Metatarsalgia

What is Metatarsalgia?

Metatarsalgia is a condition characterized by pain and inflammation in the ball of the foot, often affecting the area near the base of the toes. This condition can make standing, walking, or running uncomfortable or painful.

Symptoms of Metatarsalgia:

• Sharp, aching, or burning pain in the ball of the foot, particularly near the base of the toes
• Pain that worsens with standing, walking, or running, and improves with rest
• Feeling like there's a pebble in your shoe
• Numbness or tingling in the toes
• Pain when flexing the toes

Causes of Metatarsalgia:

• Overuse or repetitive stress from activities like running or jumping
• Ill-fitting or high-heeled shoes that put pressure on the forefoot
• Foot deformities such as hammertoes or high arches
• Excess weight, which can increase pressure on the forefoot
• Aging, which can lead to thinning of the fat pad that cushions the ball of the foot

Physical Therapy for Metatarsalgia

Physical therapy can be effective in managing and treating metatarsalgia by addressing the underlying causes and symptoms. Treatment may include:

1. Foot and Ankle Strengthening Exercises: Exercises to strengthen the muscles that support the foot and ankle can help reduce pressure on the metatarsal bones.
2. Stretching Exercises: Stretching the calf muscles and Achilles tendon can help alleviate pressure on the forefoot.
3. Orthotics and Footwear Advice: A physical therapist can recommend appropriate footwear or custom orthotics to provide better support and cushioning for the foot.
4. Manual Therapy: Techniques such as soft tissue mobilization and joint mobilization can help alleviate pain and improve foot mobility.
5. Gait Analysis: Analyzing your walking or running pattern can help identify and correct biomechanical issues that contribute to metatarsalgia.
6. Education: Guidance on activity modification and proper foot care to prevent further stress on the metatarsals.

Metatarsalgia can be a painful and limiting condition, but with proper treatment, including physical therapy, many people can experience relief from symptoms and return to their normal activities. If you are experiencing pain in the ball of your foot, consult with a healthcare professional or a physical therapist for a comprehensive evaluation and personalized treatment plan.