Forefoot Pain (Metatarsalgia)

Metatarsalgia (“met-uh-tar-SAL-jee-uh”) is pain in the ball of the foot. It sometimes spreads to the toes. The ball of the foot is the bottom of the foot, where the toes join the foot.

While walking might be very painful, the pain is usually not a sign of a serious or permanent problem. But any pain can affect your life, so it is important that you treat it.

Pain in this area can be caused by many things. For example, you may have this pain if you stand or walk a lot or wear tight shoes or high heels.

Your pain might be caused by inflammation of a joint (capsulitis). It is most common in the joint at the base of the second toe, near the ball of the foot. Capsulitis happens when ligaments that go around the joint become inflamed. The joint may be swollen. It may feel like there is a small rock under it.

You may have had an X-ray if your doctor wanted to make sure a more serious problem is not causing your pain.

Treatment may consist of home care, such as rest, wearing different shoes, and taking over-the-counter pain medicines. It can take months for the pain to go away.

If the ligaments around a joint are torn, or if a toe has started to slant toward the toe next to it, you may need surgery.

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