Metatarsalgia
Overview
Metatarsalgia, often referred to as stone bruise, is a condition that affects the metatarsals, the long bones in the middle of your feet. It can cause severe pain and inflammation in the ball of your foot, making it difficult to walk or even stand. It is a common issue, especially among athletes who extensively participate in impact sports such as football, soccer, or running.
Types
There aren’t specific ‘types’ of Metatarsalgia, but the condition can have different causes and occur in different contexts. Some people may develop Metatarsalgia due to foot structure or certain medical conditions, while others can get it through excessive strain or injury.
Causes
Metatarsalgia is usually the result of an uneven distribution of pressure exerted on your feet. This can be caused by:
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- High-intensity training and sports
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- Foot deformities such as hammertoe or bunions
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- Excessive weight or obesity
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- Ill-fitting shoes, particularly high heels or narrow toe boxes
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- Age, as the fat pad in our foot thins out over time
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- Medical conditions like arthritis or diabetes
Symptoms
The most common symptom of Metatarsalgia is a sharp, burning or aching pain at the ball of your foot, usually just beneath your second and third toes. Other symptoms may include:
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- A feeling as if you’re standing on pebbles
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- Numbness or tingling in your toes
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- Pain that worsens when standing, walking, or running and improves when resting
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- Difficulty walking without pain
Diagnosis
Your doctor will first examine your foot and ask you about your symptoms. They may also ask about your activities and whether you’ve recently injured your foot. They may take an X-ray or use other imaging tests to rule out other conditions.
Treatment Options
Treatment for Metatarsalgia depends on the underlying cause. Common treatment options include:
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- Conservative Treatments: Rest and ice, use of over-the-counter pain relievers, wearing appropriate footwear or using shoe inserts, and losing weight (if overweight).
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- Surgery: In severe or unresponsive cases, a surgeon may realign the metatarsal bones or remove a neuroma or other growth.
Living With Metatarsalgia
Living with Metatarsalgia requires some modifications and careful foot care.
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- Choose supportive shoes: Avoid high heels or shoes with narrow toe boxes.
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- Use metatarsal pads: These can help distribute weight evenly across your foot.
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- Stay at a healthy weight: More body weight can mean more pressure on the metatarsals.
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- Rest and elevate your feet: When your feet hurt, give them a break.
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- Stay active: Low-impact exercise can help keep your weight down and your muscles strong.
When to Seek Help
You should see your doctor if the pain is severe, doesn’t improve with self-care measures, or if it impedes your normal activities. In rare cases, Metatarsalgia can signal a more serious condition such as a metatarsal stress fracture, so it’s important to seek medical attention if your symptoms don’t improve.