Ball of Foot Pain and Metatarsalgia

What is metatarsalgia?

Metatarsalgia is a general term for pain under the ball of the foot. It describes where the pain is felt, not a single diagnosis. The cause may involve excess pressure, a joint, a nerve, a stress injury, or the tissue that supports a toe.

Common symptoms

• Aching, burning, or sharp forefoot pain
• Pain when walking barefoot or on hard floors
• A callus under a pressure point
• A feeling of walking on a pebble
• Pain near the base of one or more toes

Morton's neuroma, arthritis, a plantar plate injury, sesamoiditis, and a stress fracture can all cause pain in this area.

Why it happens

Common contributors include thin shoe soles, high heels, repetitive impact, long toes, bunions, hammertoes, high arches, and changes in the natural cushioning under the foot.

How we evaluate ball of foot pain

We identify the exact location and look at toe alignment, callus patterns, joint stability, sensation, and walking mechanics. Weight bearing X-rays are often useful. Ultrasound or MRI may be considered for a soft tissue or stress injury.

Treatment options

The plan depends on the specific cause. It may include:

• Shoes with more room and cushioning
• Metatarsal padding or offloading
• Custom orthotics
• Activity changes while irritated tissue recovers
• Medication or an injection when appropriate
• Surgery for selected structural problems

Treating only the callus or painful spot may provide temporary relief if the underlying pressure pattern remains.

When to schedule an appointment

Schedule care if forefoot pain changes your walk, causes numbness, or continues despite better shoes and reduced activity.

Frequently asked questions

Is metatarsalgia a diagnosis?

It is a description of pain in the ball of the foot. The next step is finding the condition that is creating that pain.

Can high heels cause this pain?

They can increase pressure under the forefoot and aggravate several conditions in this area.

What is a metatarsal pad?

It is a support placed behind the painful area to redistribute pressure. Placement matters, so it should be matched to your foot.

How to prepare for your appointment

Bring the shoes that cause the most trouble and any inserts or braces you use. Be ready to describe which activities are limited and whether the shape or pain has changed over time.

Related care

You may also want to explore custom orthotics, foot deformities, and ball of foot pain.

Foot and ankle care close to home

Signature Foot and Ankle provides personalized care at our Boynton Beach and Loxahatchee offices. Call 561 203 9285 or request an appointment online.