Metatarsalgia is a condition that causes pain and soreness in the ball of the foot, where the toes connect to the rest of the foot. This discomfort is usually due to excessive pressure on the metatarsal bones, often caused by foot structure, lifestyle choices, or underlying conditions. Diagnosis is based on a physical exam, and in some cases, X-rays or imaging tests may be used to rule out other foot issues.

Common causes include:

Tight shoes or high heels, which increase pressure on the toes. Foot structure issues, such as high arches, bunions, or hammer toes. High-impact activities like running, jumping, or prolonged standing. Excess weight, which adds strain to the foot. Conditions like arthritis, diabetes, or nerve pain. Symptoms typically involve sharp, aching, or burning pain in the ball of the foot, worsening with walking, standing, or tight footwear. Some may also feel numbness or tingling due to nerve irritation.

Most cases improve with conservative treatment, including:

Rest and activity modification to reduce strain. Ice therapy to ease swelling and discomfort. Proper footwear and custom orthotics to distribute pressure evenly. Stretching and strengthening exercises for better foot function. If symptoms persist, steroid injections or surgery may be considered. Early intervention is key to preventing chronic pain. Additionally, regenerative medicine therapies, such as platelet-rich plasma (PRP) injections or biologic treatments using fat or bone marrow-derived cells, may help reduce inflammation and support healing.

If you’re experiencing persistent foot pain, early treatment can prevent complications and improve mobility. Talk to our team to find the best treatment plan for you.