Metatarsalgia (Ball of Foot Pain)
Metatarsalgia is a term for pain and inflammation under the ball of the foot. Many different conditions can be grouped under it. At Sports and Structural Podiatry in Maroochydore, we work out what is causing your forefoot pain and build a plan with you to settle it.
What it is
Common causes of ball of foot pain
Pain under the ball of the foot can come from several structures. Common causes include:
Capsulitis
Inflammation of the joint capsule, the envelope around a joint. It often affects the joint under the second toe and is commonly seen alongside a bunion.
Synovitis
Inflammation of the lining of a joint, which can cause swelling, warmth and pain when the joint moves.
Bursitis
Inflammation of a bursa, one of the small fluid-filled sacs that cushion the joints.
Other causes
Nerve irritation, bone stress injuries and arthritis can also cause forefoot pain. Imaging such as ultrasound or X-ray is sometimes needed to tell them apart.
Read more in our article Why does the pad of my foot hurt when I walk?
Signs
Signs and contributing factors
- Pain when pressing on the ball of the foot, often under the second toe
- Pain that is worse walking barefoot or in shoes with a raised heel or narrow toe box
- Discomfort bending through the forefoot, such as lunges, kneeling or climbing stairs
- A sudden increase in walking, running or time on your feet
- A stiff or painful big toe joint, or a bunion
- Worn out or poorly fitting footwear
Your first visit
What happens at your assessment
Your first appointment usually covers four things.
01
Your history
When the pain started, what makes it better or worse, your work and activity levels, your footwear and any previous treatment.
02
Examination
We examine the area to find where the pain is coming from and check for other conditions that can cause similar symptoms.
03
Movement and footwear
We look at how your feet and legs move and load when you walk, and at the shoes you wear most days.
04
A clear plan
We explain what we found in plain language and agree a treatment plan with you, including what you can keep doing while it settles.
Treatment
Treatment options
The main goal is to take load off the sore area and spread it across the whole foot. Depending on the cause, options may include:
Offloading
Simple padding in the shoe or toe spacers to spread pressure across the forefoot.
Footwear advice
Guidance on shoes with enough room and cushioning for the forefoot.
Custom orthotics
Made from a 3D scan of your feet and an individual prescription, where your assessment shows they are appropriate for you.
Foot mobilisation therapy (FMT)
A hands-on therapy where gentle, precise pressure is used to move the joints of the foot and reduce joint restriction.
Strength and stretching programs
Exercises for the foot and calf, progressed as your foot settles.
MLS laser therapy
A non-invasive treatment using light energy, used alongside other care where it is suitable for you. Results vary from person to person.
We usually start with simple treatments and only move to more involved options when they are needed. If imaging or a surgical opinion is appropriate, we will explain why and arrange a referral.
Your podiatrist will talk you through the options, expected benefits and any risks before you decide.
When to book
Book in if pain under the ball of your foot lasts more than a week or two, or is changing the way you walk.
If the forefoot is suddenly very swollen, hot and red, or you cannot put weight on it, seek a medical assessment promptly.
FAQs
Frequently asked questions
Will I need a scan?
Not always. Many cases can be assessed from your history and an examination. If imaging is needed, we will explain why and arrange a referral.
Will I need orthotics?
Not necessarily. Many people improve with padding and footwear changes. Custom orthotics are only recommended when your assessment shows they are appropriate for you.
Do I need a referral?
No. You can book directly with us. If your GP has referred you, please bring the referral to your appointment.
Can I claim on my health fund?
If your private health insurance includes extras cover for podiatry, you may be able to claim part of the cost. Check with your fund for your level of cover.
Book an assessment
Shop 202, Building 2, Ground Floor, 2 Emporio Place, Maroochydore QLD 4558
Book an AppointmentCall (07) 5479 1211