Ball of the foot pain (Metatarsalgia)

Metatarsalgia is a symptom of pain in the forefoot. At first there is tenderness over the metatarsal heads. This may be described by the patient as “walking with a pebble in the shoe”. This condition is most common in middle-aged people who have a pronation tendency and is most commonly seen after an increase in activity levels or weight gain.

Conservative treatment includes appropriate footwear, padding and arch supports which avoid increased pressure on the painful metatarsal heads. All the aspects of treating the pronated foot must be utilised including exercises to strengthen the intrinsic muscles, Achilles tendon stretching and improvement of gait.