Metatarsalgia
By Step Ahead Foot & Ankle Clinic, P.C.
April 17, 2018
Category: Foot Care
Tags: Metatarsalgia  

Heel PainMetatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.

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UPDATE 3/23/20: In attempt to maintain the safety of our patients, employees, and the community, the office is physically closed, other than for the care of patients with urgent concerns / emergenices only. Attempts will be made to return phone calls Monday through Thursday from 9AM to 1PM. Please use the "Request an Appointment" resource above to request an appointment. If an established patient, we encourage you to log into the Patient Portal and send a message to Dr. Barnes or the office with any questions or concerns. Thank you.

TeleHealth and Tele-Visits in the time of COVID-19

Step Ahead Foot & Ankle Clinic, PC has initiated a TeleHealth Service during the COVID-19 Pandemic for a number of reasons:

1.) Our top priority has always been, and continues to be, Patient, Employee, Community Health and Safety.

2.) With the primary goal of triaging, or prioritizing what's urgent and what's not, Dr. Barnes seeks to help patients with the foot concerns over the phone or computer. Caring for patients in this way, and arranging for visits in clinic if necessary (infections, ulcerations, injuries) and in a controlled environment, she hopes to do her part in allowing to the Urgent Cares and Emergencies Rooms help those with needs related to the virus. 

3.) Although Dr. Barnes obviously cannot physicially treat you or other patients over the phone or computer, she can hopefully see if your concern would be best treated physically, and arrange for this to be done. If she can help give you direction and advice over the computer or phone, she will do so. This particularly applies to you if you have foot pain, as many treatment options can be relayed in this way (stretches, shoe recommendations, orthotic recommendations). 

4.) During this time of anxiety, stress, and uncertainty, Dr. Barnes wants to do her part in helping you do the things you need to do (caring for a loved one, running outside for stress relief, or walking on a treadmill at home, for example) without foot pain interfering. She does't want you to have to wait months or an indefinite period of time for you to get back on your feet! "CLICK HERE TO REQUEST A TELEVISIT."