
What is Metatarsalgia?

Much like many foot conditions could cause heel pain, there are also many that cause “metatarsalgia.” So, what is this prevalent podiatric problem? That nagging ache, burning sensation, or sharp pain in the ball of your foot is a common complaint that can significantly impact your daily activities and overall comfort. Today, we at CarePlus Foot & Ankle Specialists will go over exactly what this condition is, who is at risk, and what causes it.
What is Metatarsalgia?
To clarify: metatarsalgia does not refer to a specific medical condition. Instead, metatarsalgia is a broad term that describes discomfort occurring in the area just before your toes. This pain can range from a dull ache to a sharp, burning, or shooting sensation, and some people describe it as feeling like they are walking on a pebble.
Who is Most Likely to Get Metatarsalgia?
While almost anyone can develop metatarsalgia, certain groups are at a higher risk due to the specific stresses placed on their feet:
- Athletes: Distance runners, dancers, and individuals participating in high-impact sports involving a lot of running and jumping are highly susceptible. The front of the foot absorbs significant force during these activities.
- Individuals with Certain Foot Shapes: People with high arches can place extra pressure on the metatarsals. Similarly, having a second toe that is longer than the big toe can cause more weight than usual to shift to the second metatarsal.
- People Who Are Overweight: Excess body weight puts more pressure on the forefoot when moving.
- Individuals with Foot Deformities: Conditions like hammertoes or bunions can alter foot mechanics and increase pressure points in the ball of the foot.
- Those with Inflammatory Conditions: Inflammatory arthritis, such as rheumatoid arthritis or gout, can cause inflammation in the joints of the foot.
Also, although not specific to one person, anyone who routinely wears poorly fitting shoes, like high heels, is a candidate for metatarsalgia. We’re talking about shoes with a narrow toe box, inadequate cushioning, or worn-out athletic shoes. All can place increased pressure on the toes.
And if you have a history of Morton's Neuroma, you may also be susceptible. This non-cancerous thickening of nerve tissue directly causes nerve pain in the ball of the foot that can feel very similar to metatarsalgia.
Conditions Under “Metatarsalgia”
Because metatarsalgia is a broad term, it can easily encapsulate other forefoot conditions that share similar symptoms.
Besides Morton’s Neuroma, capsulitis or sesamoiditis can cause metatarsalgia because the inflammation of joints and bones of the toes leads to pain and tenderness. These bones could also sustain tiny breaks known as stress fractures, which could confuse self-diagnosis.
For any podiatric concerns you’re facing, come see Dr. Hubert Lee and the team at CarePlus Foot & Ankle Specialists for guidance and advice. You can schedule an appointment online or call today at 425-455-0936.
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