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Metatarsalgia

Metatarsalgia is a common condition that causes inflammation and pain on the bottom of the feet. Learn here about the symptoms and treatment for metatarsalgia.

If you have a diffuse ache in the bottom of your foot, you might be experiencing metatarsalgia pain.  What is metatarsalgia, and what should you do if you have it?  Here is everything you need to know about metatarsalgia foot pain and when to see a doctor.

What Is Metatarsalgia?

Metatarsalgia is a medical condition that causes the ball of your foot to hurt and become inflamed.  It is a problem that deals with the mechanics of the foot, and is very common.  If you play a sport or exercise often, you may find that difficult to compete while experiencing metatarsalgia pain.

What Causes Metatarsalgia Foot Pain?

Metatarsalgia has a few possible causes.  Intense activity that is especially hard on your feet can cause the condition to develop.  Runners have a high risk of developing metatarsalgia pain, as do others who participate in sports that repeatedly place significant amounts of force on the front part of the foot.  Wearing poor-fitting shoes while exercising only makes this worse.

Footwear in general can cause metatarsalgia, especially shoes that are very tight or too big.  High heels put pressure on the front part of the foot.  Many people who wear heels on a regular basis experience metatarsalgia foot pain.  Certain foot shapes, such as high arches and longer second toes, can also contribute to this condition. Often an xray of your foot will allow your doctor to assess the weight distribution along all the metatarsal heads, where you feel metatarsalgia pain, by analyzing the length of the bones compared to one another. Most commonly, pain is felt under the second metatarsal head, due to the length of this bone being just 1-2 mm longer than its counterparts. 

Other foot ailments like hammertoes, bunions, and stress fractures can lead to metatarsalgia pain.  Anytime you are walking differently because of pain or injury, the ball of your foot is taking more of an impact than usual.  This means that being overweight can cause your metatarsalgia foot pain to get worse as well.

What Are the Symptoms of Metatarsalgia?  

Metatarsalgia usually starts with forefoot pain.  Other signs include sharp pain or burning in the ball of your foot.  If this pain gets worse when you walk and better when you rest, it might be metatarsalgia.  Sharp, shooting pains and numbness are also symptoms.  Some people don’t report metatarsalgia foot pain as much as they just feel something is off.  It might seem that there is a small rock in your shoe even when you have checked and there is nothing there.  Achy feet are common after a long day, but if the pain lasts for multiple days, it might be metatarsalgia pain. Furthermore, after a long day of walking, patients with progressed metatarsalgia can have aching in the ball of their foot even after sitting down and not being on their feet. 

Is Metatarsalgia Pain Serious?

Not all metatarsalgia foot pain requires a doctor’s visit.  You can try a few lifestyle changes first.  Icing and resting your feet often relieves inflammation and pain.  Wearing properly fitting shoes can help prevent the condition from developing in the first place.  You can also get new footwear with shock-absorbing insoles or arch supports or buy inserts to put into your current shoes to minimize the effects of metatarsalgia pain. 

If you have continued burning pain in your feet after several days and shoe modifications, it is time to talk to a doctor.  If you continue ignoring the problem, your metatarsalgia foot pain may turn into pain in other parts of the body.  This is because limping puts extra stress on the hips and lower back.  Your doctor will likely recommend different shoes, custom orthotics, or a metatarsal pad to treat the issue.  In rare severe cases, surgery can be done to realign the bones in the ball of your foot.

Seeking Relief From Metatarsalgia Pain?

No one likes limping around on aching feet all day.  Get relief from your metatarsalgia foot pain at Diablo Foot and Ankle.  Their expert Podiatrists will have you up and running again in no time.  Call or schedule an appointment online today.

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“I saw Dr. Elmi after a motorcycle accident that left my foot totally useless he was not only very knowledgeable what did a great job and give me back on my feet thank you unfortunately I am in need of his Services again it is so comforting to know I have such a skilled podiatrist taking care of me thanks again!”

JOHN E ・PAST PATIENT

“Dr. Elmi is very knowledgeable, kind, and works quickly.”

CRYSTAL L ・PAST PATIENT

“I was amazed at how knowledgeable, kind, and quickly he solved my problem of having a callus on the bottom of my foot - I had seen a couple of other podiatrists - one being at UCSF - and neither of them seemed to know what to do to stop the pain.  My son had used Dr. Elmi and highly recommended him and being very tired of limping around in pain all the time, and without much hope, decided to at least try one more doctor.  As I said at the beginning of this review, I could hardly believe how quickly and easily he not only got rid of the pain but showed me exactly what was causing it and exactly what insert to get and where to get it (REI).  I've been just fine every since and we're so lucky to have Dr. Elmi right here in Strawberry/Mill Valley - he's the best!”

CRYSTAL L ・PAST PATIENT

“Thoughtful.  Listened. Took care of my foot problem.  Will be glad to see him again when needed.”

JAMES W ・PAST PATIENT

“I went and saw Dr. Elmi for my heel pain, and am VERY happy with the care I received. I had seen 2 other docs in the area, and they never even took the time to explain what was going on, Plantar Fasciitis. Dr. Elmi explained in detail why I was in so much pain, and showed pictures of the anatomy and everything made perfect sense. I happy to say that after initiating his course of care, I was back to running within 2 weeks, and felt like I got my life back. I found out later from my primary care that he is actually the Chief of Foot & Ankle Surgery at Marin General Hospital, makes sense..he's a great doc, highly recommend him!”

SAMLRA ・PAST PATIENT

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