YPARC

Hip, knee and foot

Metatarsalgia

Metatarsalgia describes pain in the ball of the foot at the base of the toes. It may reflect mechanical overload or another local problem.

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01

What you may feel

  • Pain in the ball of the foot beneath the toe bases.
  • It may burn, ache or feel like walking on small stones.
  • Walking, running or prolonged standing often worsen pain.
  • Narrow or high-heeled shoes may increase pressure and discomfort.
  • Rest or changing footwear may ease the pain.
02

How it is assessed

Assessment considers footwear, foot structure and the exact pain location, distinguishing nerve and bone problems.

Explain how far you can walk, which footwear you use and which movements hurt. Mention recent injury or changes in activity.

03

Approaches to care

Load distribution may be adjusted with suitable footwear, individually selected supports and activity changes.

Discuss realistic walking, work or exercise goals with your clinician. At follow-up, describe changes after activity and how long pain lasted.

When to seek urgent help

Inability to bear weight after injury, a hot red joint with fever, or a suddenly cold pale foot need urgent assessment.

Further reading: NHS

This is educational information and does not replace an individual medical assessment. Similar symptoms alone do not establish a diagnosis.