METATARSALGIA is described as an inflammatory condition that is very painful and occurs at the front of the foot where the metatarsal bones are located. The most common place to find the pain is in the ball of the foot, or just behind the toes.

This is not a serious condition but it can cause a lot of discomfort and inconvenience. If left untreated, it can lead to pain in the opposite foot, ankle, hips, and lower back.

Symptoms

Most patients describe a sharp, aching or burning sensation in the ball of the foot usually when weight-bearing. The toes may tingle or feel numb. Some people say it feels like having a stone within their shoe. This discomfort tends to worsen with high impact exercise.

Causes

1. Being overweight can put excessive pressure on the front of the foot especially during movement. Losing weight can reduce and eliminate the symptoms all together.

2. High-heeled shoes will transfer your weight to the front of the foot. They are often narrow in the toe box without decent support. This combination makes the condition common in women who wear this style of footwear.

3. Small fractures (stress fractures) in the metatarsals or toes will cause metatarsalgia.

4. Morton’s Neuroma is a condition where a small growth occurs on certain nerves in the foot leading to pain.

5. Foot deformities like hammer toes, bunions and mallet toes can also be a cause. A highly arched foot will put extra pressure on the metatarsals which may result in pain.

6. People who take part in intensive training, especially running, put more pressure on the front of the foot and are more prone to this condition.

7. Inflammatory diseases like gout and rheumatoid arthritis make the feet more vulnerable to metatarsalgia.

Treatment

If the condition is acute follow RICE

R: Rest and reduce daily activities

I: Apply an ice pack to the affected area for 10-15 minutes. Do not apply ice directly to the skin as this may cause ice burns.

C: Use compression bandaging to limit the swelling.

E: Elevate the foot to help reduce the swelling.

If the condition is chronic and symptoms persist after 48 hours, patients may be prescribed non-steroidal anti-inflammatory medication or other forms of pain relief. Podiatrists can make orthotics to aid correct foot function and reduce symptoms.

Good footwear is essential when suffering with metatarsalgia. Low-heeled supportive shoes with shock-absorbing insoles are ideal. Maintain a healthy weight to take the load off your feet and see your podiatrist or general practioner for further advice.

Angela Davis BSc (Hons) DPodM MChS is a podiatrist with offices in Montego Bay (293-7119), Mandeville (962-2100), Ocho Rios (974-6339), and Savanna-la-Mar (955-3154). She is a member of the Health and Care Professions Council in the United Kingdom.