Ball of Foot Pain (Metatarsalgia)

Definition

Metatarsalgia is the medical term for pain and inflammation experienced in the ball of the foot. Metatarsalgia is a very common foot complaint and it can have different causes. Generally, there are two types of Ball of Foot Pain:

1) Ball of Foot pain caused by women's fashion shoes with a medium to high heel

2) Ball of Foot pain wearing normal flat shoes, caused by excessive pronation

It is important to determine in which category your ball of foot pain falls, as this will also determine the best form of treatment required. Click here to learn more about Ball of Foot pain in normal shoes.

1) Ball of foot pain in women's fashion shoes

Achilles pain occurs just above the back of the heel and often you will also experience tightness in the calf muscles. The achilles tendon may be noticeably thickened and tender to the touch. Pain is present with walking and running, especially when pushing off on the toes.

Achilles Tendonitis pain can develop gradually without any history of injury or trauma. The pain can be a burning pain, a shooting pain, or even an extremely piercing pain. This condition should not be left untreated because there's a chance the tendon will become weak and ruptured. Achilles Tendonitis can be aggravated by activities that repeatedly put stress on the tendon, causing irritation and inflammation. Achilles pain is a common problem, and often experienced by athletes, particularly distance runners. It is a difficult injury to treat in athletes due to their high level of activity and reluctance to stop or slow down their training. People who suffer from Achilles Tendonitis often notice that their first steps out of bed in the morning are very painful. Or pain after taking your first steps after long periods of sitting. The pain often lessens with activity.

Summary:

Definition: Ball of Foot pain, Latin term: Metatarsalgia

Symptoms: burning (or sharp) pain in the ball of the foot; sometimes excess callous formation is present

Causes: wearing certain types of women's fashion footwear; in normal shoes: over-pronation

Treatment: Catwalk insoles or Comfort orthotics to support the metatarsal bones in the forefoot

ball of foot pain

Treatment and pain relief

For women who love their fashion shoes there's now a solution to painful burning feet. Footlogics 'High Heel Comfort' insoles restore biomechanical balance by supporting the foot's arch and the metatarsal bones.

As a result your bodyweight is now distributed evenly over the entire foot instead of just pressing on the forefoot! In turn, Footlogics insoles prevent excessive pressure and friction in the ball of the foot. This means a substantial reduction of pain and the associated burning sensation under the balls of the feet, especially with longer periods of standing or walking. Wearing Footlogics insoles in high heels is often described by women as a sensation of wearing low heeled or flat shoes...!

Footlogics Catwalk insoles were developed by podiatrists and are made in Spain. Footlogics Catwalk insoles are sold across Europe, the USA, in Australia, New Zealand and Ireland. Read product review by fashion editor ANNMARIE O'CONNOR

2) Ball of foot pain in normal shoes

Ball of Foot pain is not just limited to women wearing heels. It can also occur in men and women who when wearing normal flat shoes. Metatarsalgia is often described by sufferers as a sharp or burning pain under the balls of the feet. Sometimes pain is present in the area around the second, third or fourth toes. The pain gets worse when you stand, walk or run and improves with resting. Some people experience a feeling under the foot as if they're walking with a pebble in their shoe. Walking barefoot is often too painful.

There are a number of causes for this type of foot pain: for example, intense sporting activities such as running. Also walking or standing for long periods in hard shoes and boots may cause pain in the balls of the feet. Ball of foot pain is therefore quite common in people employed with the police, military, security, farming, teaching etc. Being overweight is also a factor, as it places excessive pressure on the feet.

However, biomechanical research has shown that the most common cause for Metatarsalgia is a condition called excessive pronation or over-pronation. This is the collapsing of the arches and rolling inwards of the ankles.

To understand the problem of over-pronation, let's first take a look at the anatomy of the human foot...

Our feet consist of 26 bones, held together through a web of muscles and ligaments. The foot is not flat on the ground but is held up in the middle forming two arches: the Longitudinal arch (or instep) running along the foot from the heel to the toes and the Transverse arch which runs across the foot.

Five metatarsal bones run from the middle of the foot to your toe joints. Over-pronation means the longtudinal arch collapses and the ankle joint rolls inwards every time the foot lands on the ground. A common side-effect of overpronation is excess pressure on the metatarsals, which in turn leads to lowering (or collapsing) of the Transverse arch. The forefoot structure is severely weakened, causing pain in the ball of the foot and inflammation at the metatarsal joints.

Treatment options

First of all you should minimise any walking or standing, where possible. Also, wear supportive footwear and apply ice at night for a about 5-10 minute to cool down the inflammation. Remove excess callous (if present) with a pumice stone or visit a chiropodist to have it professionally removed.

Orthotic insoles can be very effective to treat Ball of Foot pain as they will provide the necessary biomechanical correction and prevent over-pronation.

Footlogics Comfort orthotics support the longitudinal arch and re-align the feet and ankles. Importantly, these insoles also feature a metatarsal raise to support the transverse arch. In turn, Footlogics greatly reduces the pressure and friction in the ball of the foot, thus providing relief from ball of foot pain.

It should be noted that most orthotic insoles from your pharmacy or chemist do not have any metatarsal support and are therefore not very effective in the treatment of Metatarsalgia.

Recommended orthotics for Ball of Foot pain:

Other common conditions: