing the risk of metatarsalgia.

Symptoms of Metatarsalgia

The hallmark symptom of metatarsalgia is pain in the ball of the foot and in the toes. The pain often becomes more pronounced during physical activity and can intensify when walking barefoot on hard surfaces.

Symptoms may develop suddenly or gradually over time. Common indicators include:

  • Sharp pain in the forefoot.
  • Discomfort that worsens with activity, especially walking or standing for long periods.
  • Pain that is more noticeable when walking barefoot or on hard surfaces.

If you experience persistent pain in the ball of your foot, it’s important to consult with a doctor. Ignoring foot pain that lasts more than a few days can lead to further complications.

Treatment of Metatarsalgia

Metatarsalgia is typically not a serious condition, but it can be painful and disruptive. Most people can find relief with conservative treatments, including:

  • Anti-inflammatory Medications: These can help reduce pain and swelling.
  • Arch Supports: Custom or over-the-counter arch supports can help redistribute pressure on the foot.
  • Footwear Changes: Wearing shoes that provide proper support and cushioning can alleviate pain.
  • Metatarsal Pads: Specially designed pads placed inside shoes can relieve pressure on the metatarsal area.
  • Rest and Ice: Resting the foot and applying ice can help reduce inflammation.
  • Shoe Inserts: These can improve foot alignment and provide extra cushioning.

Preventative measures are also key to managing metatarsalgia. Limiting physical activity, avoiding poorly fitting footwear, and maintaining a healthy body weight can help reduce the risk and severity of symptoms.

If pain persists despite these measures, it is important to consult a doctor to rule out other foot disorders or injuries.