Metatarsalgia – how to recognize and treat forefoot pain?

What is metatarsalgia?

Metatarsalgia is a medical condition characterized by pain in the front part of the foot, known as the forefoot, which results from excessive pressure on the metatarsal bones. This pain often intensifies during walking, running, or standing. It is a serious condition that can affect people of all ages, though it is more common among athletes and individuals wearing improper footwear.

Why does metatarsalgia occur at all?

Metatarsalgia can have many causes, with the most common being improper footwear, excess weight, physical activity, or abnormal foot structure. It mainly occurs due to excessive pressure on the forefoot. Sometimes its primary cause is flat feet, high arches, or hammertoes.

Are metatarsalgia and Morton's neuroma the same thing?

Metatarsalgia and Morton's neuroma are two different conditions, although both can cause pain in the forefoot. Metatarsalgia mainly involves overloading and inflammation of the tissues around the metatarsal bones, while Morton's neuroma is a thickening of nerve tissue between the metatarsal bones, causing pain and tingling, most often between the third and fourth toes.

How is metatarsalgia treated?

The treatment of metatarsalgia depends on its cause. In most cases, wearing shoes with a wide toe box and proper cushioning can significantly reduce pain, along with special exercises to strengthen and stretch the foot muscles. In rare cases, when other treatment methods fail, surgical intervention may be necessary.

What symptoms does metatarsalgia cause?

The primary symptom of metatarsalgia is pain in the forefoot. This pain can be sharp, burning, or tingling, worsening during walking or standing. In some cases, patients may experience burning or tingling in the forefoot. Less commonly, metatarsalgia may cause swelling and redness at the site of the pain.