Metatarsalgia

METATARSALGIA pain

Last Updated December 20th, 2021

Overview

Your feet carry the entire weight of your body when you stand, walk, run or land from a jump. When this weight is properly distributed, you will have good balance and a much-reduced likelihood of injuring your feet. Under certain conditions, such as when you are wearing high heels, it is difficult to achieve the right distribution of weight. Hence, your spine will have to compensate by altering its natural alignment. In the long term, someone who wears high heels regularly runs the risk of developing a range of spinal and foot-related problems. One such is a condition known as metatarsalgia.

 

What Is Metatarsalgia?

METATARSALGIA bonesMetatarsalgia is a painful foot condition affecting the balls of the feet, often as a result of the repeated injury. The pain may be felt at one or more of the metatarsal bones and it may be present in one foot or both. It is felt more acutely when the person walks, runs or places their weight on the affected foot. This condition is likely to affect athletes, particularly those engaged in activities that put a great deal of pressure on the forefoot. For instance, sprinters and even high jumpers tend to place a lot of pressure on the forefoot. As a result of a repeated impact, the balls of the feet, or the metatarsals, can become inflamed.

 

What Causes Metatarsalgia?

Human feet are composed of a variety of bones. Your hindfoot consists of the heel and ankle. The midfoot rises up to form an arch which offers a shock absorbing action when your foot hits the ground. The forefoot is composed of your toes which are connected to the midfoot by a set of five differently sized bones known as the metatarsals. These bones form what is known as the balls of your feet. Most of the weight of your body is borne by the balls of your feet and your heels but the structure of the foot helps to distribute this weight in a healthy manner, assuming there are no congenital defects in foot structure. Any condition that interferes with this weight distribution can give rise to a variety of problems.

METATARSALGIA painFor instance, anybody who engages in activities that repeatedly deliver forceful impact to the feet is at risk of suffering from metatarsalgia. As we have seen, athletes and sportsmen represent a typical example of this. However, even those who wear high heels or ill-fitting footwear regularly are at risk of suffering from this condition. Alternatively, if you have foot deformities, you too could develop metatarsalgia.

To put it simply, metatarsalgia develops when abnormal pressure is placed on your foot. In the instance of wearing tight shoes with a constricted toe box, your toes are jammed together. As a result, the nerves positioned between them can become pinched and inflamed. This is the cause of the pain you experience when you have metatarsalgia.
A fuller list of causes for metatarsalgia appears below:

  • Physical activities that repeatedly deliver high impact to the forefoot.
  • Being overweight or obese, as this puts additional pressure on your feet.
  • Wearing ill-fitting footwear, especially high heels.
  • Rheumatoid arthritis.
  • Diabetes.
  • Morton’s neuroma, involving irritation of a certain nerve that then causes pain in the balls of the feet.
  • Fractures in the metatarsals or the bones of the toes.
  • Flat feet.
  • Abnormally high arches.
  • Bunions.
  • Hammertoes.
  • Those with a short first metatarsal or a long second metatarsal also have an increased risk of developing metatarsalgia.
  • Women are more likely to suffer from metatarsalgia. This may have to do with the practice of wearing tight shoes or high heels.
  • The risk of developing metatarsalgia also increases with age.

 

What Are The Symptoms?

As the name suggests, the main symptom of metatarsalgia is a pain. The severity and extent of the pain vary from one individual to the next. This pain may be mainly concentrated in the region of one of the metatarsal bones or even several. It could affect the rest of the foot as well. Some people have this problem in both feet, making it difficult to walk normally as the pain tends to intensify when walking or even when flexing the affected foot. Some patients experience other abnormal sensations such as numbness or tingling in the affected toes.

 

What Are Some Complications To Watch Out For?

METATARSALGIA foot modelWhen the pain is mild to moderate, home remedies can help to alleviate it to a certain extent. This includes taking rest, applying ice to the affected area and taking care to wear more comfortable shoes. In case these methods do not help or in case the pain is severe, it can impair normal movement and interfere with routine activities. As a result, the person may limp or try to compensate by modifying their gait. This puts abnormal stress on other parts of the body and can lead to a range of other problems. For instance, the patient may develop pain in the other foot as well or even the back and hip.

 

Diagnosis, treatment, and prevention

If you are experiencing symptoms related to metatarsalgia, you should visit a doctor to find out why. The process of diagnosing metatarsalgia must begin with a physical examination of your foot. In order to rule out possible fractures or internal injuries, you may need to get your foot X-rayed. Other possible diagnoses such as bursitis will also need to rule out. More specialized tests such as bone scans may be performed in order to locate the inflammation.

Depending on the nature of the problem that has led to metatarsalgia the mode of treatment can vary. The patient may be given steroid injections to calm inflammation and associated pain. The patient may also be advised to wear supportive inserts or orthotics to improve weight distribution and support for the foot. If the patient is obese and this is found to be responsible for the pain in their foot, they can benefit from losing some weight as this will relieve the pressure on their feet. In some cases, surgery may be required as well.

The recovery from metatarsalgia pain usually involves identifying the exact cause of the pain and eliminating those factors. It could range from giving up wearing high-heeled and ill-fitting shoes to avoiding high-impact physical activities and sports. Special orthotic footwear and pads can help decrease the strain on the metatarsalgia. Gel metatarsal cushions and other types of cushioned insoles could also be used.

In order to prevent such pain, it is important to maintain a healthy weight. Shoes which are wide enough to house the toes completely can go a long way to prevent pain in the forefoot. Wear proper footwear while playing/exercising to prevent undue stress adding on your metatarsal.

 

 

Dos and Don'ts

Dos
  • Wear comfortable and well-fitting footwear. Avoid wearing tight-fitting and high-heeled shoes.
  • If possible, try to wear shoes with cushioned insoles. It provides support to the forefoot.
  • Identify the real cause of metatarsal pain and bring necessary changes in your lifestyle to avoid it.
Don'ts
  • Perform high-impact exercises and sports.
  • Lead a completely sedentary lifestyle. Some amount of walking should be done.
  • Walk barefoot. This increases the pressure on the metatarsal and may worsen the pain. It also invites more infections.
  • Use heat/hot water to treat the pain. Ice packs are more suited to treat such cases of inflammation.

 

 

 

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CEA_test
Carcinoembryonic antigen (CEA) test CEA or carcinoembryonic test detects the presence of CEA antigen in your blood mainly & determines the effectiveness…
amylase test
Amylase Test Amylase test is done by checking the level of this protein in the blood sample and also in…
cystatin C
Cystatin C Test Cystatin C is a specific single-chain protein that is found in body fluids and is a biomarker for…
woman with abdominal pain holding ovulation calendar
Ovulation – facts to know about ovulation Learn how and when ovulation occurs, demystify common misconceptions, identify symptoms, methods of detection and right period for…
Jack in the box fast food
Jack In the Box : The perils of surging fast food culture in the USA Jack in the Box - How a culture of fast-food can clog your arteries, weaken your heart, fatten…
Astaxanthin: Why experts believe it could be 550x more potent than vitamin E! What is astaxanthin and why is this new supplement on the block touted as the most powerful antioxidant…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
Gua sha: Scraping away layers of pain with this ancient healing tool Gua sha is an ancient oriental healing method which focuses on scraping the body with specific tools to…
Vagus nerve: 7 health benefits of stimulating the “gut-brain” connection As a matter of fact, there are two vagus nerves namely the left and the right but is…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
Urologist: When should you visit one and why? A urologist can treat not only genitourinary problems of both men and women but also can treat various…
The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
Bloodtestalbumin
Albumin Test Albumin test or blood serum test is a liver function test that measures the amount of the protein…
C-Reactive Protein Test A CRP or c-reactive protein blood test is an important diagnostic tool used to determine the risk of…
valproic acid test
Valproic Acid Test Valproic acid test is performed to generally check for psychiatric and even neurological conditions such as bipolar disease…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
malarial antigen test
Malaria Antigen Test A malaria antigen test is a rapid diagnostic test (RDT) that can detect malarial antigens (proteins) in your…
Diabetes blood test
Diabetic Profile The diabetic profile is a set of tests used for testing and monitoring the various kinds of Diabetes…
liver detox facts
7 liver detox facts and why ignoring these could kill you! Are you taking care of this organ that handles over 500 different vital functions in your body? Your…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…
gout diet purines
Gout Diet : Get relief from painful joints by eating these foods Are you a victim of this painful condition? Are medications providing only short relief? Find a list of…
CLA: A breakthrough weight loss supplement with minimal side effects Tried every weight loss supplement in the market with no substantial gain? Why not try CLA supplements, derived…
How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging from diabetes cure…
Carb Cycling: Weighing the pros vs the cons of this diet routine Completely discarding carbs from your life will do you more harm than good. Read more about carb cycling,…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
ANTIPHOSPHOLIPIDANTIBODY(APL)_IgG
Antiphospholipid (APL) antibody-IgG The Antiphospholipid Antibody testing is a blood test used to determine an autoimmune disorder called Antiphospholipid syndrome linked…
sodium blood test
Blood Sodium Test A blood sodium test measures the amount of sodium (an important electrolyte) in your body. It is also…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
dance health benefits
5 unbelievable effects of dance on your overall health! You enjoy dancing, but did you know what else it does to your body? Dancing is not only…
oral hygiene tips
6 shocking consequences of bad oral hygiene (and how to avoid them) Did you know bad breath is not just turning off, but also harms your body in ways you…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
Drinking water benefits
8 reasons why you should grab a bottle of water now! Did you know you don't have to be thirsty for hours to be dehydrated?You could be dehydrated right…
ginger benefits healthy
Ginger: Why is it called the root of all remedies? Be it in form of tea or juice, ginger has a lot to offer when it comes to…
Is it possible to achieve full body detox with Master Cleanse? Master cleanse is a diet consisting of a lemonade based beverage, a salt water drink and a herbal…
CERULOPLASMIN- triple marker
Triple Marker Test A triple marker test is an important prenatal test that is performed to detect the presence of chromosomal…
ASTtest-liver
AST- Aspartate Aminotransferase Test AST test is a blood test that is used to measure the level of a particular liver enzyme…
Okra: How can this nutrient-dense vegetable help you fight diabetes? Okra is a food which is rich in nutrients and minerals which are extremely essential for a healthy…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…
kshar sutra
Kshar sutra treatment for piles, fissures and fistula Read to know the benefits and side effects of kshar sutra to treat anal piles, fissures, and fistula…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
yoga health benefits
How to practice yoga for astounding health benefits Can a 5000-year-old system be the ultimate body healer? Did you know yoga can make you smarter and…
stress adverse effects
Fight, flight, or freeze: 8 ways stress can ruin your body Did you know that stress is in-built in our systems? It helped our ancestors respond to danger. How…

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