Metatarsalgia (Pain in the toe ball / forefoot)

Metatarsalgia is the name used for pain in the toe ball, metatarsal bone and forefoot. Metatarsalgia and pain in the forefoot can be due to several diagnoses - among others Morton's neuroma, hallux valgus, load damage, stress fractures in the metatarsals, Osteoarthrtitis, Arthritis, gout, diabetic neuropathy or Freiberg's disease. You will find more diagnoses, symptoms and the like in our collection article hurt in the foot. Because there are so many diagnoses and reasons for getting metatarsalgia, it is usually necessary to have a clinical examination from a doctor, chiropractor, physical therapist, manual therapist or the like to find out what is causing you the pain.

TIP: Many people with pain in the forefoot like to use toe pullers og specially adapted compression socks (the link opens in a new window) to increase circulation and limit the load on the affected area.

Causes of Metatarsalgia

The most common direct causes of developing metatarsalgia and toe pain are congestion, stiff Achilles tendon and ankle, overweight and high heel shoes. Previous surgery or surgery in the foot can also lead to pain in the forefoot. Otherwise there are several anatomical causes such as hallux valgus or hammer toe - which can lead to an incorrect load in the foot.

Who is affected by Metatarsalgi?

The condition can affect most people due to overload, but normally it often affects those who are overweight and who are overweight on hard surfaces. Frequent use of high-heeled shoes can also lead to increased pressure and strain on the area.

- Here we see the anatomy of the foot, and we see where the metatarsal ointments are in the forefoot.

Symptoms of Metatarsalgia

Metatarsalgia means pain and pain in the forefoot and toe balls. The pain can occur due to prolonged overuse or incorrect loading, but can occasionally occur quite acutely as well. The pain can sometimes be difficult to locate specifically - and it can feel as if the pain sometimes moves around a bit.

Diagnosis of Metatarsalgia

A clinical examination and history taking will show pain localized to the toe and forefoot. There may be tenderness both by pressure touch (palpation) and strain, e.g. at times. Other possible causes of similar symptoms are stress fracture, intermetatarsal bursitis or Morton's neuroma.

Possible diagnoses of Metatarsalgia

Arthritis

Osteoarthritis

Bursitis (bursa inflammation)

Freiberg's disease

Hallux valgus

Morton's neuroma

Myalgia and muscle pain

Rigid joints and impaired joint function

stress Fracture

Gout

Imaging diagnostic examination of Metatarsalgia (X-ray, MRI, CT or ultrasound)

X-rays can show if there are any loose bone fragments or wear and tear in the foot or forefoot. One MRI examination can show the condition of soft tissue, legs and tendons.

X-ray image relevant to Metatarsalgi

X-ray image of the foot - PHOTO WIKIMEDIA

- X-ray of the foot, lateral angle (seen from the side), in the picture we see the tibia (inner shin), fibula (outer shin), talus (boat bone), calcaneus (heel), cuneiforms, metatarsal and phalanges (toes).

Treatment of Metarsalgia

The treatment is variable and depends on which diagnosis is made. But on a general basis, one will often advise to weight loss, a rest period and to change to more supportive footwear - as well as avoid high-heeled shoes if there is something to wear. Others may need shock-absorbing soles and gel pads - it varies. One can also try massage, foot care or similar treatment to increase the circulation in the feet. Cold treatment can provide pain relief for sore joints and muscles, also in the foot. Blue. Biofreeze is a popular product. One should always try conservative treatment for a long time before resorting to invasive surgery (surgery and surgery), but in some cases this is the only way out for those who have tried absolutely everything.

RELATED PRODUCT / SELF-HELP: - Compression sock

Anyone with foot pain and problems may benefit from compression support. Compression socks can contribute to increased blood circulation and healing in those affected by reduced function in the legs and feet.

Exercises against Metatarsalgia

There are not many specific exercises against metatarsalgia, as it is a common term for pain in an area - but on a general basis it is recommended, among other things. strengthening of the foot blade og extension of plantar fascia.

Related article: - 4 good exercises for sore feet!