Metatarsalgia
Etiologia i przyczyny

Metatarsalgia to zespół bólowy zlokalizowany w przedniej części stopy, szczególnie w okolicy głów kości śródstopia, będący objawem o wieloczynnikowej etiologii. Przyczyny dzieli się na pierwotne (anatomiczne deformacje takie jak pes cavus, płaskostopie, palce młotkowate, halluks koślawy), wtórne (nadmierne obciążenie związane z aktywnością fizyczną, nieodpowiednie obuwie, stany zapalne, choroby ogólnoustrojowe jak RZS, dna moczanowa, cukrzyca) oraz jatrogenne (powikłania pooperacyjne). Kluczowe mechanizmy patogenetyczne obejmują nierównomierny rozkład nacisku na głowy kości śródstopia, przewlekły stan zapalny tkanek miękkich, ucisk nerwów międzyśródstopnych oraz zanik amortyzacji poduszeczki tłuszczowej, co prowadzi do bólu i dysfunkcji biomechanicznej stopy.

Metatarsalgia – etiologia, przyczyny, czynniki wywołujące

Metatarsalgia to termin medyczny oznaczający ból w przedniej części stopy, szczególnie w okolicy głów kości śródstopia (tzw. piłki stopy). Nie jest to konkretna jednostka chorobowa, a raczej objaw mogący wynikać z wielu różnych przyczyn. Dotyczy około 80% populacji w pewnym momencie życia. Zrozumienie etiologii tego problemu jest kluczowe dla właściwej diagnostyki i leczenia.12

Czynniki anatomiczne i strukturalne

Struktura anatomiczna stopy ma znaczący wpływ na rozwój metatarsalgii. Lekarze dzielą przyczyny metatarsalgii na pierwotne, wtórne i jatrogenne. Pierwotna metatarsalgia pojawia się, gdy istnieje nieprawidłowość w strukturze stopy, która wpływa na relację kości śródstopia z innymi częściami stopy.12

Do najczęstszych czynników anatomicznych predysponujących do metatarsalgii należą:

  • Wysoki łuk stopy (stopa wydrążona, pes cavus), który powoduje zwiększony nacisk na głowy kości śródstopia12
  • Płaskostopie, które zmienia biomechanikę stopy i prowadzi do nierównomiernego rozkładu nacisku12
  • Drugi palec dłuższy niż pierwszy (paluch), co prowadzi do większego nacisku na drugą kość śródstopia12
  • Palec młotkowaty lub szponiasty, które zmieniają rozkład obciążenia stopy12
  • Deformacje palców jak palec młotkowaty, które przenoszą więcej obciążenia na piłkę stopy1
  • Wystające głowy kości śródstopia1
  • Paluchy koślawe (halluks) i inne deformacje stopy12
  • Zaburzenia funkcji pierwszej kości śródstopia1

Aktywność fizyczna i przeciążenia

Wtórna metatarsalgia pojawia się, gdy mamy do czynienia z problemami zdrowotnymi lub aktywnościami, które zwiększają nacisk na przednią część stopy. Intensywna aktywność fizyczna, szczególnie sporty wymagające biegania i skakania, jest jedną z głównych przyczyn bólu w okolicy głów kości śródstopia.12

Nadmierne obciążenie związane z aktywnością może prowadzić do metatarsalgii poprzez:

  • Sporty o wysokim uderzeniu, jak bieganie, tenis czy koszykówka, które powodują zwiększony nacisk na przednią część stopy12
  • Powtarzające się mikrourazy podczas biegania i skakania12
  • Długotrwałe stanie, zwłaszcza na twardych powierzchniach12
  • Nagły wzrost aktywności fizycznej lub intensywności treningu1
  • Chodzenie po twardych powierzchniach, jak beton czy podłogi z kafelków1

Wpływ obuwia na rozwój metatarsalgii

Nieodpowiednie obuwie jest jednym z głównych czynników przyczyniających się do rozwoju bólu w piłce stopy. Różne aspekty obuwia mogą prowadzić do problemów:12

  • Buty na wysokim obcasie, które przenoszą dodatkowy ciężar na przednią część stopy12
  • Zbyt ciasne buty, które ściskają palce i powodują dodatkowy nacisk na głowy kości śródstopia12
  • Buty z wąskim czubkiem, które ściskają palce12
  • Buty bez odpowiedniego wsparcia łuku stopy1
  • Zużyte buty bez odpowiedniej amortyzacji1
  • Zbyt luźne buty, które powodują zmianę sposobu chodzenia i rozkładu nacisku na stopę1

Schorzenia współistniejące i stany zapalne

Wiele chorób i stanów zapalnych może przyczyniać się do rozwoju bólu w piłce stopy. Są to zarówno schorzenia ogólnoustrojowe, jak i lokalne problemy ze stopą:12

  • Zapalenie stawów, w tym:
    • Reumatoidalne zapalenie stawów12
    • Łuszczycowe zapalenie stawów1
    • Dna moczanowa12
    • Choroba zwyrodnieniowa stawów1
  • Nerwiak Mortona – pogrubienie tkanki otaczającej nerw, najczęściej między trzecim a czwartym palcem12
  • Zapalenie kaletki międzyśródstopnej1
  • Zaburzenia w krążeniu, w tym choroba Freiberga (brak dopływu krwi do głowy drugiej, trzeciej lub czwartej kości śródstopia)12
  • Zapalenie trzeszczek (sesamoiditis) – zapalenie małych kości pod stawem palucha12
  • Zapalenie torebki stawowej (kapsulitis)12
  • Urazy więzadła podeszwowego (plantar plate)12
  • Cukrzyca, która może powodować neuropatię i zmiany naczyniowe12

Urazy, mikrourazy i złamania przeciążeniowe

Metatarsalgia może być wynikiem różnego rodzaju urazów stopy, od ostrych do przewlekłych mikrourazów:12

  • Złamania przeciążeniowe (stresowe) kości śródstopia12
  • Stłuczenie kości1
  • Skręcenia śródstopia1
  • Uszkodzenia więzadeł1
  • Uraz turf toe (uszkodzenie stawu palucha w wyniku nadmiernego zgięcia grzbietowego)1
  • Wcześniejsze urazy stopy i operacje, które zmieniają biomechanikę chodzenia1
  • Jatrogenna metatarsalgia – powikłanie po operacji przedniej części stopy, np. po operacji haluksa12

Inne czynniki ryzyka metatarsalgii

Istnieje kilka dodatkowych czynników, które mogą przyczyniać się do rozwoju bólu w piłce stopy:12

  • Nadwaga i otyłość, które zwiększają nacisk na przednią część stopy12
  • Zaawansowany wiek – z wiekiem naturalny tłuszczowy poduszeczka pod piłką stopy ulega ścieńczeniu, co zmniejsza naturalną amortyzację12
  • Obrzęk stóp1
  • Przykurcz mięśni łydki i ścięgna Achillesa12
  • Osłabienie mięśni stopy/nogi12
  • Zrogowaciała lub popękana skóra, brodawki12
  • Czynniki genetyczne wpływające na kształt stopy12
  • Długotrwałe przebywanie w pozycji stojącej, zwłaszcza w pracy1

Mechanizmy powstawania bólu w piłce stopy

Metatarsalgia wynika głównie z nierównomiernego rozkładu nacisku na głowy kości śródstopia. Mechanizmy prowadzące do bólu obejmują:12

  • Nadmierne obciążenie punktowe w obszarze głów kości śródstopia1
  • Przewlekły stan zapalny tkanek miękkich wokół głów kości śródstopia1
  • Ucisk nerwów przebiegających między kośćmi śródstopia1
  • Zmniejszenie zdolności amortyzacyjnych stopy z powodu zaniku poduszeczki tłuszczowej12
  • Zmiany biomechaniczne w funkcjonowaniu stopy podczas chodzenia i biegania1
  • Niestabilność stawów śródstopno-paliczkowych1
  • Odchylenie toru chodu (nadmierna pronacja lub supinacja)1

Wzajemne powiązania między różnymi przyczynami

Często różne przyczyny metatarsalgii współwystępują i wzajemnie się nasilają. Rozwój jednego zaburzenia powodującego ból w piłce stopy może przyczyniać się do powstania kolejnego problemu w tej samej lokalizacji.12

Przykładowe powiązania:

  • Halluks koślwy (bunion) może prowadzić do nieprawidłowej funkcji pierwszej kości śródstopia, co zwiększa obciążenie sąsiednich kości śródstopia12
  • Przykurcz ścięgna Achillesa może zmieniać mechanikę chodu, zwiększając obciążenie przedniej części stopy12
  • Nadmierna pronacja stopy może prowadzić do niestabilności w przedniej części stopy i powodować szponiaste ustawienie palców, co zwiększa nacisk na głowy kości śródstopia1
  • Choroby ogólnoustrojowe jak cukrzyca mogą prowadzić do neuropatii, która zmienia sposób obciążania stopy1
  • Otyłość zwiększa ogólne obciążenie stopy, a także może prowadzić do stanu zapalnego z powodu zwiększonego poziomu prozapalnych cytokin1

Podsumowanie najczęstszych przyczyn metatarsalgii

Ból w piłce stopy (metatarsalgia) jest objawem wynikającym z wielu możliwych czynników. Najczęstsze przyczyny można podsumować jako:12

  1. Deformacje stopy: wysoki łuk, płaskostopie, palce młotkowate, halluks koślwy
  2. Aktywność fizyczna o dużym obciążeniu: bieganie, skakanie, sporty wymagające mocnego odbicia
  3. Nieodpowiednie obuwie: buty na wysokim obcasie, zbyt ciasne lub zbyt luźne
  4. Nadwaga i otyłość
  5. Stany zapalne: zapalenie stawów, zapalenie kaletki, zapalenie torebki stawowej
  6. Nerwiak Mortona i inne problemy neurologiczne
  7. Złamania przeciążeniowe i urazy stopy
  8. Zanik poduszeczki tłuszczowej związany z wiekiem
  9. Choroby ogólnoustrojowe: cukrzyca, reumatoidalne zapalenie stawów
  10. Długotrwałe stanie, zwłaszcza na twardych powierzchniach

Zrozumienie etiologii metatarsalgii jest kluczowe dla właściwej diagnozy i skutecznego leczenia. W wielu przypadkach ból w piłce stopy wynika z kombinacji kilku czynników, które wzajemnie się potęgują, prowadząc do nasilenia objawów.12

Kolejne rozdziały

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  1. 17.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Metatarsalgia | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/podiatry/metatarsalgia/
    Metatarsalgia or ball of the foot pain is very common and will affect around 80% of the population at some point in their life. It is made up of a group of conditions that can cause pain and inflammation around the bones and joints in the ball of the foot. […] The most common conditions affecting the ball of the foot are: Fatpadatrophy, Capsulitis, Intermetatarsal bursitis, Plantar plate injury. […] Fat pad atrophy is a term used to describe thinning and degeneration of the fat pad that sits under the ball of your foot. […] Thinning of the fat pad can lead to reduced shock absorption, making the foot more vulnerable to repetitive micro-trauma and developing inflammation, bruising, swelling and pain. […] Capsulitis is a term used to describe inflammation of a joint capsule. […] Intermetatarsal bursitis is an inflammation of one of the bursa that is between the joints in the ball of the foot.
  • #1 Metatarsalgia: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/15890-metatarsalgia
    Metatarsalgia is pain and inflammation in the ball of your foot. Potential causes of the condition include foot deformities, inflammatory issues and wearing ill-fitting shoes. Metatarsalgia has a number of different causes, including: Foot deformities. Health conditions involving your foot or ankle. Sports and other activities involving running or jumping. Wearing shoes that are too tight or too loose. You may develop metatarsalgia if you participate in activities that involve jumping or running. Other causes of the condition include foot deformities and wearing shoes that are too high-heeled, too soft, unsupportive or overworn. Foot and ankle surgeons divide metatarsalgia causes into three groups: primary, secondary and iatrogenic. Primary metatarsalgia can develop if there’s an issue with your metatarsals that affects their relationship with other parts of your foot. Secondary metatarsalgia can happen if you have health issues or do activities that increase pressure on your forefoot. Examples include: Inflammatory conditions, like rheumatoid arthritis, gout, sesamoiditis and Morton’s neuroma. Iatrogenic metatarsalgia is a complication of forefoot surgery.
  • #1 Forefoot Pain Portland: Causes, Symptoms Treatment Portland
    https://www.multnomahortho.com/forefoot-pain-orthopedic-surgeon-portland-beaverton-gresham-oregon.html
    Forefoot pain, also referred to as metatarsalgia, is a type of pain that occurs in the ball of the foot (around the tip of the metatarsal bones). […] There are many causes of forefoot pain which requires careful judgment to conclude the diagnosis and the treatment plan. Some common causes include: Overweight: Excess body weight tends to put more pressure on the metatarsal bones and cause pain. Overuse: Pain from overuse is seen in sports people (athletes and runners). This condition exhibits from inflammation to fracture of metatarsal bones. Shape of the foot: People with hammer toes (toe is bent at the middle joint) and bunion (a painful bump at the base of big toe) are also more prone to metatarsalgia. Big toe arthritis: Arthritis is an inflammation of the cartilage and lining of the bone joints. Osteoarthritis is the most common type which causes excessive trauma and wearing away of the cartilage in the joints of the foot. Gout: It is a very common, painful form of arthritis which causes swelling, redness and stiffness of the joints. It usually affects the big toe and leads to severe pain. Stress fractures: Stress fractures of the foot which may occur in athletes or walkers can result in pain. Mortons neuroma: Morton’s neuroma is a painful condition affecting one of the nerves between the toes (interdigital nerve). Mortons neuroma refers to the thickening of the nerve tissue between your third and fourth toes due to scar tissue formation. Sesamoiditis: This condition is an inflammation of the sesamoid bones. These are the small, round bones embedded within the tendons leading to the big toe. The main source for sesamoiditis is consistent pressure and tension applied over the foot. It is common in people who participate in potentially high intensity sports (runners) or jarring (jogging or boxing) activities. Pes cavus: This is a condition of highly-arched foot shape. The gap between the sole of a foot and the floor is higher than normal in case of Pes cavus. This place excessive pressure on the balls of the feet. Loss of fat pad under the ball of the foot: With aging, the protective fat pad under the ball of the foot tends to thin out with overuse and may increase the susceptibility to pain in the ball of the foot. Poorly-fitting shoes: Wearing tight, narrowed or high-heeled shoes can put constant strain on the metatarsal bones causing forefoot pain.
  • #1 Ball of the Foot Pain — Fairfield Podiatry
    https://www.fairfieldpodiatry.com.au/knowledge-centre/ball-of-the-foot-pain
    Ball of the foot pain is one of the most common foot complaints in Australia. The pain can originate from a bone, joint, nerve, bursa (fluid-filled sac), muscle, tendon or ligament. Even thickened skin can cause significant discomfort. And its not uncommon for multiple structures to become injured at the same time. In many cases, the pain is most severe when pushing off while walking, running or jumping. Stair and ladder climbing also tend to aggravate pain in the ball of the foot. […] Common causes of overload and the subsequent development of pain in the ball of the foot include: Standing for long periods of time, High-impact activities (e.g. running, lunging and jumping), Foot structure (e.g. bunions, hammer toes, flat feet and high arch feet), Foot function (e.g. not pushing off via the big toe joint properly), Footwear that is too narrow and/or shallow, Footwear that is too high in the heel region, Tight calf muscles, Weak calf muscles, Medical conditions such as rheumatoid arthritis and gout.
  • #1 What Causes Pain In The Ball Of The Foot?
    https://wphphysio.com.au/what-causes-pain-in-the-ball-of-the-foot/
    Certain foot shapes […] Different shaped feet can also predispose you to developing pain in the ball of your foot. For example, having your second toe longer than the big toe, or small curled up toes also known as hammertoes. Having a high arch can put more pressure on the front of your foot and put you at risk of developing metatarsalgia. […] Footwear […] Footwear is a key risk factor that can cause pain in the ball of the foot. For example, wearing high heels transfers extra weight to the front of your foot. Shoes that have a narrow toe box can also contribute to the problem as they squeeze the toes together causing pain. Athletic shoes that lack arch support are also detrimental. […] Excess weight […] As you move, most of your body weight transfers from the heel to the forefoot. A risk factor of developing this condition is being overweight or obese. Extra weight means more pressure on the front of the feet (metatarsals). Losing weight may help to reduce or eliminate symptoms.
  • #1 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=%2Fregions%2Fmas
    Your foot has 5 metatarsal bones that connect your toes to the rest of your foot. Increased pressure on one or more of these bones can lead to pain in the ball of your foot. This is called metatarsalgia. […] Causes of metatarsalgia include: Wearing shoes that don’t provide enough support or cushioning, Being overweight, Having bunions or hammer toes. […] Several things can increase pressure on the ball of your foot. These include: Certain sports. Running, walking, or jumping, especially on hard surfaces like concrete, can cause pain. Shoes that don’t support and cushion the foot during these activities can make the problem worse. Age. The protective fat pad under the ball of the foot shrinks as you get older. Abnormal foot shape. Having high arches and/or a second toe that is longer than your big toe can increase pressure on the metatarsals. Bunions. A bunion can push your big toe toward your second toe, which throws the bones out of alignment. This puts extra stress on your metatarsal bones. Hammer toes. Hammer toes are bent at the middle toe joint. This deformity transfers more of the weight to the ball of the foot. Obesity. Excess weight places stress on all the structures of your foot, including the metatarsals. Shoes that don’t protect the ball of your foot. These include shoes with high heels, thin, flexible soles, or inadequate support. Stress fracture. A crack in one of the metatarsal bones, called a stress fracture, can be caused by overuse or low bone density. Tight Achilles tendon. The tendon links the calf muscle to the back of the heel. As you walk, the muscle and the tendon contract to allow the foot to move at the ankle, so the heel strikes the ground first, followed by the front of the foot. When the calf muscle and tendon are too tight, the heel pulls up too soon. This causes the foot to rotate inwards. This places too much strain on the metatarsal bones of the big toe and second toe.
  • #1 What’s Causing the Pain in the Ball of Your Foot?: Hubert Lee, DPM: Podiatrist
    https://www.bellevuefootdoctor.com/blog/whats-causing-the-pain-in-the-ball-of-your-foot
    The ball of the foot is the area of the foot between your toes and your arch, where bones called metatarsals are located. If the weight is transferred unevenly over the ball of your foot to the metatarsals, swelling and pain can occur. Pain in the ball of your foot can include: Pain that intensifies when youre walking, running, or standing and improves with rest. Sharp, aching, or burning pains. Frequent, painful calluses in the skin of the area. Unusual sensation or sharp pain in your toes. As we get older, we lose the fat pad thats located under the ball of the foot, causing shock and abnormal pressure to that area. Also known as metatarsalgia, this pain can also be caused by: High arches or having a second toe thats longer than the big toe. Joint inflammation or arthritis in your feet. Foot irregularities like hammertoes. An upsurge in high-impact activities such as jumping, long periods of standing, or running. Wearing shoes that dont provide adequate support or fit well. Mortons neuroma. Carrying excess weight. Stress fractures.
  • #1 Posture Podiatry Talks About Metatarsalgia Treatment Options
    https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/
    In this article, our Adelaide Podiatrists discuss some of the most common causes of pain in the ball of the foot (or metatarsalgia as its commonly called by health professionals). […] One of the most common causes of this pain in the ball of the foot is uneven pressure loading secondary to foot alignment issues. The metatarsal bones in the forefoot and their surrounding structures can be overloaded with hypermobile, flat feet or excessively high arched feet. Other factors such as ill-fitting footwear, arthritis, bursitis, fractures, nerve problems, and high impact activities (running and jumping) can also alter the forces exerted on the foot causing metatarsalgia pain in the forefoot. […] There are a number of factors that can cause chronic pain, excessive pressure and load through the forefoot. Often the pressure develops over a prolonged period of time. Possible causes may include: High impact sport or exercise, Ill fitting footwear (i.e. high-heeled shoes), High arched foot (pes cavus) with prominent metatarsal head bones, Altered length and/or size of metatarsals or bones in feet, Clawing, mallet or hammer toes, Tight calves and/or achilles tendon, Altered biomechanics that can cause uneven forefoot pressure distribution, Changes in bone structure (i.e. arthritis), Changes in soft tissue (plantar plate tears, bursitis, Mortons Neuroma, synovitis), Fat pad reduction which commonly occurs with aging, Stress fracture in long bones of the foot (Freibergs).
  • #1 What causes ball of the foot pain (metatarsalgia)?
    https://epitact.co.uk/foot/plantar-pain-calluses/what-are-the-causes-of-ball-of-foot-pain
    What causes pain in the ball of the foot can be of several origins. Also called metatarsalgia, the causes of forefoot pain are related to physiological, mechanical or pathological problems. […] The main causes of metatarsalgia are: […] Walking for a long time involves excessive use of the plantar surface causing ball of foot pain. […] Overpressure on the feet is a major cause of ball of the foot pain. […] Poor support of the first metatarsal (long bone before the big toe), which is often associated with a bunion, is a cause of metatarsalgia. […] For example, contracture of the Achilles tendon remotely causes pain in the ball of the foot. […] Claw toes, hammer toes and mallet toes are lesser toe deformities in which the toes are curved and no longer lie flat on the ground. […] Age is another cause of metatarsalgia. […] Other foot conditions can indirectly cause metatarsalgia. The most frequent ones are: calluses; hallux valgus or bunion; flat or hollow feet; rheumatoid arthritis; Mortons neuroma; plantar warts. […] The list is long, here are the main causes of metatarsalgia under the forefoot.
  • #1 Ball of Foot Pain: Causes, Symptoms, and Relief
    https://www.healthline.com/health/ball-of-foot-pain
    Pain in the ball of your foot can occur with an injury or due to some health conditions, including arthritis and hammer toe. Treatment may include rest and wearing more comfortable shoes. […] The medical term for pain in the ball of the foot is metatarsal pain. Its an umbrella term for a symptom that can have many possible causes. […] A person can develop pain in the ball of their foot due to a number of factors, and its important to narrow down the cause to implement treatment. Ball of foot pain may be caused by: intense physical activity, having a high arch or a second toe longer than the big toe, stress fractures or inflammation, wearing high heels or shoes that are too small, hammer toe, bunions, or calluses, having overweight, metatarsal joint pain or arthritis. […] In addition, there are some specific conditions that can cause ball of foot pain. In Mortons neuroma, the area by the third and fourth toe is affected. This is caused by a thickening of the tissues around the nerves leading to the toes.
  • #1 Metatarsalgia | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/podiatry/metatarsalgia/
    The plantar plates are deep ligaments that form the bottom part of the joint capsule within each of the joints in the ball of the foot. […] The most common cause of pain in the ball of the foot is from a sudden increase in pressure or activity resulting in micro trauma and inflammation. […] You may have contributing factor related to metatarsalgia (ball of the foot pain): Being over-weight, Age the fat pad under the ball of the foot becomes thinner and this can increase pressure at the front of the foot, Increased swelling in feet, High arched feet, Tightness in the muscles in the back of the leg, Weakness within the muscles in your foot/leg, Unsuitable footwear that is too narrow or has a thin sole i.e. High heeled shoe, Foot deformities such as hallux valgus (bunion), hallux limitus and hammer toe deformities, Inflammatory conditions i.e. rheumatoid arthritis, psoriatic arthritis etc., Previous foot trauma i.e. metatarsal fracture, nerve injury, Spending long periods standing, walking or running, especially with a sudden increase in these activities. […] People who tend to have increased weight can have more prolonged pain and poorer tissue healing due to increased levels of inflammation in the body. Reducing your weight can generally help improve and pain and the healing process.
  • #1 Why does the ball of my foot hurt?
    https://www.topdoctors.co.uk/medical-articles/why-does-the-ball-of-my-foot-hurt
    Pain under the ball of the foot can be caused by a number of things, most of which involve excessive pressure being placed on this area. This pressure may be caused by: […] Wearing shoes with thin soles, meaning there is a lack of padding to support the ball of the foot. […] Pain in the big toe, which causes you to shift your weight to the ball of the foot, taking pressure off the toe, but applying more to the ball. […] Tightness of the calf muscle. […] Pain in the ball of the foot should not be ignored. If it continues to be overloaded, further problems can occur, including: […] Synovitis (inflammation of the joints) […] Mortons neuroma (one of the nerves between the toes becomes thickened and can cause pain) […] Stress fractures (although these are less common).
  • #1 Arch and Ball Problems | Dominion Foot and Ankle Consultants
    https://www.myprivia.com/dominionfootandankle/patient-resources/arch-and-ball-problems
    Metatarsalgia can cause abnormal weight distribution due to overpronation. […] Metatarsalgia also can be caused by arthritis, foot injury (from sports, a car accident, or repeated stress), hard surfaces (cement or tile floors), and specific footwear (rigid-soled work boots). […] Symptoms include pain under the big toe or on the ball of the foot.
  • #1 Arch and Ball Problems | Dominion Foot and Ankle Consultants
    https://www.myprivia.com/dominionfootandankle/patient-resources/arch-and-ball-problems
    Capsulitis is an inflammation of the ligament on the bottom of the foot. It is usually caused by trauma or abnormal structural functioning, which overstretches the ligament that attaches one of the toe bones to a metatarsal bone. Wearing high heels or other poorly fitting footwear and performing repetitive activities that bend the toes, such as ladder climbing, are also known causes. […] Pain in the forefront of the foot is the most common symptom of capsulitis. […] Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior. This condition arises when the tendon becomes inflamed, stretched, or torn. […] Pain in the area between the arch and toes, or ball of the foot, is generally called metatarsalgia. The pain usually centers on one or more of the five bones (metatarsals) in this mid-portion of the foot.
  • #1 Metatarsalgia | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/metatarsalgia?content_id=CON-20209451
    With this condition, the ball of the foot becomes painful and irritated. […] Metatarsalgia results from activities that involve running and jumping. Other causes include feet that aren’t formed correctly and shoes that are too tight or too loose. […] Sometimes a single factor can lead to metatarsalgia. More often, several factors are involved, including: […] Hard training or activity. Distance runners are at risk of metatarsalgia. This is mainly because the front of the foot takes in a lot of force when a person runs. […] Certain foot shapes. A high arch can put extra pressure on the metatarsals. […] High heels or poorly fitting shoes. High heels are a common cause of metatarsalgia. Wearing high heels puts extra weight on the front of the foot. […] Stress fractures. Small breaks in the metatarsals or toe bones can be painful and change the way you put weight on your foot. […] Morton’s neuroma. This noncancerous growth of fibrous tissue around a nerve usually occurs between the third and fourth metatarsal heads. It causes symptoms that are like those of metatarsalgia.
  • #1 Common Causes of Pain in the Balls of Your Feet | North Central Texas Foot and Ankle
    https://nctfa.com/common-causes-of-pain-in-the-balls-of-your-feet/
    Your feet are employed with the task of holding up your body and all of its weight. […] Shoes can be a major culprit behind metatarsalgia. […] Wearing high heels puts a lot of pressure on your metatarsals. […] If your shoes are too tight, youre squeezing your feet and putting additional stress on them. […] On the other hand, if your shoes are too loose, you can be changing the way you walk and the way weight and pressure are distributed throughout your foot.
  • #1 Ball of Foot Pain Treatment | Pain in the Ball of the Foot Causes
    https://medi-dyne.com/pages/injury-treatment-ball-of-foot-pain?srsltid=AfmBOoq0cMhinuzeBdTHQSkf9CYGKnp3DZ13WwojKWFohZhhWSkZiglP
    There is a protective pad of fat that cushions the metatarsal heads at the balls of your feet. This cushion typically provides the shock absorption the body needs to avoid pain, but this is not always the case. Many factors including the wearing-away of this cushion, due to age or over use, can cause ball-of-foot pain (often referred to as metatarsalgia). […] Pain in the ball of the foot may have many different causes; including: arthritis, ligament injuries, joint irritation, Morton’s neuroma (a benign nerve tumor usually located between the 3rd and 4th toes), tarsal tunnel syndrome (pinched nerve), or excessive pressure over a long period of use. But most often it is caused by improperly fitting shoes. […] High-impact activity is a contributor to the wearing down of the padding at the balls of your feet, so be sure that your athletic shoes are providing the maximum support.
  • #1 Foot pain: Causes, treatment, prevention, and more
    https://www.medicalnewstoday.com/articles/foot-pain
    Foot pain is common and has a wide range of causes, including uncomfortable shoes, prolonged standing, athletic injuries, and chronic conditions such as arthritis. […] Muscle strains and sprains, minor overuse injuries, and tense muscles can all cause pain on the ball of the foot. […] Several chronic conditions can also cause pain at the front of the foot, such as bunions. […] A bunion occurs when excess bone grows on the side of the foot, below the base of the big toe. […] Bunions can cause pain and discomfort, particularly when walking or wearing shoes. […] They may be a result of tiny injuries, such as from wearing heeled shoes, which put pressure on the balls of the feet. […] Mortons neuroma refers to nerve pain from a benign tumor. […] Freibergs disease, which usually appears in the teenage years, involves a reduced blood supply to the foot around the second or third metatarsal bones near the toes. […] Symptoms include swelling, pain, and stiffness at the front of the toes.
  • #1 Symptoms and Conditions – Ball of Foot Pain – DrScholls
    https://www.drscholls.com/pages/symptoms-and-conditions-ball-of-foot-pain?srsltid=AfmBOorUA3V1PObgv4o-MSRJ0lbaAhyv-oX4l_cSWsSlJwjZBP8BiZxM
    The ball of foot is the portion of the foot between your arch and toes, where bones called your metatarsals are located. […] Pain in the ball of the foot is called metatarsalgia. The pain is caused by inflammation, and it occurs under the bones that are located at the base of the toes. […] The major cause of ball of foot pain is the uneven distribution of pressure on the ball of foot bones, leading to pain on specific areas of the ball of foot. […] Pain in the ball of the foot is most often caused by inflammation. The most common source of the inflammation is pressure from high impact activities such as jumping and running. […] Certain types of arthritis such as osteoarthritis, rheumatoid arthritis and gout can cause joint inflammation and make people more vulnerable to pain in the ball of the foot.
  • #1 Ball of Foot Pain: Causes, Symptoms, and Relief
    https://www.healthline.com/health/ball-of-foot-pain
    Freibergs disease can also be a cause. This condition is caused by a lack of blood supply to the second, third, or fourth metatarsal. With this condition, part of the metatarsal head loses structural integrity, leading to collapse in the head of the second metatarsal and nearby joint. […] Pain in the ball of the foot can also be caused by sesamoiditis. Sesamoiditis is inflammation of the sesamoid bones, which are pulley-like bones that are connected to tendons instead of other bones (like the knee cap). This condition is common in people who are highly physically active, like ballet dancers or runners. […] Aching pain in the ball of your foot (metatarsal pain) can occur with inflammation, bruising, numbness, and the pain may get worse during activity. It can be caused by injury, unsupportive footwear, or the shape of your foot.
  • #1 10 Causes of Bottom-of-Foot Pain and Their Treatment
    https://www.verywellhealth.com/bottom-foot-pain-5097184
    Pain on the bottom of your foot can be due to your activities, such as jobs that keep you on your feet or sports like running. Conditions like plantar fasciitis, an inflammation of the sole of your foot, or neuropathy (nerve damage) due to an underlying condition like diabetes, often lead to foot pain. […] Metatarsalgia describes pain in the ball of your foot where the five metatarsal bones are situated. Metatarsalgia pain is often described as being sharp, aching, or burning. It can worsen when you stand, run, walk, or flex your feet. […] Peripheral neuropathy is pain caused by damage to nerves situated outside of the brain and spinal cord (called the peripheral nerves). Damage to the peripheral nerves can be caused by many things, including diabetes, alcohol abuse, Lyme disease, autoimmune diseases like lupus, and certain medications.
  • #1 Pain Ball of Foot | Cause of Pain in the Ball of Foot
    https://podogo.com/2020/01/30/what-is-the-pain-in-the-ball-of-my-foot/
    It is quite common to feel pain and inflammation around the balls of the feet. Podiatrists refer to these symptoms as Metatarsalgia, although this is not a condition in itself. […] The main causes of pain in this area of the foot include: Injury to the bone fractures (complete or stress fractures), and bone bruising. […] Mortons Neuroma this is thickened nerve issue often present in between the third and fourth toes. If this is the cause you may also experience tingling or numbness to the adjacent toes. […] Genetic predisposition for foot injury. […] What causes pain in the ball of the foot when walking? There are a number of possible causes for this. The balls of the feet are technically, the metatarsophalangeal joints (MTP joints). Pain in this area can mean that one of these joints, or the structures or surrounding structures of…
  • #1 Pain in the Ball of the Foot (Metatarsalgia) – Bone, Joint, and Muscle Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/foot-and-ankle-problems/pain-in-the-ball-of-the-foot-metatarsalgia
    Pain in the ball of the foot is called metatarsalgia and may have many different causes (including arthritis, pinching of the nerves between the toes, posture problems, and various disorders). […] The most common causes include Freiberg disease, Metatarsal stress fracture, Damage to the nerves in the foot (Morton neuroma), Metatarsal joint pain, Sesamoiditis, Age-related thinning of the fat pad cushion in the ball of the foot. […] Often, developing one disorder that causes pain in the ball of the foot contributes to development of another disorder that causes pain in the same location.
  • #1 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. […] Common causes of pain in the ball of your foot are exercising too much or wearing shoes that are too tight. Some people also have a foot shape that puts extra pressure on the ball of the foot. For example, if you have small curled-up toes (hammer toes) or high arches. A stress fracture or certain types of arthritis can sometimes cause pain in the ball of the foot. Your symptoms may help you find the cause of your foot pain. […] Symptoms Pain, swelling, bruising, started after intense or repetitive exercise Possible cause sprained metatarsal Symptoms Sharp, burning or shooting pain near your toes (ball of your foot), feels like a lump or small stone under your foot Possible cause Morton’s neuroma Symptoms Redness and swelling, dull aching pain Possible cause bursitis or arthritis Symptoms Hard bony lump near the big toe Possible cause bunions.
  • #1 Ball of foot pain: Causes, treatment, and pain relief
    https://www.medicalnewstoday.com/articles/ball-of-foot-pain
    Foot sprains are another possible cause of pain in the ball of the foot. […] A sprain that occurs in the midfoot can cause pain in the ball of the foot. […] A Lisfranc injury refers to a torn ligament or broken bone in the midfoot. […] Some possible risk factors for pain in the ball of the foot include: natural aging, genetic factors that influence the shape of the foot, excessive or high impact exercise, injuries to the ankle or leg, wearing tight shoes, wearing heels, having overweight or obesity, chronic conditions, such as arthritis or diabetes. […] There are several possible causes of pain in the ball of the foot. […] Sometimes, a severe injury, such as a bone break or ligament tear pain, may cause pain in the ball of the foot.
  • #1 What Causes Severe Pain In The Ball Of The Foot? – My FootDr
    https://www.myfootdr.com.au/2020/11/what-causes-severe-pain-in-the-ball-of-the-foot/
    5. Plantar plate tear […] Why it’s happened: The plantar plate ligament that runs along the bottom of the ball of your foot and connects the joints has been overloaded or strained, leading to a tear. […] 6. Turf toe […] Why it’s happened: You’ve excessively or forcefully bent your big toe upwards and damaged the ligaments around the big toe. This could be from a forceful push off the ground when starting a sprint, holding your ground in a rugby scrum, performing a gymnastic or dance move, and anything else that bends your big toe in this way. […] 7. Sesamoiditis […] Why it’s happened: The two small sesamoid bones that sit beneath your big toe joint at the ball of the foot have become irritated or injured due to overuse and repetitive impact. […] While we’ve given you six common causes of forefoot pain above, truthfully there are plenty more causes, ranging from bursitis to stress fractures – and even to corns and warts on the bottom of your feet. This is why it’s crucial to get an accurate diagnosis from your podiatrist – saving yourself time and pain trying to treat the wrong problem.
  • #1 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. […] Pain in the ball of your foot is often caused by exercise, such as running, wearing shoes that are too tight or a condition such as arthritis. […] Some people also have a foot shape that puts extra pressure on the ball of the foot. Hard or cracked skin or a verruca can also cause this type of pain. […] Symptoms Possible cause Pain, swelling, bruising, started after intense or repetitive exercise Sprain Sharp, burning or shooting pain near your toes (ball of your foot), feels like a lump or small stone under your foot Morton’s neuroma Redness and swelling, dull aching pain Bursitis or arthritis Hard bony lump near the big toe Bunions.
  • #1 Ball of Foot Pain. Causes, Symptoms, Treatment & Insoles
    https://cluffy.com/ball-of-foot-pain/
    The nerves that run between the metatarsal bones and supply sensation to the toes can become compressed or irritated, leading to a condition known as nerve entrapment. […] Beyond heel height, consider the toe box width. A narrow toe box can compress the metatarsal heads, increasing pressure. […] If ball of foot pain is not specifically related to an injury, it is helpful to try conservative care. […] Risk Factors That Lead to This Condition include obesity (Body Mass Index greater than 35), occupations which require standing for a prolonged time, wearing the wrong shoes, and having a flatter foot or a foot that rolls to the inside too much. […] Just about all activities will be limited by ball of foot pain. […] Even though there are many causes of ball of foot pain, the most common cause is excessive pressure on the smaller metatarsals.
  • #1 Ball of Foot Pain. Causes, Symptoms, Treatment & Insoles
    https://cluffy.com/ball-of-foot-pain/
    Ball of foot pain is a very common problem that occurs right behind the toes. It can involve throbbing pain, or occasionally numbness and shooting pain that goes into the toes or up into the arch, or instep, of the foot. There is usually no injury associated with this problem, though it often can feel like a bruise, it can be associated with thick skin on the ball of the foot such as a corn or a callous. […] The bones right behind the toes, the metatarsal bones, are the bones that accept the weight on the ball of the foot. The metatarsal bone behind the big toe is the largest metatarsal; it is supposed to bear the most weight when standing. This first metatarsal bone is unique in that it can move up and down more than the other metatarsals. […] When extra weight is transferred to this area of the foot, the bone can become damaged or swollen. There are also other soft tissues on the ball of the foot that will become damaged as well; these include the joint capsule, the plantar plate on the bottom of the joint, the ligaments around the joint, the tendons going into the toes, or the nerves between the metatarsals.
  • #1 Metatarsalgia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/a-to-z-guides/metatarsalgia
    Metatarsalgia is a common overuse injury that causes pain and inflammation in the ball of your foot, which is between your arch and toes. It’s usually caused by another issue affecting the five metatarsal bones in your foot. […] The pain of metatarsalgia comes from too much pressure on one spot in your foot. It’s usually caused by pressure on your feet during high-impact sports. Or you may have something unusual about your foot bones or muscles that affects the way pressure is distributed, such as: […] Other things that can cause metatarsalgia include: […] Metatarsalgia is a common injury that causes pain and inflammation in the ball of your foot. Most often, the pain comes on over several months, rather than suddenly. It’s usually caused by the pressure on your feet during high-impact sports but can also result from other things, such as bunions, hammertoe deformity, torn ligaments in your feet, obesity, and ill-fitting shoes.
  • #1 Metatarsalgia – Ball of foot pain – Premier Medical Group
    https://www.premiermedicalhv.com/divisions/services/metatarsalgia/
    Metatarsalgia, or ball of foot pain, is diagnosed and treated by the Podiatry Division of Premier Medical Group. […] Metatarsalgia is the medical term for pain and inflammation in the ball of the foot. Rather than describing a specific condition, metatarsalgia is an umbrella term for symptoms that can have varied causes. […] This pain is generally the result of excessive walking and running. Metatarsalgia is an overuse injury, and the condition is often due to abnormal weight distribution, persistent pressure on the area, and other musculoskeletal stressors. […] Many conditions and habits can lead to ball of foot pain, including high levels of activity, prominent metatarsal heads, weak toe flexor muscles, tight toe muscles, a tight Achilles tendon, ill-fitting footwear, and excessive pronation, which is the side-to-side movement of the foot when walking or running.
  • #1 What Causes Pain in the Ball of the Foot (Metatarsalgia)?: Foot and Ankle Institute of Colorado: Podiatrists
    https://www.faicolorado.com/blog/what-causes-pain-in-the-ball-of-the-foot-metatarsalgia
    Most people we see with pre-dislocation syndrome seem to be genetically set up to have this problem, because their second metatarsal is a little bit longer than it should be for normal foot function to occur. Many people also have a hallux valgus or bunion type deformity where a bump is over the medial aspect of the foot which also predisposes people to this problem, because of abnormal function of the first metatarsal phalangeal joint. […] The last common reason we see pain in the ball the foot is from a stress fracture. Especially during the current times, many people are exercising more and this is typically an overuse type injury but also can occur with osteoporosis when the bone is not as strong as it should be.
  • #1 What Is Metatarsalgia and What Causes It? | Foot and Ankle Center of Lake City
    https://www.bergdpm.com/video/what-is-metatarsalgia-and-what-causes-it-.cfm
    I’m going to talk to you today about metatarsalgia. […] Now there are a lot of causes for pain in the ball of the foot. But some of the basic ones are: arthritis, foot deformities, poor foot mechanics and structure, injuries. […] There are several kinds of arthritis; both rheumatoid arthritis and osteoarthritis are inflammatory conditions. Because the ball of the foot bears a lot of weight, it’s common to see arthritis express itself in that area of the foot. […] And other times we have more localized causes for the problem. […] The third type of cause is mechanical and structural. When our feet collapse too much, or pronate and roll in too much, it causes instability in the front, clawing of the toes, and the more you claw the toes, the more that pressure develops on the bottom. […] So these are a few different causes that put you at risk for developing pain in the ball of your foot.
  • #1 6 Causes of Foot Pain You Should Not Ignore
    https://www.aarp.org/health/conditions-treatments/info-2022/foot-pain-causes.html
    Foot pain can be a common symptom of psoriatic arthritis, an inflammatory disease that causes pain and swelling in the joints. […] About half of people with diabetes develop neuropathy, or nerve damage, a condition that leads to tingling, burning or stinging pain, and even foot numbness and weakness. […] Gout a form of inflammatory arthritis where high levels of a substance known as urate build up in your body, leading to joint pain and swelling often begins in your big toe, but it can be misdiagnosed and overlooked. […] When you think of deep vein thrombosis, you may automatically think of leg swelling and leg pain. But this condition, where a blood clot forms in one of the bodys deep veins, can also cause sudden and severe pain in the ankle or foot, Sutera says.
  • #2 What Causes Pain in the Ball of Your Foot?
    https://www.verywellhealth.com/foot-pain-in-ball-of-foot-11695376
    Metatarsalgia refers to pain in the ball of your foot, the area of the forefoot just below the top of the metatarsal bones in your big toe. Pain in the ball of your foot can have many causes, such as an injury, ill-fitting shoes, excessive exercise, or underlying conditions such as Mortons neuroma, bunions, or arthritis. There are many possible reasons for pain in the ball of your foot, including excessive exercise, ill-fitting footwear, problems with the skin on the foot, and anatomical differences (e.g., the particular shape of your foot). It can also result from acute injury, such as a sprain, or an underlying condition, such as arthritis, bunions, Mortons neuroma, or bursitis. Pain in the ball of your foot is known as metatarsalgia. It is sometimes caused by tight shoes or excessive exercise, such as running, but it can also be due to underlying medical conditions like arthritis, bursitis, or bunions. […] In most cases, metatarsalgia doesn’t require medical treatment. However, your healthcare provider may recommend medication or surgery if your pain is persistent or related to another medical condition.
  • #2 Pain in the ball of your foot (metatarsalgia) and how to get relief | HealthPartners Blog
    https://www.healthpartners.com/blog/metatarsalgia-symptoms-treatment/
    Pain that occurs in the ball of your foot the area where your toes meet your arch (also called the forefoot) is known as metatarsalgia. Named for the metatarsal bones of your foot, metatarsalgia is most commonly an overuse injury related to physical activity. Often, its a sign there is too much pressure being applied to your forefoot, leading to inflammation in one or more of the metatarsal bones. […] Causes of metatarsalgia fall into three categories: primary, secondary and iatrogenic. […] Primary metatarsalgia means if metatarsalgia is originating from a structural abnormality of the foot, then its considered primary metatarsalgia. […] Secondary metatarsalgia means your metatarsalgia is caused by other health conditions you have or related to activities you do. […] Iatrogenic describes an illness, injury or other condition caused by medical intervention. In the case of iatrogenic metatarsalgia, this means it developed as a complication of foot surgery (like bunion surgery) or as a result of broken bones in the foot that healed incorrectly.
  • #2 Posture Podiatry Talks About Metatarsalgia Treatment Options
    https://posturepodiatry.com.au/metatarsalgia-causes-and-treatment-options/
    In this article, our Adelaide Podiatrists discuss some of the most common causes of pain in the ball of the foot (or metatarsalgia as its commonly called by health professionals). […] One of the most common causes of this pain in the ball of the foot is uneven pressure loading secondary to foot alignment issues. The metatarsal bones in the forefoot and their surrounding structures can be overloaded with hypermobile, flat feet or excessively high arched feet. Other factors such as ill-fitting footwear, arthritis, bursitis, fractures, nerve problems, and high impact activities (running and jumping) can also alter the forces exerted on the foot causing metatarsalgia pain in the forefoot. […] There are a number of factors that can cause chronic pain, excessive pressure and load through the forefoot. Often the pressure develops over a prolonged period of time. Possible causes may include: High impact sport or exercise, Ill fitting footwear (i.e. high-heeled shoes), High arched foot (pes cavus) with prominent metatarsal head bones, Altered length and/or size of metatarsals or bones in feet, Clawing, mallet or hammer toes, Tight calves and/or achilles tendon, Altered biomechanics that can cause uneven forefoot pressure distribution, Changes in bone structure (i.e. arthritis), Changes in soft tissue (plantar plate tears, bursitis, Mortons Neuroma, synovitis), Fat pad reduction which commonly occurs with aging, Stress fracture in long bones of the foot (Freibergs).
  • #2 Ball of Foot Pain (Causes and Remedies) – SVPC
    https://southvanphysio.com/ball-of-foot-pain-a-guide-to-causes/
    Several conditions and factors can cause pain in the ball of the foot: Metatarsalgia: This condition occurs when the metatarsal bones, located in the ball of the foot, are inflamed. Neuroma: Known as Morton’s Neuroma, this condition involves a nerve in the foot being pinched or irritated. Sesamoiditis: This condition is either inflammation or a fracture of the sesamoid bones in the ball of the foot. Bunions or Hammertoes: These are foot deformities that place extra stress on the ball of the foot. Obesity: This involves excess weight which can put additional stress on the bones, muscles, and ligaments in the feet. Poorly Fitted Shoes: Shoes that are too narrow, have high heels, or lack enough padding can cause foot pain. High Impact Activities: Sports or physical activities that involve running and jumping can increase pressure on the ball of the foot. Aging: The natural fat pad on the feet can thin out as one ages, potentially causing pain and discomfort. Diseases: Conditions like diabetes, arthritis, or other inflammatory diseases can lead to foot pain.
  • #2 What Causes Severe Pain In The Ball Of The Foot? – My FootDr
    https://www.myfootdr.com.au/2020/11/what-causes-severe-pain-in-the-ball-of-the-foot/
    These three lines all came from different patients this week with one common problem: pain at the ball of their foot. […] To help, we thought we’d get straight to the point of the common causes of pain at the ball of the foot, with helpful tips on what to avoid if you’re feeling the pain. […] 1. Having A Longer Second Toe (Metatarsal) […] Why it’s happened: Two reasons. First, it’s the metatarsal bone that tends to be the longest, so this joint sits slightly further forward. This means that when you walk and bend the toes, it takes on much more pressure and stress instead of having it spread evenly across all the five joints. Hence a greater risk of injury and pain. […] Second, our shoes are often measured to our big toe, not our second toe if it’s longer. Pushing against the end of the shoe causes the toe to bend at the joints, which can result in changes to the joint shape, and may leave the joint sitting further down and taking on more strain during walking.
  • #2 Metatarsalgia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/a-to-z-guides/metatarsalgia
    Metatarsalgia is a common overuse injury that causes pain and inflammation in the ball of your foot, which is between your arch and toes. It’s usually caused by another issue affecting the five metatarsal bones in your foot. […] The pain of metatarsalgia comes from too much pressure on one spot in your foot. It’s usually caused by pressure on your feet during high-impact sports. Or you may have something unusual about your foot bones or muscles that affects the way pressure is distributed, such as: […] Other things that can cause metatarsalgia include: […] Metatarsalgia is a common injury that causes pain and inflammation in the ball of your foot. Most often, the pain comes on over several months, rather than suddenly. It’s usually caused by the pressure on your feet during high-impact sports but can also result from other things, such as bunions, hammertoe deformity, torn ligaments in your feet, obesity, and ill-fitting shoes.
  • #2 Metatarsalgia | Symptoms and Treatment | OrthoIndy Blog
    https://blog.orthoindy.com/2021/03/03/what-is-metatarsalgia-symptoms-and-treatment/
    “The main symptoms of metatarsalgia include pain under the ball of the foot that tends to be worse with weight-bearing and better when not weight-bearing on the feet,” Dr. Myer said. “This also tends to be worse on hard surfaces and in bare feet or shoes that are not well cushioned.” […] Metatarsalgia is almost never treated with surgical methods. If one metatarsal is heavily affected or if you also have hammer toes deformity, surgery can relieve some of the pressure on your foot, according to Dr. Myer. […] Common treatment options include: Daily calf and Achilles Tendon stretches, Using extra padding (metatarsal pads), Orthotics or well cushioned shoes are the best shoes for metatarsalgia, Avoid bare feet, Avoid high impact activities for extended amounts of time. […] “Conservative management of metatarsalgia is almost always successful and typically utilizes a combination of activity modification, dedicated daily stretching and off-loading pads or orthotics as well as appropriate shoe selection,” Dr. Myer said.
  • #2 Symptoms and Conditions – Ball of Foot Pain – DrScholls
    https://www.drscholls.com/pages/symptoms-and-conditions-ball-of-foot-pain?srsltid=AfmBOorUA3V1PObgv4o-MSRJ0lbaAhyv-oX4l_cSWsSlJwjZBP8BiZxM
    The ball of foot is the portion of the foot between your arch and toes, where bones called your metatarsals are located. […] Pain in the ball of the foot is called metatarsalgia. The pain is caused by inflammation, and it occurs under the bones that are located at the base of the toes. […] The major cause of ball of foot pain is the uneven distribution of pressure on the ball of foot bones, leading to pain on specific areas of the ball of foot. […] Pain in the ball of the foot is most often caused by inflammation. The most common source of the inflammation is pressure from high impact activities such as jumping and running. […] Certain types of arthritis such as osteoarthritis, rheumatoid arthritis and gout can cause joint inflammation and make people more vulnerable to pain in the ball of the foot.
  • #2 What Causes Pain In The Ball Of The Foot?
    https://wphphysio.com.au/what-causes-pain-in-the-ball-of-the-foot/
    Pain in the ball of the foot is a common condition that we see and one that we get many questions about here at West Pennant Hills Physiotherapy and Sports Injuries Centre. […] Pain in the ball of the foot can also be referred to as metatarsalgia. It is a condition in which the ball of the foot becomes painful and inflamed. The area affected involves the bones at the bases of the toes, which are called the metatarsals. There are many different causes of metatarsalgia such as incorrect footwear, overuse with activities that involve running or jumping, or foot deformities. […] Intense training or activity […] This is especially with running or jumping. This is because the front of the foot absorbs more force during these activities. Participating in high impact sports can put you at risk, particularly if you have poor footwear or have worn through your shoes.
  • #2 Metatarsalgia | Symptoms and Treatment | OrthoIndy Blog
    https://blog.orthoindy.com/2021/03/03/what-is-metatarsalgia-symptoms-and-treatment/
    According to WebMD, metatarsalgia, or ball of foot pain, is common in athletes who participate in sports that involve running and jumping. This includes track and field, cross country, soccer, football, softball and baseball. […] If you are experiencing pain in the ball of your foot, you may have a common overuse injury called metatarsalgia. When you develop metatarsalgia, the ball of your foot may be in pain and inflamed. If you are involved in activities involving a lot of running and jumping, you could be prone to it. […] The main cause of metatarsalgia is overuse due to working on hard surfaces or athletics. Many athletes are prone to this type of injury because they don’t rest or stretch enough in between exercises. […] “People who tend to be the most prone to metatarsalgia include individuals to have lost some of the padding under the ball of her feet, those who work on hard surfaces and are on their feet for extended periods of time, as well as individuals to have tight gastrocnemius muscles and Achilles tendons,” Dr. Myer said. “Metatarsalgia can also affect individuals who have hammertoe deformities.”
  • #2 What Causes Sore Soles Of The Feet? | The Foot Clinic
    https://thefootclinic.net/what-causes-sore-soles-of-the-feet/
    Sore soles of the feet refer to a condition where the bottom part of your feet experiences pain, discomfort, or tenderness. The soles of your feet consist of muscles, ligaments, nerves, and bones that work together to support your body weight and provide balance while standing, walking, or running. When any of these components get strained or injured, it can cause soreness in the soles of the feet. […] There are many possible causes of sore soles of the feet, including: […] Overuse: Prolonged standing, walking, or running on hard surfaces can cause soreness in the feet. […] Wearing uncomfortable shoes: Tight or ill-fitting shoes can cause soreness in the soles of the feet, especially if they lack adequate support or cushioning. […] Plantar Fasciitis: Inflammation of the plantar fascia, a band of tissue that runs from the heel to the ball of the foot, can cause pain in the heel and the sole of the foot.
  • #2
    https://biltlabs.com/blogs/blog/ball-of-foot-pain-what-causes-it-and-best-treatments?srsltid=AfmBOoq7Z8vcwgGXnOL9W1k-1r61gipUUYKNFJoVg81obl9Gfk9BFtYd
    Are you experiencing a sharp, burning pain at the front of your foot? It could be ball of foot pain, also known as metatarsalgia. […] One of the primary causes of ball of foot pain is wearing ill-fitting shoes. High heels, tight shoes, and shoes with inadequate cushioning can put excessive pressure on the metatarsal bones, leading to pain and inflammation. […] Ball of foot pain, medically known as metatarsalgia, is a common discomfort often traced back to overworked metatarsal bones. These midfoot bones bear the brunt of pressure during walking and running, making them susceptible to inflammation and tenderness. […] Various factors can trigger metatarsalgia. Overdoing high-impact activities like running or jumping can overload the bones and surrounding tissues, leading to inflammation.
  • #2 Morton’s neuroma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/mortons-neuroma/symptoms-causes/syc-20351935
    Morton’s neuroma involves a thickening of the tissue around one of the nerves leading to your toes. This can cause a sharp, burning pain in the ball of your foot. […] Morton’s neuroma seems to occur in response to irritation, pressure or injury to one of the nerves that lead to your toes. […] High-heeled or tight shoes have been linked to the development of Morton’s neuroma. […] Wearing high-heeled shoes or shoes that are tight or ill fitting can place extra pressure on your toes and the ball of your foot. […] Participating in high-impact athletic activities such as jogging or running may subject your feet to repetitive trauma. Sports that feature tight shoes, such as snow skiing or rock climbing, can put pressure on your toes. […] People who have bunions, hammertoes, high arches or flatfeet are at higher risk of developing Morton’s neuroma.
  • #2
    https://biltlabs.com/blogs/blog/ball-of-foot-pain-what-causes-it-and-best-treatments?srsltid=AfmBOoq7Z8vcwgGXnOL9W1k-1r61gipUUYKNFJoVg81obl9Gfk9BFtYd
    Similarly, ill-fitting shoes, particularly those with poor cushioning, narrow toe boxes, or high heels, can exacerbate pressure on the metatarsals and contribute to pain. […] Foot deformities like hammertoes, bunions, or high arches also play a role by altering biomechanics and increasing pressure on specific metatarsal heads. […] In some cases, tiny hairline cracks in the metatarsal bones due to repetitive stress or sudden impact can manifest as aching pain, especially during weight-bearing activities. […] Inflammatory arthritis like rheumatoid arthritis can affect the metatarsal joints, causing pain and swelling. […] Nerve thickening in the ball of the foot can also lead to sharp pain, tingling, and numbness, a condition known as a neuroma. […] Finally, age-related or disease-related loss of cushioning in the fat pad on the bottom of the foot can reduce shock absorption and increase pain.
  • #2 Top Causes of Pain in the Ball of the Foot
    https://www.eastoceanpodiatry.com/blogs/item/311-top-causes-of-pain-in-the-ball-of-the-foot
    Top Causes of Pain in the Ball of the Foot […] Pain in the ball of the foot can occur for a variety of reasons. Two common causes are stress fractures from excessive exercise or Morton’s neuroma, which is thickened tissue around nerves where the toes and metatarsal bones meet. This results in burning pain that is increased by physical activity or from wearing ill-fitting shoes. Other causes of pain in the ball of the foot, often termed metatarsalgia, are bunions. These bony growths at the base of the big toe can alter weight distribution, forcing more pressure onto the ball of the foot. Symptoms typically include a dull ache, sometimes accompanied by burning, tingling sensations, or numbness in the toes that worsens with standing or walking. […] While supportive footwear and custom orthotics can help redistribute pressure, in severe cases steroid injections or surgery may be necessary for long-term relief. A podiatrist can conduct a thorough exam of the affected foot to form a diagnosis. This will then allow for a personalized treatment plan to address the underlying cause, ensuring effective pain management and restoring mobility. If you are suffering from pain in the ball of the foot, it is suggested that you schedule an appointment with a podiatrist.
  • #2
    https://www.illinoisfoot.com/blog/what-is-this-pain-in-the-ball-of-my-foot
    Pain in the ball of your foot can affect mobility. […] The metatarsal bones, which connect the toes to the mid-and-hind foot bones, can be subjected to excessive pressure, leading to conditions like metatarsalgia. Metatarsalgia is characterized by pain or burning in the ball of the foot, tingling, or numbness in the toes. […] Factors contributing to metatarsalgia include wearing shoes with a narrow toe box, excessive weight, and prolonged standing, especially in high heels. […] Additionally, underlying foot conditions like bunions, hammertoes, or Morton’s neuroma can precede metatarsalgia. […] It is important to note that body weight transfers to the forefoot during walking or running, and excessive weight or pressure on the metatarsals can exacerbate metatarsalgia symptoms. […] Therefore, managing body weight and choosing footwear with a big toe box can help reduce the risk of metatarsalgia and alleviate associated discomfort.
  • #2 Foot Pain Types, Causes, Diagnosis, Treatment
    https://www.medicinenet.com/foot_pain/article.htm
    Biomechanical abnormalities from muscle and tendon tightness or laxity, flat feet, or high arched feet often lead to muscle imbalances, deformities, and foot pain. […] Trauma from an acute injury or from accumulative repetitive injury is a very common cause of foot pain. […] Wearing shoes that are too tight or high heels can cause pain in the forefoot. […] Metatarsalgia can be caused by a variety of factors, such as: Wearing poorly fitting shoes (too tight or loose) or high heels, Intense training or activities involving running and jumping, Excess weight, Congenital foot deformities, Sprains, Stress fractures, Bunions, Morton’s neuroma, Rheumatoid arthritis, osteoarthritis, or gout. […] Untreated metatarsalgia can lead to hammertoes, a condition in which the toe buckles cause the middle joint of the affected toe to poke out.
  • #2 Ball of foot pain: Causes, treatment, and pain relief
    https://www.medicalnewstoday.com/articles/ball-of-foot-pain
    Pain in the ball of the foot can have several possible causes, from a trapped nerve to broken bones. […] Injuries or conditions that cause pain in the ball of the foot can affect a persons mobility. […] Pain in the ball of the foot may differ between individuals depending on the cause. […] According to an older reference in the American Academy of Orthopaedic Surgeons (AAOS), pain in the ball of the foot can occur due to Mortons neuroma, where tissue surrounding a nerve in the foot thickens. […] The AAOS indicate that although Mortons neuroma most often develops between the third and fourth toes, it can cause a burning pain in the ball of the foot that may spread to the toes. […] A bunion may lead to changes in how a person places weight on their foot while standing or moving. These changes may cause pain in the ball of the foot.
  • #2 Pain in the ball of the foot: Causes and Treatments | FCG
    https://www.footcentregroup.com.au/pain-in-the-ball-of-foot/
    Have you been experiencing pain in the ball of foot? Pain in the ball of your foot, may be caused by a variety of factors and is important to have this concern looked at and treated by one of our Podiatrists here at Foot Centre Group. […] The medical term for pain in the ball of the foot is metatarsalgia. It’s an umbrella term for a symptom that can have many possible causes. […] Pain in the ball of the foot can be caused by numerous different conditions. This includes morton’s neuroma( inflammation/ irritation of the nerve) other forms of neuromas, bursitis (inflammation of bursa of the foot), stress fractures, bunions, tailor’s bunions, plantar plate tears, turf toe or arthritis. […] In addition, there are some specific conditions that can cause ball of foot pain. Freiberg’s disease can also be a cause. This condition is caused by a lack of blood supply to the second, third, or fourth metatarsal head.
  • #2 Foot Pain Conditions, Causes, Symptoms, Treatments | HSS
    https://www.hss.edu/condition-list_foot-pain-causes.asp
    Pain in the ball of your foot can stem from any one of these conditions: Sesamoiditis is inflammation of the small bones shaped like sesame seeds located beneath the big toe joint. Arthritis in one or more MTP joints can also lead to stiffness and pain in the ball of the foot. Morton’s neuroma is a benign growth of nerve tissue usually located between the third and fourth metatarsal heads, can cause pain in the ball of the foot. Metatarsalgia is a broad term that refers to pain under the metatarsophalangeal (MTP) joints (where the metatarsal bones meet the phalanges or toe bones), which can arise from various conditions. Bunions are bony bumps that form on the joint at the base of your big toe, sometimes cause pain in the ball of the foot as a result of the big toe’s poor alignment as increased force is transferred under the adjacent bones. This is a common cause of metatarsalgia.
  • #2 Arch and Ball Problems | Dominion Foot and Ankle Consultants
    https://www.myprivia.com/dominionfootandankle/patient-resources/arch-and-ball-problems
    Capsulitis is an inflammation of the ligament on the bottom of the foot. It is usually caused by trauma or abnormal structural functioning, which overstretches the ligament that attaches one of the toe bones to a metatarsal bone. Wearing high heels or other poorly fitting footwear and performing repetitive activities that bend the toes, such as ladder climbing, are also known causes. […] Pain in the forefront of the foot is the most common symptom of capsulitis. […] Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior. This condition arises when the tendon becomes inflamed, stretched, or torn. […] Pain in the area between the arch and toes, or ball of the foot, is generally called metatarsalgia. The pain usually centers on one or more of the five bones (metatarsals) in this mid-portion of the foot.
  • #2 What Causes Pain in the Ball of the Foot (Metatarsalgia)?: Foot and Ankle Institute of Colorado: Podiatrists
    https://www.faicolorado.com/blog/what-causes-pain-in-the-ball-of-the-foot-metatarsalgia
    Pain in the ball of the foot behind the toes is a very common problem that we see as podiatrists. Metatarsalgia is a term that can be used for chronic pain over the metatarsal heads, but this does not really explain the reason it is happening. The 3 most common reasons people get pain in the ball of the foot are tearing of the plantar plate around the second metatarsophalangeal joint, a Morton’s neuroma, or a stress fracture of the metatarsal. […] The most common reason we see pain in the ball of the foot is actually from tearing of the plantar plate around the second metatarsal phalangeal joint. We have several different terms we use for this including capsulitis of the joint, pre-dislocation syndrome, or plantar plate attenuation. Essentially what is happening is that the joint is being overloaded, which causes tearing to occur of the ligaments around the bottom of that joint, which causes pain in the ball of the foot.
  • #2 Ball of Foot Pain: Expert Care at Lone Star Neurology
    https://lonestarneurology.net/blog/ball-of-foot-pain/
    The next reason is inflammation affecting the joints of the foot. These include gout, chondrocalcinosis (pseudogout), and rheumatoid types of arthritis. […] Ball of foot pain can be a symptom of bone pathology. In this case, we can talk about such diseases as osteomyelitis, osteoporosis, bursitis of the metatarsal head, etc. […] The cause of ball of foot pain can be diabetes mellitus, a disease in which the vessels of the microvasculature also suffer due to impaired glucose metabolism. […] Flat feet are characterized by a change in the shape of the arch of the foot, which leads both to a redistribution of the load on the bones and muscles of the foot and to the compression of the vessels and nerves passing through that part of the sole, which normally does not participate in the act of walking.
  • #2 Ball of foot pain: Causes, treatment, and pain relief
    https://www.medicalnewstoday.com/articles/ball-of-foot-pain
    Foot sprains are another possible cause of pain in the ball of the foot. […] A sprain that occurs in the midfoot can cause pain in the ball of the foot. […] A Lisfranc injury refers to a torn ligament or broken bone in the midfoot. […] Some possible risk factors for pain in the ball of the foot include: natural aging, genetic factors that influence the shape of the foot, excessive or high impact exercise, injuries to the ankle or leg, wearing tight shoes, wearing heels, having overweight or obesity, chronic conditions, such as arthritis or diabetes. […] There are several possible causes of pain in the ball of the foot. […] Sometimes, a severe injury, such as a bone break or ligament tear pain, may cause pain in the ball of the foot.
  • #2 What Causes Pain In The Ball Of The Foot?
    https://wphphysio.com.au/what-causes-pain-in-the-ball-of-the-foot/
    Pain in the ball of the foot may not always be metatarsalgia. Other possible diagnoses for pain under the ball of foot include: […] Morton’s neuroma […] This is a a noncancerous growth of fibrous tissue around the nerve. It most commonly occurs between the third and fourth metatarsal heads. This thickening of the tissues can contribute to excess stress on the metatarsals and result in symptoms very similar to that of metatarsalgia. It may cause pain or pins and needles or numbness between the toes. […] Stress fractures […] Stress fractures are caused by repetitive force, such as repetitive jumping or long distance running. It is often an overuse injury. Most stress fractures occur in the bone of the foot and lower leg, which carry the weight of the body.
  • #2 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. […] Pain in the ball of your foot is often caused by exercise, such as running, wearing shoes that are too tight or a condition such as arthritis. […] Some people also have a foot shape that puts extra pressure on the ball of the foot. Hard or cracked skin or a verruca can also cause this type of pain. […] Symptoms Possible cause Pain, swelling, bruising, started after intense or repetitive exercise Sprain Sharp, burning or shooting pain near your toes (ball of your foot), feels like a lump or small stone under your foot Morton’s neuroma Redness and swelling, dull aching pain Bursitis or arthritis Hard bony lump near the big toe Bunions.
  • #2 Symptoms and Conditions – Ball of Foot Pain – DrScholls
    https://www.drscholls.com/pages/symptoms-and-conditions-ball-of-foot-pain?srsltid=AfmBOorUA3V1PObgv4o-MSRJ0lbaAhyv-oX4l_cSWsSlJwjZBP8BiZxM
    Improperly fitted shoes can contribute to ball of foot pain. […] One of the most common causes of ball of foot pain is high impact sports that involve jumping and running. However, there are additional risk factors that can contribute to ball of foot pain including being overweight, certain foot abnormalities like hammertoe and bunions, specific types of arthritis and improperly fitted shoes.
  • #2 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=%2Fregions%2Fmas
    Your foot has 5 metatarsal bones that connect your toes to the rest of your foot. Increased pressure on one or more of these bones can lead to pain in the ball of your foot. This is called metatarsalgia. […] Causes of metatarsalgia include: Wearing shoes that don’t provide enough support or cushioning, Being overweight, Having bunions or hammer toes. […] Several things can increase pressure on the ball of your foot. These include: Certain sports. Running, walking, or jumping, especially on hard surfaces like concrete, can cause pain. Shoes that don’t support and cushion the foot during these activities can make the problem worse. Age. The protective fat pad under the ball of the foot shrinks as you get older. Abnormal foot shape. Having high arches and/or a second toe that is longer than your big toe can increase pressure on the metatarsals. Bunions. A bunion can push your big toe toward your second toe, which throws the bones out of alignment. This puts extra stress on your metatarsal bones. Hammer toes. Hammer toes are bent at the middle toe joint. This deformity transfers more of the weight to the ball of the foot. Obesity. Excess weight places stress on all the structures of your foot, including the metatarsals. Shoes that don’t protect the ball of your foot. These include shoes with high heels, thin, flexible soles, or inadequate support. Stress fracture. A crack in one of the metatarsal bones, called a stress fracture, can be caused by overuse or low bone density. Tight Achilles tendon. The tendon links the calf muscle to the back of the heel. As you walk, the muscle and the tendon contract to allow the foot to move at the ankle, so the heel strikes the ground first, followed by the front of the foot. When the calf muscle and tendon are too tight, the heel pulls up too soon. This causes the foot to rotate inwards. This places too much strain on the metatarsal bones of the big toe and second toe.
  • #2 Ball of Foot Pain. Causes, Symptoms, Treatment & Insoles
    https://cluffy.com/ball-of-foot-pain/
    A tight Achilles tendon and a lack of motion of the ankle can also cause a significant overload of the ball of the foot. […] High-heeled shoes or boots can also cause a significant overload of the forefoot. […] Conditions That Cause Forefoot Pain include stress fracture or reaction of the metatarsal, capsulitis of the metatarsal phalangeal Joint (metatarsalgia), plantar plate injury or rupture, tendonitis, neuroma, corns and calluses, plantar warts, hammertoes (crooked toes), tight Achilles tendon, functional hallux limitus or rigidus (lack of movement of the big toe), bone tumor (either benign or malignant), soft tissue tumor (either benign or malignant), inflammatory arthritis, degenerative arthritis, gout, dropfoot deformity, trauma (injury), Paget’s disease, and osteoporosis. […] While the plantar fascia is often associated with heel pain, its influence extends to the forefoot as well.
  • #2 Pain in the bottom of the foot – NHS
    https://www.nhs.uk/conditions/foot-pain/pain-in-the-bottom-of-the-foot/
    Pain in the bottom of your foot is often caused by exercise, such as running, wearing shoes that are too tight or a condition, such as Morton’s neuroma. […] Some people also have a foot shape that puts extra pressure on the bottom of the foot. Hard or cracked skin or a verruca can also cause this type of pain. […] Sharp, burning or shooting pain near your toes (ball of your foot), feels like a lump or small stone under your foot Morton’s neuroma.
  • #2 Ball of Foot Pain Treatment | Pain in the Ball of the Foot Causes
    https://medi-dyne.com/pages/injury-treatment-ball-of-foot-pain?srsltid=AfmBOoq0cMhinuzeBdTHQSkf9CYGKnp3DZ13WwojKWFohZhhWSkZiglP
    There is a protective pad of fat that cushions the metatarsal heads at the balls of your feet. This cushion typically provides the shock absorption the body needs to avoid pain, but this is not always the case. Many factors including the wearing-away of this cushion, due to age or over use, can cause ball-of-foot pain (often referred to as metatarsalgia). […] Pain in the ball of the foot may have many different causes; including: arthritis, ligament injuries, joint irritation, Morton’s neuroma (a benign nerve tumor usually located between the 3rd and 4th toes), tarsal tunnel syndrome (pinched nerve), or excessive pressure over a long period of use. But most often it is caused by improperly fitting shoes. […] High-impact activity is a contributor to the wearing down of the padding at the balls of your feet, so be sure that your athletic shoes are providing the maximum support.
  • #2 Metatarsalgia – Ball of foot pain – Premier Medical Group
    https://www.premiermedicalhv.com/divisions/services/metatarsalgia/
    In many cases, lifestyle changes and home remedies are enough to reduce and eliminate ball of foot pain. […] Eventually, metatarsalgia can cause pain in other parts of the foot, the opposite foot, and/or elsewhere in the body, most often in the lower back and hips. […] Bunions and hammertoe are also potential complications that require advanced metatarsalgia treatment.
  • #2 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 can be caused by a number of different conditions. Common causes include: […] Overuse can cause some mild inflammation in the metatarsal heads and nearby joints. […] Wearing high-heeled shoes can put extra stress on the metatarsal heads. […] Being overweight can put extra stress on the feet in general, but particularly on the metatarsal heads. […] Having a stiff ankle or Achilles tendon can affect the way that pressure is distributed across the foot and may lead to extra stress on the metatarsal heads.
  • #2 Pain in the ball of the foot | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/leg-and-foot-problems-and-conditions/pain-in-the-ball-of-the-foot/
    Pain in the ball of the foot, sometimes called metatarsalgia, can have a number of different causes. […] The pain is usually the result of increased pressure on the ball of the foot. […] Some common causes include: badly fitting footwear with high-heeled or narrow toes, high-impact sports, like running or tennis, being overweight as this can increase the pressure on the feet. […] Pain in the ball of the foot can also be related to health issues, including arthritis and diabetes.