Metatarsalgia

Metatarsalgia is pain in the ball of the foot caused by increased pressure over the metatarsal heads. It is common in runners and people who wear tight or high heeled shoes.

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Typical Recovery Time

Recovery usually takes several weeks with proper offloading.

Symptoms

•Forefoot pain
•Burning sensation
•Pain walking
•Tenderness
•Numbness

Common Causes

•High impact activity
•Improper footwear
•Foot deformity
•Overuse
•Thin fat pad

Treatment Options

1Footwear modification

2Orthotics

3Activity modification

4Padding

5Physical therapy

When to See a Doctor

See a doctor if pain limits walking or does not improve.

Frequently Asked Questions

What is metatarsalgia?

Metatarsalgia is pain in the ball of the foot, usually under the metatarsal heads. It is often related to increased pressure or overload in that area. It can make walking, running, or standing uncomfortable.

What causes metatarsalgia?

It is often caused by overuse, high-impact activity, improper footwear, or foot structure. Activities like running or jumping increase stress on the forefoot. Tight shoes or high heels can also contribute.

What are the symptoms?

Symptoms include pain in the ball of the foot, especially with walking or pushing off. Some people feel like they are walking on a pebble. Pain may improve with rest and worsen with activity.

How is it treated?

Treatment includes footwear changes, cushioned insoles, activity modification, and physical therapy. Offloading pressure from the forefoot is important. In some cases, further evaluation is needed to rule out stress fractures or other conditions.

When can I return to activity?

Return depends on symptom improvement and reducing pressure on the forefoot. Many people improve over a few weeks with proper support. Gradual return to activity helps prevent recurrence.

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