What Is Metatarsalgia (Forefoot Pain)?
Metatarsalgia, also known as forefoot pain, refers to discomfort or inflammation in the ball of the foot, located between the arches and toes. This condition often results from excessive pressure on the metatarsal bones and is commonly associated with high-impact activities, ill-fitting footwear, or underlying health conditions. It can cause pain, tenderness, and difficulty in daily activities such as walking or running.
Causes of Forefoot Pain
Lifestyle Factors:
- Prolonged standing or walking on hard surfaces.
- High-impact activities like running, jumping, or sports.
- Wearing ill-fitting footwear or high heels.
Health Conditions:
- Arthritis (rheumatoid or osteoarthritis).
- Gout and Morton’s neuroma.
- Sesamoiditis (inflammation under the big toe joint).
- Diabetes or other chronic conditions.
Biomechanical Issues:
- Foot deformities like bunions, claw toes, or hammertoes.
- Abnormal gait mechanics such as overpronation or in-toeing.
- Reduced forefoot fatty padding due to aging.
Symptoms of Forefoot Pain
- Sharp, burning, or aching pain in the ball of the foot.
- Numbness or tingling in the toes.
- Swelling or tenderness in the affected area.
- Pain worsens with activity or walking on hard surfaces.
- Feeling like there’s a pebble in your shoe.
- Relief from pain when resting or sitting.
How Is It Diagnosed?
Our podiatrists at Physio & Sole Clinic will perform a comprehensive assessment that includes:
- Biomechanical and musculoskeletal evaluations to identify pressure points.
- Gait and posture analysis to detect abnormalities.
- Diagnostic imaging such as X-rays, ultrasounds, or MRIs (if required) to confirm the condition and rule out fractures or other complications.
Treatment Options
Conservative Approaches:
- Footwear Modifications: Advice on supportive, cushioned shoes with a wide toe box.
- Orthotics & Insoles: Customised insoles, metatarsal pads, or offloading solutions.
- Stretching & Strengthening Exercises: To improve foot muscle function and reduce strain.
- Activity Moderation: Adjusting daily routines to reduce strain on the forefoot.
Advanced Interventions:
- Extracorporeal Shockwave Therapy (ESWT): Stimulates tissue healing and reduces inflammation.
- Surgery is considered only when conservative treatments fail.
What Happens If Left Untreated?
If untreated, metatarsalgia can lead to:
- Persistent pain spreads to other parts of the foot, ankle, knee, or hip.
- Gait changes or limping, leading to further biomechanical issues.
- Development of irreversible deformities such as claw toes or bunions.
- Progression to chronic conditions like avascular necrosis or joint stiffness.
Prevention Tips
- Wear well-fitting, supportive footwear with proper cushioning.
- Avoid prolonged periods in high heels or barefoot walking on hard surfaces.
- Use orthotic inserts for extra support.
- Maintain a healthy weight to reduce pressure on your feet.
- Stretch and strengthen foot muscles regularly.
- Exfoliate calluses and keep the feet moisturised to prevent additional pressure points.
Why Choose Physio & Sole Clinic?
At Physio & Sole Clinic, we specialise in diagnosing and managing metatarsalgia using a patient-centered approach. Our podiatrists provide customised treatment plans tailored to your needs, combining advanced therapies like ESWT with personalised orthotic solutions and footwear advice. We are dedicated to restoring your mobility, alleviating pain, and enhancing your quality of life.
To schedule an appointment, book here or WhatsApp us here
Frequently Asked Questions
Rest is essential to avoid worsening the condition, but low-impact activities like swimming or stretching may be recommended by your podiatrist.
Consult a podiatrist if pain persists beyond two weeks, worsens, or interferes with your daily activities.
Recovery depends on the severity of the condition. Mild cases may improve within a few weeks with proper care, while severe cases may require months of treatment.
Podiatry Charges
| Podiatry Consultation | $80 – $120 |
| Podiatry Assessment | $180 |
| Shockwave Therapy (One Site, Single Session) | $160 |
| Semi-Customised Insoles | $450 |
| Follow-Up Podiatry Consultation | $50 |
All prices are before GST.
Please note that charges may vary depending on the treatment plan prescribed by your Podiatrist. Our charges are transparent and rest assured there are no hidden charges. A podiatry session will last for 30-45 minutes. There are no surcharges if your session exceeds 45 minutes.
For more information on podiatric charges and insurance inquiries, visit us here or get in touch with us here.
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