Metatarsalgia refers to pain and inflammation in the metatarsal region of the foot, commonly known as the “ball” of the foot. This condition is particularly common among active individuals and can occur when ill-fitting shoes put pressure on the foot. While not typically a sign of a serious issue, metatarsalgia can interfere with daily activities and should be addressed for relief.

Request an Appointment

Causes of Metatarsalgia

Metatarsalgia develops when there is excessive pressure on the ball of the foot, altering its normal function. The following factors may contribute to the condition:

  • Age: As we age, the fat pads on the soles of our feet thin out, leading to more pressure on the metatarsals.
  • Foot Shape: High arches can increase the pressure placed on the ball of the foot.
  • Improper Footwear: Wearing shoes with high heels or narrow toe boxes can compress the foot and force the metatarsals into a small space, leading to inflammation.
  • Intense Physical Activity: High-impact activities like running can cause repetitive stress on the ball of the foot, increasing the risk of metatarsalgia.
  • Other Foot Conditions: Foot issues like arthritis or fractures can affect the way you walk, leading to altered mechanics that stress the ball of the foot.
  • Weight: Extra weight can add pressure to the feet, contributing to the development of metatarsalgia.

Symptoms of Metatarsalgia

Metatarsalgia symptoms can develop suddenly or gradually. Pain is typically localized in the metatarsal heads (the areas just before the second, third, and fourth toes) or near the big toe. Common symptoms include:

  • General pain in the ball of the foot when bearing weight
  • Shooting pain when the foot is flexed
  • Tingling or numbness in the toes
  • A sensation of walking on pebbles or a bruised feeling in the ball of the foot

Treatment of Metatarsalgia

Treatment will depend on the underlying cause of the pain. If improper footwear is to blame, switching to shoes with a wider toe box and better support can offer immediate relief. Other treatments may include:

  • Arch Supports: To help redistribute pressure away from the ball of the foot.
  • Metatarsal Pads: These pads or bandages provide cushioning to the metatarsal heads.
  • Pain Relievers: Over-the-counter medications can help reduce pain and inflammation.
  • Rest and Ice: Resting the foot and applying ice can reduce inflammation.
  • Shoe Inserts: Custom orthotic inserts can provide better support and comfort.

If pain persists or recurs, it’s important to consult a doctor to rule out more serious foot conditions and get a proper diagnosis.