Metatarsalgia

What are Metatarsalgia and Metatarsal Pain?

Metatarsalgia is a general term used to describe pain and inflammation in the ball of the foot. This pain typically centers on one or more of the five metatarsal bones located in the mid-portion of the foot. Also known as dropped metatarsal heads, metatarsalgia can cause abnormal weight distribution due to overpronation, often leading to additional issues such as calluses. Common symptoms of metatarsalgia include:

• Sharp, aching, or burning pain in the ball of your foot
• Pain that worsens when you stand, walk, or run and improves when you rest
• Tingling or numbness in your toes
• A feeling that there is a pebble in your shoe
• Increased pain when walking barefoot, especially on hard surfaces

What Causes Metatarsalgia?

Metatarsalgia occurs when one of the metatarsal joints becomes painful or inflamed. People often develop a callus under the affected joint. Metatarsalgia can be caused by arthritis, foot injury (from sports, a car accident, or repeated stress), hard surfaces (cement or tile floors), and specific footwear (rigid-soled work boots). Other factors that contribute to metatarsalgia include:

• Improper Footwear – Shoes that are too tight, too loose, or have high heels can put excessive pressure on the ball of the foot.
• High-impact Activities – Activities such as running or jumping can increase stress on the metatarsal bones.
• Foot Shape and Structure – Conditions such as high arches, flat feet, or a second toe longer than the big toe can lead to metatarsal pain.
• Obesity – Excess body weight places additional pressure on the feet.
• Medical Conditions – Arthritis, gout, and diabetes can contribute to metatarsalgia.
• Injuries – Stress fractures or acute injuries to the foot can cause metatarsal pain.

When to See a Doctor

While occasional foot pain is common, it's crucial to consult a healthcare provider if you experience:

• Severe or persistent pain in the ball of your foot
• Pain that doesn't improve with rest or changes in footwear
• Swelling or redness in the affected area
• Difficulty walking or standing

Early diagnosis and treatment can prevent complications and help you return to your normal activities sooner.

How to Treat Metatarsalgia?

Treating metatarsalgia often starts with simple lifestyle changes. One effective solution is to change your shoes. Look for footwear that provides better support and cushioning to reduce pressure on the metatarsal area. Often, this change alone can bring significant relief. Custom orthotics may be needed for those experiencing more severe symptoms or ongoing issues. These specially designed inserts help distribute weight evenly across the foot, relieving pain and preventing overpronation, which can worsen the condition. When combined with the right shoes, these strategies can effectively manage and ease the discomfort of metatarsalgia.