Metatarsalgia is a term given to foot conditions or symptoms that cause pain or inflammation in the metatarsal (or forefoot) region of the foot, sometimes called the ball of the foot. It can be caused or aggravated by a number of different factors such as excessive pressure on the metatarsals (such as when wearing high heeled shoes or shoes that are too narrow), overuse, Overpronation, Pes Cavus foot, Arthritis, Morton’s Neuroma, Hammer or Claw toes, Bunions, Stress Fractures or obesity.



Pain in the metatarsals (can be a general ache or sharp pain in one or more metatarsal heads) which is made worse by standing, walking or running. Other symptoms include; numbness or tingling in the toes, swelling, burning, cramping or the feeling of walking on pebbles.


Pedorthic Management

  • Orthopedic footwear – properly fitted (especially proper width), well structured, good shock absorption
  • Custom made orthotics – to provide proper support and alignment of the foot. May include features such as, a soft top cover, metatarsal pads or bars, excavations if necessary
  • Footwear modifications – rocker soles, internal metatarsal bars, internal excavations, stretching.


Other Treatments/Modalities

  • Rest/ice
  • Anti-inflammatories
  • Physical therapy
  • In severe cases (depending on the cause) surgery