Metatarsalgia is a symptom of pain in the forefoot. At first there may be tenderness under the metatarsal heads. Later on, the patient describes a burning sensation in the ball of the foot. As the problem continues, there is also a history of burning and numbness in the middle three toes. This is a condition most common in patients with increased pronation and an increased level of physical activities.

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