Metatarsalgia refers to pain in the ball of the foot, typically beneath the metatarsal heads. This area of the foot absorbs significant pressure during walking and running, particularly during the push-off phase of gait.
When excessive load is placed on the forefoot, irritation of the soft tissues and joints may occur.
Common Symptoms
People with metatarsalgia may experience:
Pain beneath the ball of the foot
Burning or aching in the forefoot
Pain when walking or pushing off during movement
Discomfort that worsens with prolonged standing or activity
Tenderness beneath the metatarsal heads
Symptoms may gradually increase with activity.
Why It Develops
Metatarsalgia often develops due to excessive pressure beneath the forefoot. Contributing factors may include:
High arches increasing forefoot load
Foot mechanics affecting pressure distribution
Tight calf muscles affecting gait mechanics
Inappropriate footwear
Increased activity levels
Altered gait patterns may increase pressure beneath the metatarsal heads during walking.
Assessment and Diagnosis
At Absolute Footcare, forefoot pain including metatarsalgia is assessed through a gait and biomechanical assessment.
This allows us to evaluate how pressure is distributed across the forefoot during walking and identify areas of increased loading.
Treatments
Treatment depends on the underlying cause identified during your assessment.
Possible treatments may include:
Custom Orthotics
Rehabilitation exercises
Shockwave therapy
Biomechanical and Gait analysis
Footwear Advice
Steroid Injection
Book a Gait and Biomechanical Assessment
If you are experiencing persistent pain in the ball of your foot, the best first step is to arrange a gait and biomechanical assessment.