II. Definition
- Pain beneath Metatarsal head
III. Etiology
- Abnormally high arch
- Improper shoe selection
- High heeled shoes
- Tight Achilles tendon
IV. Associated Conditions
- Hammer toe (Claw toe)
- Hallux Valgus deformity
V. Symptoms
- Burning or cramping pain at Metatarsal heads
- Middle Metatarsal heads usually affected
- Symptoms worse with activity
- Relieved by rest
VI. Signs
- Tender calluses develop under Metatarsal heads
- Dorsal contractures of metatarsophalangeal joints
VII. Management
- See Proper Shoe Fit
- Hard soled shoe or cast for 4-6 weeks
- Casting especially indicated for fifth Metatarsal
- Transfer weight from Metatarsal heads to neck or shaft
- Low-heeled shoe with sufficient forefoot room
- Anterior Metatarsal bar
- Transfers weight behind Metatarsal heads
- Metatarsal pads
- Sorbothane pads
- Available at Running stores
- Visco Heels
- More expensive
- Trimming or paring callus with pumice stone
- Provides only temporary relief
- Pressures must be removed from Metatarsal heads
- Calluses disappear with time if pressure changed
- Warm soaks
- Surgery
- Indicated if conservative management fails
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Related Studies
Definition (MSH) | Pain in the region of the METATARSUS. It can include pain in the METATARSAL BONES; METATARSOPHALANGEAL JOINT; and/or intermetatarsal joints (TARSAL JOINTS). |
Concepts | Sign or Symptom (T184) |
MSH | D037061 |
ICD10 | M77.4 , M77.40 |
SnomedCT | 268090002, 202878000, 156663001, 10085004 |
English | Metatarsalgia, METATARSALGIA, metatarsalgia (diagnosis), metatarsalgia, Metatarsalgia, unspecified foot, Metatarsalgia [Disease/Finding], metatarsalgias, Metatarsalgia NOS (finding), Pain in ball of foot, Metatarsalgia (finding), Metatarsalgia NOS |
Japanese | 中足骨痛, チュウソクコツツウ |
Swedish | Metatarsalgi |
Czech | metatarzalgie, Bolest nártu |
Finnish | Jalkapöytäkipu |
Russian | METATARZALGIIA, PLIUSNEVYKH KOSTEI BOLI, МЕТАТАРЗАЛГИЯ, ПЛЮСНЕВЫХ КОСТЕЙ БОЛИ |
Portuguese | METATARSALGIA, Metarsalgia, Metatarsalgia |
French | METATARSALGIE, Métatarsalgie |
German | METATARSALGIE, Metatarsalgie |
Korean | 발허리뼈통 |
Polish | Ból śródstopia |
Hungarian | Metatarsalgia |
Norwegian | Metatarsalgi |
Spanish | metatarsalgia, SAI, metatarsalgia, SAI (hallazgo), metatarsalgia (hallazgo), metatarsalgia, Metatarsalgia |
Dutch | Metatarsalgie, metatarsalgie, Metatarsalgia |
Italian | Metatarsalgia |