Metatarsalgia

Metatarsalgia is a condition that causes pain and inflammation in the ball of the foot, specifically in the area where the metatarsal bones connect to the toes. The metatarsals are long bones in the foot that play a crucial role in weight-bearing and propulsion during walking or running. When excessive pressure is placed on the metatarsal heads, it can lead to irritation and inflammation of the surrounding tissues, resulting in metatarsalgia.

The most common contributing factors to metatarsalgia include activities that involve repetitive impact on the feet, such as running or jumping. It can also be caused by wearing shoes that lack proper support or have a narrow toe box, leading to increased pressure on the forefoot. Other factors like high arches, weakened foot muscles, excessive body weight, foot deformities, or certain medical conditions like arthritis can also make an individual more susceptible to developing metatarsalgia.

Symptoms of metatarsalgia typically include pain, burning sensation, or aching in the ball of the foot. The pain may worsen with standing, walking, or running and may feel like there is a pebble or foreign object in the shoe. The affected area may become tender to touch, and there could be swelling or calluses present. In some cases, individuals may also experience numbness or tingling sensations in the toes.

Treatment for metatarsalgia focuses on relieving pain, reducing inflammation, and addressing the underlying causes. This often includes rest and avoiding activities that exacerbate symptoms. Wearing properly fitting shoes with adequate cushioning and support can help distribute pressure evenly across the foot. Orthotic inserts or metatarsal pads can provide additional support and help alleviate discomfort. Physical therapy exercises that strengthen the foot muscles and improve flexibility may also be recommended. In some cases, over-the-counter pain medications or corticosteroid injections may be used to manage pain and inflammation.