Materiały źródłowe

• #1 Metatarsalgia: diagnosis and treatment – PubMed

  https://pubmed.ncbi.nlm.nih.gov/7391095/

  Metatarsalgia is a symptom, not a diagnosis. A careful study of ninety-eight patients who had complaints of pain in the fore part of the foot revealed twenty-three distinct diagnoses. […] These diagnoses were grouped as primary metatarsalgia, secondary metatarsalgia, and pain under the fore part of the foot. This division assisted in determining the form of nonoperative or operative treatment. […] The use of a pressure-sensitive cholesterol-crystal force-plate analysis or intra-articular or digital nerve blocks was helpful both in accurately pinpointing abnormal pressures and in determining whether operative treatment had been effective. Unexpected problems occurring after metatarsal surgery may be preventable in the future.

• #2 Metatarsalgia | The Tagoe Clinic

  https://thetagoeclinic.co.uk/metatarsalgia/

  Metatarsalgia is a generalised term used to describe pain affecting the ball of the foot, however it is not a diagnosis. […] The effective treatment of metatarsalgia requires a thorough assessment of the foot with the treatment directed to the underlying cause or causes. This requires taking a medical history, clinically examination and investigations. Plain X-rays are often the baseline investigation with ultra sound (USS), magnetic resonance (MRI) and computerised tomography (CT) requested when appropriate. […] Podiatric surgeons evaluate, diagnose, prevent and treat diseases, disorders and conditions affecting the foot and all associated structures. This is carried out in keeping with the individuals education, training and experience, in accordance with the ethics of the profession and applicable law.

• #3 Posture Podiatry Talks About Metatarsalgia Treatment Options

  https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/

  Metatarsalgia is an overuse condition in which the ball of the foot becomes painful and inflamed. […] The primary symptom of metatarsalgia is pain at the distal end of metatarsal bone/s (the ball of the foot). […] When it comes to treatment for metatarsalgia, the diagnosis is extremely important in the success of any treatment program. […] Imaging is a great way to help diagnose forefoot complaints. […] An experienced podiatrist will know just what metatarsalgia treatment is needed following a thorough gait analysis and examination. […] If these management options prove insufficient, metatarsalgia surgery may be considered, however, this is rarely required and all conservative treatment options should be exhausted before surgery is discussed. […] A podiatrist can play a crucial role in diagnosing and treating metatarsalgia along with many other foot and leg problems.

• #4 Metatarsalgia – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/metatarsalgia/diagnosis-treatment/drc-20354795

  Various foot problems can cause symptoms like those of metatarsalgia. To find the source of your pain, your health care professional will look at your foot while you stand and while you sit and ask about your lifestyle and your activities. You might need an X-ray to see if you have a stress fracture or other foot problems. […] For metatarsalgia, basic questions to ask include: What’s causing my symptoms? Do I need tests? Is my condition likely to go away quickly or be long lasting? What treatment do you recommend? Do I need to restrict my activities? […] Your health care professional is likely to ask you questions, including: What type of shoes do you wear? What activities do you do? Does your daily routine involve a lot of walking or standing? Do you often go barefoot? On what types of surfaces? Do you have symptoms all the time or just sometimes? How bad are your symptoms? What, if anything, seems to make your symptoms better? What, if anything, appears to make your symptoms worse? […] While you’re waiting for your medical appointment, rest your foot as much as possible and wear shoes that fit well. Pain relievers might help ease discomfort.

• #5 Metatarsalgia: symptoms, causes, diagnosis, treatment and prognosis? | Centro Médico Teknon

  https://www.teknon.es/en/especialidades/castro-dominguez-francisco/frequent-questions/metatarsalgia-symptoms-causes-diagnosis-treatment-prognosis

  Metatarsalgia: symptoms, causes, diagnosis, treatment and prognosis? Metatarsalgia is a medical condition characterized by pain and inflammation in the metatarsal region of the foot, which is the area just before the toes. […] Diagnosis: Clinical Evaluation: A healthcare provider will perform a physical examination, assessing the affected foot, evaluating the patient’s gait, and inquiring about symptoms and possible causes. […] Imaging Studies: X-rays: X-rays may be taken to rule out other causes of foot pain, such as stress fractures or bone abnormalities. Magnetic Resonance Imaging (MRI): In some cases, an MRI may be recommended to assess soft tissue involvement.

• #6 Diagnosing Metatarsalgia Through Pain Patterns

  https://orthoflexx.com/blogs/news/diagnosing-metatarsalgia-through-pain-patterns?srsltid=AfmBOop44mD9NH3zyK6OkrA74zZxF7hSCOgLaATdVjK4PWp0joddrqWl

  Understanding these subtle differences in pain patterns is crucial for healthcare professionals to accurately diagnose metatarsalgia and provide appropriate treatment. […] Diagnosing metatarsalgia involves a comprehensive evaluation of the patient’s medical history, physical examination, and pain assessment. […] The healthcare professional may inquire about the patient’s occupation and daily activities to identify potential triggers for metatarsalgia. […] Physical examination plays a crucial role in diagnosing metatarsalgia. […] Overall, the diagnostic process for metatarsalgia involves a thorough evaluation of the patient’s medical history, a comprehensive physical examination, and a detailed pain assessment. By gathering all relevant information, healthcare professionals can make an accurate diagnosis and develop an appropriate treatment plan to alleviate the patient’s symptoms and improve their foot health.

• #7 How to Treat Metatarsalgia and Pain on Ball of the Foot

  https://ankleandfootcenters.com/metatarsalgia/

  Symptoms include pain in the ball of the foot, numbness/tingling in toes. Diagnosis involves assessing symptoms imaging tests such as X-rays/MRIs. […] Pain in the foot may be diagnosed as metatarsalgia after evaluating symptoms, examining toe bones and conducting imaging tests such as X-rays or MRI scans. […] To treat metatarsalgia, you should raise your feet when resting, use shock-absorbing insoles or arch supports when walking, add padding to your shoes such as fleecy web, foam, felt or gel covers and use metatarsal pads or a metatarsal bar to support the foot and reduce pressure from the metatarsal bones. […] Metatarsalgia is a condition resulting from strenuous activities such as running, jumping and wearing either tight or loose shoes. It can also be caused by medical issues like rheumatoid arthritis, osteoarthritis and gout, foot deformities, as well as extra body weight. High impact sports may cause metatarsalgia due to irregular muscle or bone composition which includes having an abnormally short first metatarsal bone or elongated second one. […] Pain in the ball of the foot, known as metatarsalgia, is frequently caused by activities involving too much pressure on this area of the body or due to deformities within that part of a persons feet. It may also be induced from wearing inadequate shoes.

• #8 Metatarsalgia – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/metatarsalgia/diagnosis-treatment/drc-20354795

  Various foot problems can cause symptoms like those of metatarsalgia. To find the source of your pain, your health care professional will look at your foot while you stand and while you sit and ask about your lifestyle and your activities. You might need an X-ray to see if you have a stress fracture or other foot problems. […] For metatarsalgia, basic questions to ask include: What’s causing my symptoms? Do I need tests? Is my condition likely to go away quickly or be long lasting? What treatment do you recommend? Do I need to restrict my activities? […] Your health care professional is likely to ask you questions, including: What type of shoes do you wear? What activities do you do? Does your daily routine involve a lot of walking or standing? Do you often go barefoot? On what types of surfaces? Do you have symptoms all the time or just sometimes? How bad are your symptoms? What, if anything, seems to make your symptoms better? What, if anything, appears to make your symptoms worse? […] While you’re waiting for your medical appointment, rest your foot as much as possible and wear shoes that fit well. Pain relievers might help ease discomfort.

• #9 What is Metatarsalgia? Symptoms, Causes, Diagnosis & Physiotherapy Treatment of Metatarsalgia… – CB Physiotherapy

  https://cbphysiotherapy.in/condition/metatarsalgia

  Metatarsalgia is the area on the sole of the foot, just before the toes, (ball of the foot). […] Diagnosis Of Metatarsalgia. […] Physical examination: The examiner will check for inflammation in the foot and ask the patient to rotate the foot during the examination, the examiner looks from behind to locate any deformity on the foot. Swelling and tenderness on the ball of the foot are early signs of Metatarsalgia. […] Bone scan: A bone scan can show the swollen areas in the foot. It can identify conditions such as motors neuron that can cause soreness in the foot and also helps in locating the reduction of the natural fat pad. […] Ultrasound: An ultrasound scans the number of tissues in the foot and helps to depict arthritis or swelling in the foot or torn tendons which makes it easier to understand the disease.

• #10 Posture Podiatry Talks About Metatarsalgia Treatment Options

  https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/

  Left untreated, metatarsalgia can lead to a further increase in pain but can also develop into a chronic condition. […] Early diagnosis and specific treatment can help to avoid these problems. […] A podiatrist will conduct a thorough examination of your feet, including assessing your medical history, symptoms, and conducting physical tests. This helps to accurately diagnose metatarsalgia and rule out other potential causes of foot pain. […] Custom orthotic devices can be prescribed to correct any biomechanical abnormalities that may be contributing to metatarsalgia. […] Overall, a podiatrist can provide personalised care and treatment strategies to effectively manage and resolve metatarsalgia, helping patients regain comfort and mobility in their feet.

• #11 Pain in the Ball of the Foot (Metatarsalgia)

  https://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Pain_in_the_Ball_of_the_Foot.xml?co=/regions/mas

  We’ll ask about your symptoms and examine your foot and ankle. We may order an X-ray if we suspect your symptoms are caused by a fracture or other foot problem. […] During the exam, we will: […] We’ll ask you to tell us if any of these movements are painful. This will help us diagnose the problem in your foot.

• #12 Ball Of Foot Pain | Dr Mike Smith | Adelaide Foot & Ankle Surgeon

  https://www.drmikesmith.com.au/foot-conditions/metatarsalgia/

  Metatarsalgia can be classified as primary or secondary metatarsalgia. […] The diagnosis is confirmed clinically with a compression squeeze test, and on ultrasound. […] Plain weight bearing x-rays are performed to check for arthritis, stress fractures, Freibergs disease, and the relationship of your metatarsals (foot bones). […] Once a diagnosis is confirmed, a treatment plan is initiated. […] The treatment of your pain will depend upon your exact diagnosis. […] Generic treatment options for ball of foot pain include offloading orthoses, pre-metatarsal pads, and stretching exercises. If ongoing pain is an issue, then further intervention may be required. […] The majority of stress fractures of the metatarsals can be managed conservatively. Once the diagnosis has been made, offloading the affected bone with a period of rest will often result in successful union.

• #13 Metatarsalgia: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/a-to-z-guides/metatarsalgia?page=1

  Your doctor or health care provider will first do a manual exam of your foot. They’ll likely also do X-rays of your foot to help rule out other causes of your pain, such as a fracture. A bone scan can also help them pinpoint places of inflammation. […] Ultrasound can help identify conditions that affect your foot’s soft tissues, including bursitis, which can also cause pain in the metatarsal area. If your doctor still needs answers, they may ask for an MRI to look at more detailed images of your metatarsal and midfoot regions. Your doctor may also do other tests and procedures to help make a diagnosis and figure out the proper treatment.

• #14 Metatarsalgia Workup: Laboratory Studies, Imaging Studies, Other Tests

  https://emedicine.medscape.com/article/85864-workup

  Although appearing clinically different from traumatic injuries to the first metatarsophalangeal joint, gout commonly presents with pain at the base of the first toe. Testing of uric acid levels, the erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) may be helpful in excluding gouty arthritis and other rheumatologic conditions in subtle cases. Otherwise, laboratory studies are of little benefit in the evaluation of metatarsalgia. […] A radiographic foot survey is indicated as an initial imaging test and may be helpful in excluding other etiologies of forefoot pain. […] Order repeat radiographs and a bone scan to assist the physician with diagnosing or excluding a metatarsal stress fracture. […] Ultrasonography provides useful information about possible pathologic conditions that may be responsible for pain in the metatarsal region of the foot, including bursitis, Morton neuroma, and joint effusions.

• #15 Metatarsalgia Treatment Overland Park | Toe Deformities | Morton’s Neuroma Kansas City

  https://www.kcbj.com/metatarsalgia-orthopedic-musculoskeletal-care-overland-park-kansas-city/

  Metatarsalgia is a condition in which pain and inflammation are caused due to overuse or injury to the ball of the foot – the area between the toes and the arch. […] Your doctor will discuss your symptoms and activities and perform a physical examination. Diagnostic tests that may be carried out include: […] X-rays: To identify any bone fractures […] Ultrasound: To evaluate soft tissue conditions such as bursitis or Mortons neuroma […] MRI scan: To visualize the soft tissues surrounding the metatarsal bones […] Blood tests: Such as uric acid levels to help detect conditions such as gout.

• #16 Metatarsalgia

  https://www.ctxfootankle.com/metatarsalgia/

  Metatarsalgia (met-uh-tahr-SAL-juh) is a condition in which the ball of your foot becomes painful and inflamed. […] To help pinpoint the source of your pain, your doctor will examine your foot while you stand and while you sit and ask about your lifestyle and activity level. You might need an X-ray to identify or rule out a stress fracture or other foot problems.

• #17 Ball Of Foot Pain | Dr Mike Smith | Adelaide Foot & Ankle Surgeon

  https://www.drmikesmith.com.au/foot-conditions/metatarsalgia/

  Metatarsalgia can be classified as primary or secondary metatarsalgia. […] The diagnosis is confirmed clinically with a compression squeeze test, and on ultrasound. […] Plain weight bearing x-rays are performed to check for arthritis, stress fractures, Freibergs disease, and the relationship of your metatarsals (foot bones). […] Once a diagnosis is confirmed, a treatment plan is initiated. […] The treatment of your pain will depend upon your exact diagnosis. […] Generic treatment options for ball of foot pain include offloading orthoses, pre-metatarsal pads, and stretching exercises. If ongoing pain is an issue, then further intervention may be required. […] The majority of stress fractures of the metatarsals can be managed conservatively. Once the diagnosis has been made, offloading the affected bone with a period of rest will often result in successful union.

• #18 Metatarsalgia Workup: Laboratory Studies, Imaging Studies, Other Tests

  https://emedicine.medscape.com/article/85864-workup

  Although appearing clinically different from traumatic injuries to the first metatarsophalangeal joint, gout commonly presents with pain at the base of the first toe. Testing of uric acid levels, the erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) may be helpful in excluding gouty arthritis and other rheumatologic conditions in subtle cases. Otherwise, laboratory studies are of little benefit in the evaluation of metatarsalgia. […] A radiographic foot survey is indicated as an initial imaging test and may be helpful in excluding other etiologies of forefoot pain. […] Order repeat radiographs and a bone scan to assist the physician with diagnosing or excluding a metatarsal stress fracture. […] Ultrasonography provides useful information about possible pathologic conditions that may be responsible for pain in the metatarsal region of the foot, including bursitis, Morton neuroma, and joint effusions.

• #19 Metatarsalgia Treatment Central Austin | Toe Deformities | Morton’s Neuroma Austin

  https://www.artvillarrealmd.com/metatarsalgia-austin-cedar-park-georgetown/

  Metatarsalgia is a condition in which pain and inflammation are caused due to overuse or injury to the ball of the foot – the area between the toes and the arch. This condition mainly affects the joints at the base of the five-toe bones. […] Your doctor will discuss your symptoms and activities and perform a physical examination. Diagnostic tests that may be carried out include: […] X-rays: to identify any bone fractures […] Ultrasound: to evaluate soft tissue conditions such as bursitis or Mortons neuroma […] MRI scan: to visualize the soft tissues surrounding the metatarsal bones […] Blood tests: such as uric acid levels to help detect conditions such as gout.

• #20 What is Metatarsalgia? Symptoms, Causes, Diagnosis & Physiotherapy Treatment of Metatarsalgia… – CB Physiotherapy

  https://cbphysiotherapy.in/condition/metatarsalgia

  Metatarsalgia is the area on the sole of the foot, just before the toes, (ball of the foot). […] Diagnosis Of Metatarsalgia. […] Physical examination: The examiner will check for inflammation in the foot and ask the patient to rotate the foot during the examination, the examiner looks from behind to locate any deformity on the foot. Swelling and tenderness on the ball of the foot are early signs of Metatarsalgia. […] Bone scan: A bone scan can show the swollen areas in the foot. It can identify conditions such as motors neuron that can cause soreness in the foot and also helps in locating the reduction of the natural fat pad. […] Ultrasound: An ultrasound scans the number of tissues in the foot and helps to depict arthritis or swelling in the foot or torn tendons which makes it easier to understand the disease.

• #21 What is Metatarsalgia? Symptoms, Causes, Diagnosis & Physiotherapy Treatment of Metatarsalgia… – CB Physiotherapy

  https://cbphysiotherapy.in/condition/metatarsalgia

  X-RAY: An X-Ray can rule out other diseases also as it can help in understanding which bone is damaged or has a problem which makes it much easier to know the disease. […] Magnetic resonance imaging (MRI): Magnetic resonance imaging (MRI) helps to look for causes of pain in the metatarsal and midfoot regions. These can include arthritis, circulatory conditions, neuroarthropathies, traumatic disorders, and conditions that cause biomechanical imbalance.

• #22 Metatarsalgia Workup: Laboratory Studies, Imaging Studies, Other Tests

  https://emedicine.medscape.com/article/85864-workup

  Yu and Tanner demonstrated that magnetic resonance imaging (MRI) is a powerful, noninvasive method for detecting and diagnosing many causes of pain in the metatarsal and midfoot regions, including conditions caused by trauma, circulatory disorders, arthritides, neuroarthropathies, and those that result in biomechanic imbalance. […] A local digital nerve block just below the transverse tarsal ligament may be helpful in the diagnosis of an interdigital neuroma. Patients with an interdigital neuroma should receive relief after the injection.

• #23

  https://piper.espacio-seram.com/index.php/seram/article/view/4732

  Background Information: Forefoot pain, or metatarsalgia, is a common clinical problem. Numerous disease processes can produce pain in the region of the metatarsal bones, and the diagnosis may be difficult to establish based on clinical findings alone. […] The accurate diagnosis of these pathologies is heavily dependent on imaging, particularly Magnetic Resonance Imaging (MRI). […] This educational exhibit will provide a comprehensive overview of conditions resulting in metatarsalgia, with an emphasis on MRI, and will outline the management of disorders that can produce discomfort in this region.

• #24 Metatarsalgia Symptoms, Causes & Treatment in Newport News

  https://www.osc-ortho.com/services/metatarsalgia/

  Diagnosing metatarsalgia involves a series of examinations and tests performed by an experienced foot specialist. „Many things can cause metatarsalgia, including an elongated metatarsal, fat pad atrophy, neuroma, hammer toes, and more,” explains Dr. Bryanna D. Vesely, a foot and ankle specialist with Orthopaedic & Spine Center in Newport News, VA. „It’s my job to figure out what is causing the metatarsalgia so that I can develop a proper treatment plan.” […] Foot doctors will typically use an x-ray to rule out fractures and identify foot deformities, and may use ultrasound to assess stress fractures or to zero in on areas of inflammation, such as bursitis and Morton’s Neuroma. Your foot specialist may also order an MRI for a more detailed understanding of your metatarsal pain. Magnetic resonance imaging can reveal other underlying causes, such as circulatory conditions, arthritis and neuroarthropathies.

• #25 Thieme E-Journals – Seminars in Musculoskeletal Radiology / Abstract

  https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0043-1764388

  Lesser (or central) metatarsalgia is defined as pain in the forefoot under or around the lesser metatarsals and their respective metatarsophalangeal joints. […] Two common causes of central metatarsalgia are Morton’s neuroma (MN) and plantar plate (PP) injury. […] Imaging has a pivotal role in the detection and characterization of metatarsalgia. […] Different radiologic modalities are available to assess the common causes of forefoot pain, so the strengths and weakness of these imaging tools should be kept in mind. […] This review describes two main causes of lesser metatarsalgia, MN and PP injury, and their differential diagnoses.

• #26 Metatarsalgia: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/a-to-z-guides/metatarsalgia?page=1

  Your doctor or health care provider will first do a manual exam of your foot. They’ll likely also do X-rays of your foot to help rule out other causes of your pain, such as a fracture. A bone scan can also help them pinpoint places of inflammation. […] Ultrasound can help identify conditions that affect your foot’s soft tissues, including bursitis, which can also cause pain in the metatarsal area. If your doctor still needs answers, they may ask for an MRI to look at more detailed images of your metatarsal and midfoot regions. Your doctor may also do other tests and procedures to help make a diagnosis and figure out the proper treatment.

• #27 What is Metatarsalgia? Symptoms, Causes, Diagnosis & Physiotherapy Treatment of Metatarsalgia… – CB Physiotherapy

  https://cbphysiotherapy.in/condition/metatarsalgia

  Metatarsalgia is the area on the sole of the foot, just before the toes, (ball of the foot). […] Diagnosis Of Metatarsalgia. […] Physical examination: The examiner will check for inflammation in the foot and ask the patient to rotate the foot during the examination, the examiner looks from behind to locate any deformity on the foot. Swelling and tenderness on the ball of the foot are early signs of Metatarsalgia. […] Bone scan: A bone scan can show the swollen areas in the foot. It can identify conditions such as motors neuron that can cause soreness in the foot and also helps in locating the reduction of the natural fat pad. […] Ultrasound: An ultrasound scans the number of tissues in the foot and helps to depict arthritis or swelling in the foot or torn tendons which makes it easier to understand the disease.

• #28 Metatarsalgia: Practice Essentials, Etiology, Epidemiology

  https://emedicine.medscape.com/article/85864-overview

  Metatarsalgia is a common overuse injury described as pain in the forefoot that is associated with increased stress over the metatarsal head region. […] Metatarsalgia is often referred to as a symptom, rather than as a specific disease. […] The primary symptom of metatarsalgia is pain at one or more of the metatarsal heads. […] Measurement of uric acid levels, the erythrocyte sedimentation rate, and C-reactive protein level may be helpful in excluding gouty arthritis and other rheumatologic conditions in subtle cases. […] A radiographic foot survey is indicated as an initial imaging test and may be helpful in excluding other etiologies of forefoot pain. […] The initial treatment includes regular icing and application of a pressure bandage. […] Semi-rigid orthoses worn in supportive shoes have been shown to be effective treatment for metatarsalgia.

• #29 Metatarsalgia Treatment Overland Park | Toe Deformities | Morton’s Neuroma Kansas City

  https://www.kcbj.com/metatarsalgia-orthopedic-musculoskeletal-care-overland-park-kansas-city/

  Metatarsalgia is a condition in which pain and inflammation are caused due to overuse or injury to the ball of the foot – the area between the toes and the arch. […] Your doctor will discuss your symptoms and activities and perform a physical examination. Diagnostic tests that may be carried out include: […] X-rays: To identify any bone fractures […] Ultrasound: To evaluate soft tissue conditions such as bursitis or Mortons neuroma […] MRI scan: To visualize the soft tissues surrounding the metatarsal bones […] Blood tests: Such as uric acid levels to help detect conditions such as gout.

• #30 Metatarsalgia Workup: Laboratory Studies, Imaging Studies, Other Tests

  https://emedicine.medscape.com/article/85864-workup

  Although appearing clinically different from traumatic injuries to the first metatarsophalangeal joint, gout commonly presents with pain at the base of the first toe. Testing of uric acid levels, the erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) may be helpful in excluding gouty arthritis and other rheumatologic conditions in subtle cases. Otherwise, laboratory studies are of little benefit in the evaluation of metatarsalgia. […] A radiographic foot survey is indicated as an initial imaging test and may be helpful in excluding other etiologies of forefoot pain. […] Order repeat radiographs and a bone scan to assist the physician with diagnosing or excluding a metatarsal stress fracture. […] Ultrasonography provides useful information about possible pathologic conditions that may be responsible for pain in the metatarsal region of the foot, including bursitis, Morton neuroma, and joint effusions.

• #31 Metatarsalgia: Treatment, exercises, symptoms, and causes

  https://www.medicalnewstoday.com/articles/190431

  Metatarsalgia involves pain in the ball of the foot. It stems from problems with the metatarsal bones. […] If the pain does not improve after 2 weeks, a person should see a doctor. […] A family doctor may do an initial assessment, but an orthopedic surgeon or podiatrist a specialist foot doctor will often investigate metatarsal pain and diagnose the underlying cause. […] The doctor may also recommend tests. Imaging tests, such as an X-ray, MRI, or ultrasound scan, can detect bone fractures and other structural changes. Blood tests can detect bone fractures or rule out possible underlying conditions such as gout, arthritis, or diabetes.

• #32 Metatarsalgia Workup: Laboratory Studies, Imaging Studies, Other Tests

  https://emedicine.medscape.com/article/85864-workup

  Yu and Tanner demonstrated that magnetic resonance imaging (MRI) is a powerful, noninvasive method for detecting and diagnosing many causes of pain in the metatarsal and midfoot regions, including conditions caused by trauma, circulatory disorders, arthritides, neuroarthropathies, and those that result in biomechanic imbalance. […] A local digital nerve block just below the transverse tarsal ligament may be helpful in the diagnosis of an interdigital neuroma. Patients with an interdigital neuroma should receive relief after the injection.

• #33 Metatarsalgia: pain in the metatarsus with multiple causes

  https://www.der-fusschirurg.de/en/foot-complaints/foot-pain/metatarsalgia

  If pain can be localized mainly in the front part of the foot under the forefoot, it is called metatarsalgia. […] As a first step, you should have the cause of the pain clarified by an experienced foot specialist. […] How does a foot surgeon diagnose metatarsalgia? […] For a reliable diagnosis of metatarsalgia, additional pedobarographic examination procedures are available. […] In many cases, an MRI (magnetic resonance imaging) can be helpful for pain in the midfoot. […] To diagnose pain under the forefoot, it is first necessary to clarify where the pain comes from. […] If pain occurs in the front part of the foot, conservative treatment methods can also bring relief. […] If conservative treatment methods do not achieve their goal and the patient continues to suffer, surgery should be considered. […] The diagnosis and treatment of metatarsalgia is complex and requires special expertise. […] In a comprehensive primary examination, he discusses the personal symptoms with each patient and advises you in detail on all treatment options.

• #34 Metatarsalgia treatment & exercises | MyFootMedic

  https://myfootmedic.com/services/metatarsalgia-treatment/

  Symptoms of Metatarsalgia can often be fully resolved, and with proper care and management, most patients experience significant relief or complete resolution of symptoms. […] The prognosis largely depends on the underlying cause, the severity of the condition, and how promptly treatment is sought. […] In many cases, especially when caught early, metatarsalgia can be effectively managed through conservative treatments such as custom orthotics, appropriate footwear, and targeted exercises. […] It is important to have a thorough assessment to achieve the correct diagnosis and appropriate treatment plan. […] Our experienced podiatrists use advanced diagnostic techniques, including physical examinations, ultrasound imaging, and gait analysis, to pinpoint the diagnosis. […] Proper diagnosis is the foundation of effective treatment, ensuring that you receive the most appropriate care for your specific condition.

• #35 Metatarsalgia: diagnosis and treatment – PubMed

  https://pubmed.ncbi.nlm.nih.gov/7391095/

  Metatarsalgia is a symptom, not a diagnosis. A careful study of ninety-eight patients who had complaints of pain in the fore part of the foot revealed twenty-three distinct diagnoses. […] These diagnoses were grouped as primary metatarsalgia, secondary metatarsalgia, and pain under the fore part of the foot. This division assisted in determining the form of nonoperative or operative treatment. […] The use of a pressure-sensitive cholesterol-crystal force-plate analysis or intra-articular or digital nerve blocks was helpful both in accurately pinpointing abnormal pressures and in determining whether operative treatment had been effective. Unexpected problems occurring after metatarsal surgery may be preventable in the future.

• #36 Differential Diagnosis of Metatarsalgia – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37230133/

  Lesser (or central) metatarsalgia is defined as pain in the forefoot under or around the lesser metatarsals and their respective metatarsophalangeal joints. […] Two common causes of central metatarsalgia are Morton’s neuroma (MN) and plantar plate (PP) injury. […] Because both clinical and imaging features overlap, establishing the correct differential diagnosis may be challenging. […] Imaging has a pivotal role in the detection and characterization of metatarsalgia. […] Different radiologic modalities are available to assess the common causes of forefoot pain, so the strengths and weakness of these imaging tools should be kept in mind. […] It is crucial to be aware of the pitfalls that can be encountered in daily clinical practice when dealing with these disorders. […] This review describes two main causes of lesser metatarsalgia, MN and PP injury, and their differential diagnoses.

• #37 Metatarsalgia and neuropathies of the foot. Differential diagnosis

  https://www.neurologia.com/articulo/2009752/eng

  Metatarsalgia is the main symptom of a group of frequent ailments characterised by pain in the balls of the feet. […] To describe the range of processes related with metatarsalgia and a basic diagnostic schema that allows the aetiology to be differentiated. […] Familiarity with the pathologies responsible for metatarsalgias, whether they are neurological or not, is an enriching element for the diagnosis and management of these patients, as well as for greater efficiency in the referral among the medical professionals involved. […] El conocimiento de las patologas responsables de metatarsalgia, neurolgicas o no, es un elemento enriquecedor para el diagnstico y manejo de estos pacientes, as como para una mejor eficacia en la derivacin entre profesionales mdicos implicados.

• #38 Foot Pain Self Diagnosis Guide – OC Podiatry

  https://ocpodiatry.com/foot-pain-self-diagnosis-guide/

  The term metatarsalgia and capsulitis of the foot can be interchangeable. Pain is usually present on the bottom aspect of the forefoot around the balls of the foot. The foot pain will be aggravated with walking bare foot, walking in sandals. Metatarsalgia can be thought of as a bruise in the foot. There is an injury to the capsular ligaments. If an MRI is obtained, it would show inflammation around the joint and tendon areas. Best initial treatment is rest. Finding a way to offload the forefoot is the number one goal to a recover. Metatarsal pads can be used to relieve the pressure and pain. If pain persists, consider a walking boot. This diagnosis can sometimes be confused with a neuroma or a stress fracture. […] Chronic foot pain: plantar fasciitis, capsulitis, metatarsalgia, osteochondral defects, chronic tears.

• #39 Metatarsalgia Specialist San Diego | San Diego Injury Clinic

  https://www.sdri.net/injuries/lower-body-injuries/metatarsalgia/

  Metatarsalgia is a painful condition we frequently see at the San Diego Running Institute. This article will define metatarsalgia and provide possible causes and treatment options for metatarsal pain. […] A metatarsalgia diagnosis can be frustrating, because you are usually already aware that you have foot pain! […] Metatarsalgia is often misdiagnosed or confused with other common conditions, including: […] It is important to know why you have metatarsalgia. There are many common conditions that can cause this type of foot pain. […] The San Diego Sports Injury Clinic employs techniques including: […] Properly placed metatarsal pads are a fast and effective treatment for metatarsalgia, but they are sometimes not enough to fix this common running foot injury. […] The problem is that the metatarsal pad has been placed incorrectly on the custom orthotic.

• #40 Freiberg Disease – Musculoskeletal and Connective Tissue Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/foot-and-ankle-disorders/freiberg-disease

  Freiberg disease is avascular necrosis of the metatarsal head. Diagnosis is confirmed with x-rays and MRI. Freiberg disease is a common cause of metatarsalgia. The diagnosis of Freiberg disease is confirmed with x-rays. Typically, the head of the second metatarsal is widened and flattened, and the metatarsal joint is sclerotic and irregular. MRI findings show patchy marrow edema at the metatarsal head. […] The metatarsophalangeal joint may also be swollen and have limited and painful passive range of motion.

• #41 Fractures of the Fifth Metatarsal

  https://www.foothealthfacts.org/conditions/fractures-of-the-fifth-metatarsal

  Anyone who has symptoms of a fifth metatarsal fracture should see a foot and ankle surgeon as soon as possible for proper diagnosis and treatment. […] To arrive at a diagnosis, the surgeon will ask how the injury occurred or when the pain started. The foot will be examined, with the doctor gently pressing on different areas of the foot to determine where there is pain. The surgeon will also order x-rays. Because a Jones fracture sometimes does not show up on initial x-rays, additional imaging studies may be needed.

• #42 Metatarsalgia: Causes, Symptoms, and Treatment

  https://patient.info/foot-care/heel-and-foot-pain-plantar-fasciitis/metatarsalgia-metatarsal-injury

  Metatarsalgia is the name given to pain in the front part of the foot under the heads of the metatarsal bones, also known as the ball of the foot. Metatarsalgia can be caused by a number of different conditions affecting the foot. Treatment will depend on the underlying cause. Measures such as changes to footwear, rest and losing weight can sometimes help. […] Metatarsalgia is a general name given to pain in the front part of the foot under the heads of the metatarsal bones. This is the area on the sole of the foot sometimes called the ball of the foot. Metatarsalgia can be caused by a number of different conditions affecting the foot. It is really a symptom of other problems rather than a specific disease itself. […] Metatarsalgia can be caused by a number of different conditions. Common causes include:

• #43 Metatarsalgia: Causes, Symptoms, and Treatment

  https://patient.info/foot-care/heel-and-foot-pain-plantar-fasciitis/metatarsalgia-metatarsal-injury

  A medical professional may be able to identify the cause just by listening, asking questions and examining the foot. However, they may also suggest one or more of the following investigations: […] Basic measures can help to relieve the symptoms of metatarsalgia. These include: […] Other treatment will depend on the underlying cause of the metatarsalgia. For example, if diabetes is the cause, it will be important to improve the control of the sugar levels. If gout or arthritis is the cause, treatment may be needed for these conditions. […] Metatarsal pads and orthotic inserts for the shoes may help to relieve pain in the foot by reducing the pressure placed on the heads of the metatarsal bones. These can be bought online or following advice from a podiatrist. […] Some of the causes of metatarsalgia cannot be prevented – for example, metatarsalgia due to claw foot (pes cavus). However, there are some things that may help to prevent some of the other causes.

• #44 Metatarsalgia treatment & exercises | MyFootMedic

  https://myfootmedic.com/services/metatarsalgia-treatment/

  Metatarsalgia is not a diagnosis, it is an umbrella term used for any condition that causes pain to the metatarsal area of the foot, often referred to as the ball of the foot. […] Once an assessment and diagnosis have been made, there are a range of treatments used to alleviate pain and discomfort in the ball of the foot. […] The most common diagnoses leading to Metatarsalgia are nerve entrapment, tendon damage, ligament tear, arthritis, bursitis, stress fracture and changes to the skin such as a corn. […] Understanding these causes are crucial for effective treatment and prevention. […] At MyFootMedic, we offer a comprehensive approach to treating metatarsalgia, from a thorough assessment and diagnosis to resolution, tailoring our methods to each patients specific needs. […] Our goal is not only to alleviate pain but also to address the underlying causes and prevent recurrence.

• #45 Metatarsalgia – ICB Medical

  https://www.icbmedical.com/metatarsalgia/

  Metatarsalgia is a general term used to describe a painful condition in the metatarsal region of the foot (often referred to as the ball of the foot. Pain associated with metatarsalgia is often experienced under the 2nd, 3rd or 4th metatarsal heads. […] Differential diagnosis of metatarsalgia is Mortons Neuroma which exhibits more localised pain as the interdigital nerve is entraped between the metatarsal heads. Mortons Neuroma can also be extremely painful. […] Metatarsalgia is a common condition that can be treated simply and effectively. If left untreated it can be debilitating to sufferers. […] If left untreated, metatarsalgia can lead to the development of Mortons Neuroma. As the foot continues to pronate, the metatarsals plantarflex and rotate, causing the interdigital nerve to become entrapped between the metatarsal heads which can cause intense localised pain at the site of the nerve impingement.

• #46 Posture Podiatry Talks About Metatarsalgia Treatment Options

  https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/

  Left untreated, metatarsalgia can lead to a further increase in pain but can also develop into a chronic condition. […] Early diagnosis and specific treatment can help to avoid these problems. […] A podiatrist will conduct a thorough examination of your feet, including assessing your medical history, symptoms, and conducting physical tests. This helps to accurately diagnose metatarsalgia and rule out other potential causes of foot pain. […] Custom orthotic devices can be prescribed to correct any biomechanical abnormalities that may be contributing to metatarsalgia. […] Overall, a podiatrist can provide personalised care and treatment strategies to effectively manage and resolve metatarsalgia, helping patients regain comfort and mobility in their feet.

• #47 Metatarsalgia – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/metatarsalgia/symptoms-causes/syc-20354790

  Metatarsalgia (met-uh-tahr-SAL-juh) is a condition in which the ball of the foot becomes painful and irritated. […] Although not often serious, metatarsalgia can make it hard to move. […] Talk to your health care professional if you have a burning pain in the ball of your foot that doesn’t improve after changing your shoes and your activities. […] Symptoms of metatarsalgia can include: Sharp, aching or burning pain in the ball of the foot. […] Pain that gets worse with standing, running, flexing the feet or walking. […] Left untreated, metatarsalgia might lead to pain in other parts of the same foot or in the other foot.

• #48 Posture Podiatry Talks About Metatarsalgia Treatment Options

  https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/

  Left untreated, metatarsalgia can lead to a further increase in pain but can also develop into a chronic condition. […] Early diagnosis and specific treatment can help to avoid these problems. […] A podiatrist will conduct a thorough examination of your feet, including assessing your medical history, symptoms, and conducting physical tests. This helps to accurately diagnose metatarsalgia and rule out other potential causes of foot pain. […] Custom orthotic devices can be prescribed to correct any biomechanical abnormalities that may be contributing to metatarsalgia. […] Overall, a podiatrist can provide personalised care and treatment strategies to effectively manage and resolve metatarsalgia, helping patients regain comfort and mobility in their feet.

• #49 Metatarsalgia: Symptoms, Treatments, and More

  https://www.healthline.com/health/metatarsalgia

  Metatarsalgia is a painful inflammation in the ball of your foot. […] How is metatarsalgia diagnosed? […] If your pain in the metatarsal area persists for a few days after resting your feet or changing your footwear, its best to see a doctor. […] Your doctor will examine your foot and ask you to walk so they can observe your gait. […] If your doctor suspects other causes of the pain, you may have other tests. […] These may include: an X-ray to rule out a stress fracture, a blood test to check for uric acid, which is an indication of gout, an ultrasound test to look at soft tissue problems like bursitis or neuromas, which may contribute to metatarsalgia, magnetic resonance imaging (MRI) to look for evidence of arthritis and possible injuries. […] Most metatarsalgia eases with conservative measures and properly fitting footwear. […] Early diagnosis and treatment usually gives you a good prognosis. […] In some cases, you may need surgery to treat the underlying cause of the pain.

• #50 Metatarsalgia treatment & exercises | MyFootMedic

  https://myfootmedic.com/services/metatarsalgia-treatment/

  Symptoms of Metatarsalgia can often be fully resolved, and with proper care and management, most patients experience significant relief or complete resolution of symptoms. […] The prognosis largely depends on the underlying cause, the severity of the condition, and how promptly treatment is sought. […] In many cases, especially when caught early, metatarsalgia can be effectively managed through conservative treatments such as custom orthotics, appropriate footwear, and targeted exercises. […] It is important to have a thorough assessment to achieve the correct diagnosis and appropriate treatment plan. […] Our experienced podiatrists use advanced diagnostic techniques, including physical examinations, ultrasound imaging, and gait analysis, to pinpoint the diagnosis. […] Proper diagnosis is the foundation of effective treatment, ensuring that you receive the most appropriate care for your specific condition.

• #51 Metatarsalgia: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15890-metatarsalgia

  Metatarsalgia refers to pain and inflammation in the ball of your foot, or forefoot. […] The main symptom of metatarsalgia is pain in the metatarsal area under the ball of your foot. […] Your healthcare provider will begin an exam for metatarsalgia by asking about your symptoms. […] Metatarsalgia treatment starts conservatively. […] If these measures dont help relieve your metatarsalgia, your provider may recommend an injection or surgery to resolve the underlying cause of your pain. […] You cant prevent all cases of metatarsalgia, but there are ways you can avoid developing it. […] If you have metatarsalgia, you may have severe pain and inflammation in your foot. […] You can usually treat metatarsalgia at home, but you should see your healthcare provider if: Metatarsalgia hasnt improved after two weeks of home treatment. […] Metatarsalgia pain can be intense.

• #52 Pain in the ball of the foot – NHS

  https://www.nhs.uk/conditions/foot-pain/pain-in-the-ball-of-the-foot/

  Pain in the ball of your foot is known as metatarsalgia. You can usually ease the pain yourself. But see a GP if it does not improve. […] If you see a GP about pain in the ball of your foot, they may suggest you try these things: […] Non-urgent advice: See a GP if: pain in the ball of your foot is stopping you doing normal activities […] the pain has not improved after treating it at home for 2 weeks. […] Common causes of pain in the ball of your foot include exercise, such as running, wearing shoes that are too tight or a condition such as arthritis. […] Follow the advice on this page and see a GP if the pain does not get better in 2 weeks.

• #53 Pain in the ball of the foot

  https://www2.hse.ie/conditions/pain-in-the-ball-of-the-foot/

  Pain in the ball of your foot is known as metatarsalgia. […] Talk to your GP if the pain has not improved after treating it at home for 2 weeks. […] Your symptoms may help you find the cause of your foot pain. […] Follow the advice on this page and talk to your GP if the pain does not get better in 2 weeks.

• #54 Metatarsalgia – What You Need to Know

  https://www.drugs.com/cg/metatarsalgia.html

  Metatarsalgia is pain in the ball of your foot, near your second, third, and fourth toes. […] Your healthcare provider will examine your feet and legs as you stand and walk. X-ray, CT, or ultrasound pictures may show a problem with your foot, such as a fracture. You may be given contrast liquid to help foot problems show up better in the pictures. […] The cause of your metatarsalgia will be treated, if possible. You may also need any of the following: NSAIDs, such as ibuprofen, help decrease swelling, pain, and fever. […] Ultrasound may be used to relieve your pain. Sound waves from the ultrasound can help send heat deeper into your tissues. […] A steroid injection may help decrease inflammation. […] Surgery may be needed if other treatments do not work. Surgery may be used to align the bones near your toes. You may also need surgery to fix a problem such as hammertoe.

• #55 Metatarsalgia: Treatment, exercises, symptoms, and causes

  https://www.medicalnewstoday.com/articles/190431

  Metatarsalgia involves pain in the ball of the foot. It stems from problems with the metatarsal bones. […] If the pain does not improve after 2 weeks, a person should see a doctor. […] A family doctor may do an initial assessment, but an orthopedic surgeon or podiatrist a specialist foot doctor will often investigate metatarsal pain and diagnose the underlying cause. […] The doctor may also recommend tests. Imaging tests, such as an X-ray, MRI, or ultrasound scan, can detect bone fractures and other structural changes. Blood tests can detect bone fractures or rule out possible underlying conditions such as gout, arthritis, or diabetes.

• #56 Metatarsalgia Symptoms, Causes & Treatment in Newport News

  https://www.osc-ortho.com/services/metatarsalgia/

  Diagnosing metatarsalgia involves a series of examinations and tests performed by an experienced foot specialist. „Many things can cause metatarsalgia, including an elongated metatarsal, fat pad atrophy, neuroma, hammer toes, and more,” explains Dr. Bryanna D. Vesely, a foot and ankle specialist with Orthopaedic & Spine Center in Newport News, VA. „It’s my job to figure out what is causing the metatarsalgia so that I can develop a proper treatment plan.” […] Foot doctors will typically use an x-ray to rule out fractures and identify foot deformities, and may use ultrasound to assess stress fractures or to zero in on areas of inflammation, such as bursitis and Morton’s Neuroma. Your foot specialist may also order an MRI for a more detailed understanding of your metatarsal pain. Magnetic resonance imaging can reveal other underlying causes, such as circulatory conditions, arthritis and neuroarthropathies.

• #57 Metatarsalgia: Unraveling the Causes, Symptoms, and Treatment Strategies – Millburn Podiatry Group

  https://millburnpodiatry.com/services/metatarsalgia-and-podiatry-unraveling-the-causes-symptoms-and-treatment-strategies/

  Metatarsalgia, a common foot condition, can cause pain and discomfort in the ball of the foot, impacting daily activities and quality of life. […] Podiatrists, specialists in foot and ankle health, play a crucial role in diagnosing, managing, and providing relief for individuals dealing with metatarsalgia. […] Metatarsalgia refers to pain and inflammation in the metatarsal region, the area between the arch of the foot and the toes, particularly in the ball of the foot. […] Podiatrists conduct a comprehensive examination, including a review of the patients medical history, physical examination, and sometimes imaging studies (X-rays or MRI), to accurately diagnose metatarsalgia and identify contributing factors. […] If you suspect you have metatarsalgia or are experiencing symptoms such as pain in the ball of the foot, consulting with a podiatrist is essential for an accurate diagnosis and personalized treatment plan.

• #58 Metatarsalgia

  https://www.physio.co.uk/what-we-treat/musculoskeletal/conditions/foot/metatarsalgia.php

  Metatarsalgia is a term used to describe a general pain in the ball of the foot area on the metatarsal heads (where the toes meet the ball of the foot). […] Physiotherapy can offer different treatments which can alleviate the pain that is caused by Metatarsalgia. The physiotherapists at Physio.co.uk offer a comprehensive assessment, diagnosis and treatment service to all patients. […] Some of the common treatments that are used to treat Metatarsalgia can include: Joint mobilisations to increase range of movement, Gait re-education this may be the cause, Acupuncture decrease pain and stimulate healing, Massage to reduce swelling, Electrotherapy stimulate healing, Lifestyle advice weight loss and shoe type, Referral to orthotist. […] Metatarsalgia.

• #59 Metatarsalgia and neuropathies of the foot. Differential diagnosis

  https://www.neurologia.com/articulo/2009752/eng

  Metatarsalgia is the main symptom of a group of frequent ailments characterised by pain in the balls of the feet. […] To describe the range of processes related with metatarsalgia and a basic diagnostic schema that allows the aetiology to be differentiated. […] Familiarity with the pathologies responsible for metatarsalgias, whether they are neurological or not, is an enriching element for the diagnosis and management of these patients, as well as for greater efficiency in the referral among the medical professionals involved. […] El conocimiento de las patologas responsables de metatarsalgia, neurolgicas o no, es un elemento enriquecedor para el diagnstico y manejo de estos pacientes, as como para una mejor eficacia en la derivacin entre profesionales mdicos implicados.

• #60 Metatarsalgia treatment & exercises | MyFootMedic

  https://myfootmedic.com/services/metatarsalgia-treatment/

  Symptoms of Metatarsalgia can often be fully resolved, and with proper care and management, most patients experience significant relief or complete resolution of symptoms. […] The prognosis largely depends on the underlying cause, the severity of the condition, and how promptly treatment is sought. […] In many cases, especially when caught early, metatarsalgia can be effectively managed through conservative treatments such as custom orthotics, appropriate footwear, and targeted exercises. […] It is important to have a thorough assessment to achieve the correct diagnosis and appropriate treatment plan. […] Our experienced podiatrists use advanced diagnostic techniques, including physical examinations, ultrasound imaging, and gait analysis, to pinpoint the diagnosis. […] Proper diagnosis is the foundation of effective treatment, ensuring that you receive the most appropriate care for your specific condition.

• #61 Diagnosing Metatarsalgia Through Pain Patterns

  https://orthoflexx.com/blogs/news/diagnosing-metatarsalgia-through-pain-patterns?srsltid=AfmBOop44mD9NH3zyK6OkrA74zZxF7hSCOgLaATdVjK4PWp0joddrqWl

  Understanding these subtle differences in pain patterns is crucial for healthcare professionals to accurately diagnose metatarsalgia and provide appropriate treatment. […] Diagnosing metatarsalgia involves a comprehensive evaluation of the patient’s medical history, physical examination, and pain assessment. […] The healthcare professional may inquire about the patient’s occupation and daily activities to identify potential triggers for metatarsalgia. […] Physical examination plays a crucial role in diagnosing metatarsalgia. […] Overall, the diagnostic process for metatarsalgia involves a thorough evaluation of the patient’s medical history, a comprehensive physical examination, and a detailed pain assessment. By gathering all relevant information, healthcare professionals can make an accurate diagnosis and develop an appropriate treatment plan to alleviate the patient’s symptoms and improve their foot health.

• #62 Metatarsalgia: symptoms, causes, diagnosis, treatment and prognosis? | Centro Médico Teknon

  https://www.teknon.es/en/especialidades/castro-dominguez-francisco/frequent-questions/metatarsalgia-symptoms-causes-diagnosis-treatment-prognosis

  Metatarsalgia: symptoms, causes, diagnosis, treatment and prognosis? Metatarsalgia is a medical condition characterized by pain and inflammation in the metatarsal region of the foot, which is the area just before the toes. […] Diagnosis: Clinical Evaluation: A healthcare provider will perform a physical examination, assessing the affected foot, evaluating the patient’s gait, and inquiring about symptoms and possible causes. […] Imaging Studies: X-rays: X-rays may be taken to rule out other causes of foot pain, such as stress fractures or bone abnormalities. Magnetic Resonance Imaging (MRI): In some cases, an MRI may be recommended to assess soft tissue involvement.

• #63 Metatarsalgia: diagnosis and treatment – PubMed

  https://pubmed.ncbi.nlm.nih.gov/7391095/

  Metatarsalgia is a symptom, not a diagnosis. A careful study of ninety-eight patients who had complaints of pain in the fore part of the foot revealed twenty-three distinct diagnoses. […] These diagnoses were grouped as primary metatarsalgia, secondary metatarsalgia, and pain under the fore part of the foot. This division assisted in determining the form of nonoperative or operative treatment. […] The use of a pressure-sensitive cholesterol-crystal force-plate analysis or intra-articular or digital nerve blocks was helpful both in accurately pinpointing abnormal pressures and in determining whether operative treatment had been effective. Unexpected problems occurring after metatarsal surgery may be preventable in the future.

• #64 Metatarsalgia | The Tagoe Clinic

  https://thetagoeclinic.co.uk/metatarsalgia/

  Metatarsalgia is a generalised term used to describe pain affecting the ball of the foot, however it is not a diagnosis. […] The effective treatment of metatarsalgia requires a thorough assessment of the foot with the treatment directed to the underlying cause or causes. This requires taking a medical history, clinically examination and investigations. Plain X-rays are often the baseline investigation with ultra sound (USS), magnetic resonance (MRI) and computerised tomography (CT) requested when appropriate. […] Podiatric surgeons evaluate, diagnose, prevent and treat diseases, disorders and conditions affecting the foot and all associated structures. This is carried out in keeping with the individuals education, training and experience, in accordance with the ethics of the profession and applicable law.

• #65 Metatarsalgia: Practice Essentials, Etiology, Epidemiology

  https://emedicine.medscape.com/article/85864-overview

  Metatarsalgia is a common overuse injury described as pain in the forefoot that is associated with increased stress over the metatarsal head region. […] Metatarsalgia is often referred to as a symptom, rather than as a specific disease. […] The primary symptom of metatarsalgia is pain at one or more of the metatarsal heads. […] Measurement of uric acid levels, the erythrocyte sedimentation rate, and C-reactive protein level may be helpful in excluding gouty arthritis and other rheumatologic conditions in subtle cases. […] A radiographic foot survey is indicated as an initial imaging test and may be helpful in excluding other etiologies of forefoot pain. […] The initial treatment includes regular icing and application of a pressure bandage. […] Semi-rigid orthoses worn in supportive shoes have been shown to be effective treatment for metatarsalgia.

• #66 Metatarsalgia Causes, Symptoms, Diagnosis, and Treatment

  https://yourfootpalace.com/metatarsalgia-causes-symptoms-diagnosis-treatment/

  Metatarsalgia treatment is typically determined by the cause and severity of the condition and your pain. […] Many times, treatment for mild to moderate symptoms will include conservative measures like: Staying off/Resting your feet, Changing your footwear, Use an orthotic sole insert, Use an arch support. […] When these measures fail to relieve your discomfort or pain, the following may ease your pain: Ice your foot for 20 minutes multiple times per day, If you are overweight, lose weight, Use an over-the-counter pain reliever/anti-inflammatory (discuss the benefits and potential side-effects with your doctor before taking any medication), Elevate your foot (above your waist) after activity. […] When conservative treatment measures fail, your doctor may recommend surgery to realign your metatarsal bones.

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