Metatarsalgia
Metatarsalgia is a conditions that describes generalized pain at the bottom or 'balls' of the feet, or simply called pain in the forefoot. As we walk, our forefoot joints flex, twist and turn. Three specific and common conditions associated with metatarsalgia - Morton's Syndrome/Neuroma, Joint Head Pain and Interdigital Neuroma are described below.
Morton's Syndrome
These conditions occur when the first tow is shorter relative to the second toe. This leads to excess pressure being placed on the ball of the second toe and/or pinching of a nerve between the 3rd and 4th toes. Effects are tender joint of the second toe, sharp shooting pain in the area of the toes, possible numbness or pins and needles sensation in the toes and excess pressure on the second toe causing callous formation.
Metatarsal Joint Pain
Any or a combination of the following can contribute to joint pain in the ball of the foot: flat feet, high arched feet, toe deformities, osteoporosis and arthritis and direct trauma to the joints. Effects are increased pressure causing callousing under the ball of the foot, joint tenderness or stiffness, change in walking pattern to avoid pain, increased potential for stress fractures, site of ulceration for diabetics, sensation similar to walking on a pebble when going barefoot.
Interdigital Neuroma
This condition can be described as pinching of a nerve between the toes from pointy toed shoes, high heeled shoes, flat feet, high arched feet or old worn out shoes. Effects are pain in the toe area that feels like an electric shock, numbness, pins and needles and tendency to remove shoes whenever possible for relief.
