Metatarsalgia is a general term used to denote a painful foot condition in the metatarsal region of the foot (commonly referred to as the ball-of-the-foot). This is a common foot disorder that can affect the bones and joints at the ball-of-the-foot. Metatarsalgia is often located under the 2nd, 3rd, and 4th metatarsal heads, or more isolated at the first metatarsal head.

With this common foot condition, one or more of the metatarsal heads become painful and/or inflamed, usually due to excessive pressure over a long period of time. It is common to experience acute, recurrent, or chronic pain with metatarsalgia. Ball-of-foot pain is often caused from improper fitting footwear, most frequently by women’s dress shoes and other restrictive footwear. Footwear with a narrow toe box forces the ball-of-foot area to be forced into a minimal amount of space. This can inhibit the walking process and lead to extreme discomfort in the forefoot.

Other factors can cause excessive pressure in the ball-of-foot area that can result in metatarsalgia. These include shoes with heels that are too high or participating in high impact activities without proper footwear and/or orthotics. Also as we get older, the fat pad in our foot tends to thin out, making us much more susceptible to pain in the ball-of-the-foot.

Symptoms:
• Discomfort in the planter aspect of the metatarsal area caused by a variety of disorders.

Possible Modality:
• Functional custom made orthotics with some or all of the following modifications:
  • Metatarsal pad may be sufficient to reduce weight on painful metatarsal heads. Pad should be centered on the planter surface of the orthotic.
  • Metatarsal head cutouts
  • Soft top covers