Metatarsalgia / Fore Foot Pain

Symptoms & Associated condition
Symptoms  :
  • Pain and tenderness of plantar surface of the heads of the metatarsal bones or metatarsal joints
  • Swelling on top of the metatarsal joint
  • Callus formed under the prominent metatarsal heads
  • Increased pain during mid-stance and propulsion phases of walking, as body weight is shifted forward onto forefoot
  • Feels deep bruise, walking on rocks under ball of foot
  • Worsens when walking/standing barefoot on a hard surface, poorly cushioned shoes.

Associated condition: 
  • Tight toe extensor muscles
  • Tight Achilles tendon
  • Change or unusual levels or physical activity, landing games
  • Hammertoe deformity 
  • A high arch 
  • Ballet / Gymnas
  • Tip Toeing Gait

Special test 
What are the common tests used to identify Metatarsalgia ?
  • Foot Posture Index
  • Tight Achilles tendon, reduced dorsiflexion
  • Overpronated (Flat Feet) / Oversupinated (High Arch) foot
  • Tenderness/positive Tinel sign over major nerve trunks 

Self Management
  • Footwear modification
  • Intrinsic foot exercises (if hypermobile foot / weak tibialis post)

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Seated calf stretch, hold for 10s,repeat 3-5times
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Fascia Stretch, hold for 15s, repeat for 3-5 times
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Standing calf stretch, hold for 15 seconds, 3-5 reps
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Toe extensor / downward stretch, hold for 15 seconds, 3-5 reps