Metatarsalgia

Metatarsalgia is a common condition that causes pain and inflammation in the ball of the foot, the area just behind your toes. It often feels like you are standing on a pebble inside your shoe or like your foot is bruised and sore. The discomfort can make walking, running, or even standing for long periods difficult.

Causes of Metatarsalgia:

Metatarsalgia can develop for several reasons, including:

  • Improper footwear – tight shoes or high heels that shift weight forward

  • Repetitive stress – high-impact sports like running or jumping

  • Foot structure – high arches, flat feet, bunions, or hammertoes

  • Excess weight – added pressure on the forefoot

  • Other medical conditions – arthritis, gout, or neuromas

Common Symptoms

  • Sharp, aching, or burning pain in the ball of the foot

  • Pain that worsens when standing, running, or walking barefoot on hard surfaces

  • Tingling or numbness in the toes

  • The sensation of having a pebble or lump in your shoe

Treatments for Metatarsalgia

CUSTOM ORTHOTICS & PROPER SHOEWEAR

  • Specially designed inserts that relieve pressure on the ball of the foot and support healthy alignment

  • Recommending shoes with proper cushioning and support to prevent recurrence of pain

CORTICOSTEROID INJECTIONS

for patients with persistent discomfort, targeted injections can calm inflammation and provide lasting relief

PHYSICAL THERAPY

to strengthen the foot, improve flexibility, and reduce strain on the metatarsal bones

MINIMALLY INVASIVE SURGERY

In severe cases, surgical correction may be recommended to address structural issues and restore pain-free mobility

Frequently Asked Questions About Metatarsalgia

  • Most patients find relief with conservative care such as custom orthotics, shoe modifications, and physical therapy. Surgery is only considered if pain persists and structural issues in the foot need to be corrected.

  • Yes, but you may need to modify your activities. Low-impact exercises like swimming or cycling are recommended until your foot pain improves. Wearing proper footwear and orthotics can also help protect your feet during activity.

  • Recovery time varies depending on the cause and severity. With proper care, many patients feel relief in a few weeks, while more complex cases may take several months.

  • Yes. Wearing supportive shoes, maintaining a healthy weight, stretching your feet, and using custom orthotics when needed can all help reduce your risk of developing metatarsalgia.

Disclaimer: The information on this website is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your doctor with any questions about your health.