Metatarsalgia is a common condition that causes pain, tingling and inflammation in the metatarsal region of the foot. It is caused by overuse or excessive pressure on the soft tissue structure between the metatarsal bones. The condition affects people of all ages, but it is especially common in athletes, dancers, and people who wear narrow shoes. Metatarsalgia is often referred to as “pain in the ball of the foot.”
What Does Metatarsalgia Feel Like?
The most common symptom of metatarsalgia is a sharp or aching pain in the ball of
the foot. Patient also often have:
- Tingling or numbness between the toes.
- Sensation of cotton or a pebble in the shoe.
- Swelling on the top or bottom of the foot.
- Difficulty wearing narrow, rigid shoes to heels.
- Difficulty walking or standing for prolonged periods.
What Causes of Metatarsalgia?
Metatarsalgia can be caused by several factors. Participating in high-impact activities such as running or jumping can put excessive stress on the metatarsal bones, leading to pain and discomfort. Wearing ill-fitting shoes that are too tight, too narrow, or have high heels can put pressure on the metatarsal region, leading to metatarsalgia. Certain foot deformities such as flat feet, high arches, or hammertoes can increase the likelihood of developing metatarsalgia. Loss of fat padding in the foot can make the metatarsals more prominent, increasing susceptibility to injury and pain.
How is Metatarsalgia Diagnosed and Treated?
Metatarsalgia is diagnosed through a physical examination, medical history, and diagnostic imaging. Dr. Collins’ office is equipped with the latest in digital x-rays and ultrasound imaging. Sometimes an MRI is needed.
Treatment options depend on the the underlying cause and severity of the condition. Being mindful of the type of shoes worn is an easy first step. A stretching and strengthening program can help improve flexibility and alleviate pain. If the pain is severe enough, a temporary pause on high-impact or triggering activities might be warrants. Dr. Collins with work with you, your trainer or physical therapy to keep you active while you recover. Custom-made orthotics can also help redistribute weight and reduce pressure on the metatarsal region.
If conservative measures do not help, Cortisone or other injectables can be given under ultrasound-guidance for pain relief. It is important to note Cortisone is not a permanent solution and conservative options are still necessary.
Early diagnosis and treatment can help alleviate symptoms and prevent the condition from worsening. With the right treatment, most people are able to find relief from their pain and get back to their normal activities. If you are experiencing pain in the ball of your foot, discuss your options with Dr. Collins.
