What Causes Metatarsalgia?
There are several causes of metatarsalgia. Changes in the body’s weight distribution or foot structure, as well as biomechanical problems, are all possible factors. Even small changes in gait can increase stress on the metatarsals. Inherited anatomical problems are also a possibility.
Morton’s neuroma
Morton’s neuroma is a degenerative condition that affects the third webspace of the metatarsal bones. The condition occurs because of an abnormality in the nerves in this area. The condition often manifests as pain in the metatarsal head. The pain is often mistaken for rheumatoid arthritis or gout. Inflammation of the joint can aggravate the condition, and fluid accumulation around the joint can damage the nerves and muscles in the area. A diagnosis of Morton’s neuroma can be made by performing a compression test or using an ultrasonograph. If the diagnosis is confirmed, treatment can be implemented to alleviate the pain.
The symptoms of Morton’s neuroma include burning, aching, and sometimes shooting pain. The pain may be consistent throughout the bottom of the foot and can cause the sufferer to want to remove the shoe. Other symptoms can include numbness and pain in the toes.
Treatment for Morton’s neuroma depends on the severity of the symptoms and the type of neuroma. In some cases, local anesthetic injections can help alleviate the pain. In other cases, decompression surgery can be used to reduce the pressure on the nerve.
Surgery can treat the pain and discomfort caused by Morton’s neuroma. Surgery is often effective, but it is not without risks. Although surgery effectively reduces pain and eliminates pain, it can numb the toes. Patients should be aware that this procedure is invasive and can leave them permanently numb the toes.
Morton’s neuroma is usually caused by abnormal foot movement. This causes pressure on the metatarsal nerve, and the sheath surrounding the nerve may become inflamed. High-heeled shoes and activities that over-pronate the foot may aggravate the condition.
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- METATARSAL PADS: The integrated metatarsal pad can help relieve forefoot pain from Metatarsalgia, Morton’s Neuroma, Sesamoiditis, and Arthritis. The soft metatarsal pad will cushion, spread and support the metatarsal heads to relieve the pain and burning sensation in the balls of your feet. Our 3/4 length design will provide proper biomechanical support of your feet during your favorite athletic activities, running workouts or normal daily use in your casual shoes, boots, sneakers or dress shoes
- PLANTAR FASCIITIS RELIEF: The semi-rigid arch support will provide relief from Plantar Fasciitis by supporting the medial arch and the deep heel cup design can help to prevent mild pronation and/or supination by keeping the foot in proper alignment during the gait cycle.
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Last update on 2025-11-19 / Affiliate links / Images from Amazon Product Advertising API
Foot deformities
Foot deformities and metatarsalgia are often caused by an abnormal forefoot alignment, leading to excessive pressure on the associated joints. Correcting these conditions can improve symptoms and reduce pain. There are several surgical approaches, and the most common involves Weil osteotomy, in which an incision is made on the top of the foot and the metatarsals are surgically reduced and secured with screws. The skin and soft tissue are then closed with an absorbable suture.
One type of foot deformity is known as ‘metatarsus adductus‘, and is characterized by an abnormally curved foot. It is caused by adduction of the metatarsals at the Lisfranc joint, resulting in a relative deviation of the forefoot relative to the hindfoot. This deformity results in a concave medial surface and a smoother outer surface. It usually persists until the child reaches one or two years old.
Another type of foot deformity is syndactyly. This is a disorder in which the mesoderms do not fuse together and develop the bones. It can be simple or complex and may involve bone fusion. In some cases, the pulp will be affected, while others may only affect the metatarsals.
Other foot deformities often complicate Metatarsalgia. It may require surgery to realign the metatarsal bones. Conservative treatments include rest and elevating the foot to prevent further injury. Low-impact exercises can also be beneficial. An ice pack is also a good way to protect the skin.
If you are experiencing symptoms of hallux valgus, you may want to consult a foot deformity specialist. A hallux valgus, a deformity of the first metatarsal, may indicate that surgery is needed. While this procedure does not necessarily have a high success rate, it can improve a patient’s quality of life.
Wearing shoes of the wrong size
Wearing shoes that are too small or too large puts excessive pressure on the ball of the foot and metatarsal region. Often, this problem occurs in athletes, and people with high arches or insteps are more at risk of developing metatarsalgia than people with flat feet. Metatarsalgia can also occur in people with a long second toe that is longer than the big toe.
There are several ways to prevent metatarsalgia from developing in your feet. Avoid excessive running and jumping, and wear comfortable, properly-fitting footwear. It’s also important to avoid wearing tight shoes or high heels. If you’ve suffered from metatarsalgia, it’s best to consult a doctor as soon as possible. The symptoms of metatarsalgia include burning, numbness, and tingling in the toes. This problem can make daily activities difficult or painful.
The wrong size of shoes can also cause metatarsalgia, a group of symptoms that can occur on the toes. Proper footwear can prevent metatarsalgia from occurring and reduce foot pain. The metatarsal bones are five long bones in the foot which form a distinct arch.
The first metatarsal bone is shorter and thicker than the second one. It takes the brunt of body weight during push-off. A collapsed arch can pinch the nerve between the ball of the foot and the metatarsal bone. The collapse of the arch causes pain and inflammation in the feet. This problem often occurs due to the improper shape of the foot or overuse of the feet.
The problem may occur when wearing shoes that are too small or too large. People with metatarsalgia often experience pain in the ball of the foot. The pain may be caused by various factors, including foot deformities and wearing shoes that are too small or too large. While the symptoms are often painful, they can be relieved with ice and rest. Proper footwear is crucial in minimizing the pain caused by metatarsalgia.
- INSOLE WITH AMAZING SUPPORT – Footlogics orthotic shoe insoles are medically approved insoles with cushion and support. The metatarsalgia pair is designed to combat ball of foot pain and Morton’s neuroma.
- 3/4 LENGTH WITH BUILT-IN RAISE – To give your feet breathing space, these insoles are 3/4 length. They also have a prominent built-in metatarsal raise to reduce pressure on the ball of the foot, as well a deep heel cup and strong arch support.
- COMFORT AND VERSATILITY – Fits flat or low-heeled men and women’s shoes, with or without laces. Wear them with loafers, mocassins, or flat sandals, giving you extra comfort and support.
- AMAZING PAIN RELIEF BENEFITS – Developed by Australian podiatrists, Footlogics Metatarsalgia insoles provide relief from metatarsalgia, Morton’s neuroma (tired and aching feet), fallen arches, and other foot complaints.
- CUSHIONING, QUALITY MATERIAL – Made from lightweight yet supportive Q-E.V.A., and shock-absorbing Podflex heel and forefoot padding. See our size guide below for a breakdown of available sizes.
Last update on 2025-11-19 / Affiliate links / Images from Amazon Product Advertising API
Inherited anatomical conditions
Various anatomical problems can cause Metatarsalgia. Some of these disorders have inherited characteristics. For example, a bunion deformity or arthritis of the great toe may be a risk factor for developing metatarsalgia. Similarly, ligament instability in the midfoot or excessively tight calf muscles may contribute to the condition.
Conservative treatment of metatarsalgia may help relieve symptoms, but in some cases, surgery is necessary. At Coeur d’Alene Foot and Ankle Surgery Center, we offer both traditional and minimally invasive surgery to correct metatarsalgia. The traditional surgical correction consists of cutting the metatarsal bone behind the toe and elevating it into a corrected position. Following surgery, external splinting may be used to redistribute the patient’s weight.
Morton’s neuroma is a common cause of metatarsalgia and can occur due to repetitive injury to the foot. This condition often results in partial pain relief after surgery, but it can also signify a more serious condition.
Genetic factors may also cause Metatarsalgia. People with a high arch, a Hammertoe deformity, a short first metatarsal bone, and a long second metatarsal bone may experience this condition. These problems can lead to inflammation in the metatarsal bones and painful swelling. Runners and those involved in high-impact sports such as tennis and soccer are more likely to develop metatarsalgia than people with normal foot structures. Moreover, wearing shoes that fit poorly can lead to metatarsalgia.
The common symptoms of metatarsalgia include widespread pain in the foot and ankle. If left untreated, metatarsalgia can lead to bunions or hammertoe. Sometimes, patients with metatarsalgia may require surgery to straighten their toes or reshape their bones.
Shoe size
Metatarsalgia is a common problem that causes pain in the big toe joint. The most common cause of the condition is excessive pronation, which causes the foot to roll inwards. Your feet must be properly sized for your shoe. Usually, the proper shoe size should be at least one size larger than your actual foot size.
The correct shoe size can prevent metatarsalgia by preventing foot deformities. Women who wear high-heeled shoes are at greatest risk for metatarsalgia, but men can suffer from the condition too. The right shoe size can prevent painful corns and calluses.
Good shoe size should have sufficient width and depth for the metatarsal joints. Moreover, it should also offer good cushioning and support. Also, a slight rocker sole in the forefoot can reduce the force on the metatarsal heads at the toe-off. In addition, you should avoid running, jumping, or other activities that might worsen your symptoms. Moreover, you should consult a doctor or podiatrist if the pain persists or worsens.
Metatarsalgia is common among people who engage in sports with high-impact movements. Marathon runners and athletes are at increased risk as they put more pressure on the front portion of their feet. A good solution is to take time off from such activities and use supportive footwear. Losing weight and avoiding being overweight can also reduce the risk of metatarsalgia.
In some cases, custom orthotics may be necessary. Custom orthotics are custom-made or off-the-shelf devices that fit your foot. These devices are made of cork, plastic, or a gel-like substance and help alleviate pain and improve function. While custom foot orthotics are the best option, they are also expensive.
