Metatarsalgia is the name for pain in the ball of the foot. It affects the metatarsals, the bones connecting the ankle bones to the toes.
This is a common foot disorder that can affect the bones and joints at the ball-of-the-foot. Metatarsalgia (ball-of-foot-pain) is often located under the 2nd, 3rd, and 4th metatarsal heads, or more isolated at the first metatarsal head (near the big toe).
Causes
Metatarsalgia can have a number of different causes, including wearing unsupportive footwear, conditions such as arthritis, and doing high-impact sports. Most frequently by women’s narrow 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.
Solutions
The first step in treating metatarsalgia is to determine the cause of the pain. If improper fitting footwear is the cause of the pain, the footwear must be changed. Footwear designed with a high, wide toe box and a rocker sole is ideal for treating metatarsalgia. The high, wide toe box allows the foot to spread out while the rocker sole reduces stress on the ball-of-the-foot.
A custom made foot orthotics with medial arch support &metatarsal dome placed behind the ball-of-the-foot is the usual form of treatment. This will relieve pressure and redistribute weight from the painful area to more tolerant areas.
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