METATARSALGIA

Metatarsalgia is a condition characterised by pain and inflammation in the ball of the foot, specifically in the area around the metatarsal heads. The metatarsal heads are the bony prominences at the base of the toes, where the metatarsal bones connect to the toes.

WHAT IS METATARSALGIA?

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Metatarsalgia is a condition characterised by pain and inflammation in the ball of the foot, specifically in the area around the metatarsal heads. The metatarsal heads are the bony prominences at the base of the toes, where the metatarsal bones connect to the toes.

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What are the symptoms of Metatarsalgia?

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Metatarsalgia often presents as a sharp or burning pain in the ball of the foot, which may worsen with weight-bearing activities such as walking or running. The pain can be localised to one specific metatarsal head or may affect multiple areas.

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Several factors can contribute to the development of metatarsalgia, including:

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1. Excessive pressure: High-impact activities, wearing poorly fitting shoes, or engaging in activities that put excessive pressure on the forefoot can lead to metatarsal pain.

2. Foot abnormalities: Conditions like high arches or flat feet can alter the distribution of weight on the foot, increasing pressure on the metatarsal heads.

3. Foot deformities: Conditions such as hammertoes or bunions can contribute to metatarsalgia by causing an abnormal distribution of weight on the forefoot.

4. Overuse or repetitive stress: Engaging in activities that involve repetitive impact or overuse of the foot, such as running or jumping, can strain the metatarsal area and lead to pain and inflammation.

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How can you treat Metatarsalgia?​

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Treatment for metatarsalgia typically involves a combination of conservative measures, including:

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1. Rest and activity modification: Avoiding activities that worsen the pain and giving the foot time to rest can help reduce inflammation and allow for healing.

2. Proper footwear: Wearing shoes with adequate cushioning, a wide toe box, and proper arch support can help alleviate pressure on the metatarsal area and provide relief.

3. Metatarsal pads or insoles: These can be placed in the shoes to provide additional support, cushioning, and offloading of pressure from the affected area.

4. Ice and anti-inflammatory medication: Applying ice to the affected area and taking over-the-counter anti-inflammatory medication (under medical guidance) can help reduce pain and inflammation.

5. Physical therapy and stretching exercises: Strengthening and stretching exercises for the foot and lower leg muscles can help improve foot mechanics and reduce stress on the metatarsal area.

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If conservative measures do not provide adequate relief, or if the metatarsalgia is severe or persistent, it's important to seek medical attention. A healthcare professional, such as a podiatrist, can provide a proper diagnosis, determine the underlying cause, and recommend additional treatment options, which may include orthotics, corticosteroid injections, or in rare cases, surgery.