Metatarsalgia / Fore Foot Pain

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)

Seated calf stretch, hold for 10s,repeat 3-5times

Fascia Stretch, hold for 15s, repeat for 3-5 times

Standing calf stretch, hold for 15 seconds, 3-5 reps

Toe extensor / downward stretch, hold for 15 seconds, 3-5 reps

07 May 2021