The metatarsals refer to the five long bones found in each foot – in the front of your feet, just below (behind) your toes.
Metatarsalgia is a common condition that causes pain and inflammation in the ball of the foot, due to excessive pressure on the forefoot.
Symptoms of metatarsalgia may include:
- Sharp, shooting, aching or burning pain in the ball of your foot.
- Redness, swelling with hard bony lump near the big toe
- Pain that worsens when you stand, run, flex your feet or walk — especially barefoot on a hard surface.
- The pain may improve when resting.
- Numbness, or tingling in your toes.
- A feeling of having a lump or a pebble in your shoe or under your foot
- Pain, swelling, bruising that start after intense or repetitive exercise
Possible Causes & Risk Factors
- Activities that involve intense training, running and jumping.
- Poorly fitting shoes – that are too tight, too loose or high heels
- Shoes with spikes, such as cleats
- Shoes with a narrow toe box or athletic shoes that lack support and padding
- Certain foot shapes – a high arch
- Foot deformities such as having a second toe that’s longer than the big toe or a downward-curling toe (hammertoe)
- Swollen, painful bumps at the base of your big toes (bunions).
- Obese or having excess weight.
- Fractures
- Morton’s neuroma – a noncancerous growth of fibrous tissue around a nerve between the third and fourth metatarsal heads.
- Calluses on the bottom of your feet
- Rheumatoid arthritis or gout
- Tight calf muscles and Achilles tendons can cause more pressure on the front of the foot
Do’s & Don’ts – Self care
- Do not walk or stand for long periods
- Wearing proper arch supports
- Put an ice pack on the painful area for up to 20 minutes every 2 to 3 hours
- Resting with your feet elevated
- Wearing well-fitted shoes with a low heel and wide toe box
- Using metatarsal pads, shock-absorbing insoles or comfortable inserts in your shoes
- Reducing your weight
- Physiotherapy
- Avoiding walking barefoot
- Soaking your feet to remove calluses
- Do not do any sports or other activity that is causing the pain
- Try regular, gentle foot and ankle stretching exercises
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Why some patients choose natural, complementary or holistic remedies:
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Disclaimer:
Natural remedies—including homeopathic remedies, herbal supplements, and aromatherapy products—are generally safe for most people, including children and older adults. Still, consult your GP or healthcare provider before use, especially if pregnant, breastfeeding, or managing chronic or serious conditions.
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