23/07/2026
Metatarsalgia – Forefoot pain
A Common Definition:
Pain or discomfort across the ball of the foot, specifically the metatarsal heads, exacerbated by increased load, increased duration of load, repetitive high-impact activity and/or an underlying medication condition.
Signs & Symptoms:
A sharp, aching, or burning pain in the ball of the foot.
A sensation that feels like a "pebble in your shoe" or a bunched-up sock.
Pain that worsens when you stand, walk, or run, and improves when you rest.
Numbness or tingling in your toes.
Development of calluses or thickened skin under the area.
Primary Causes & Risk Factors:
Anything that places excessive pressure on the front of your foot can trigger metatarsalgia. Common triggers include:
Footwear - Wearing high heels (which shift weight to the forefoot) or shoes with
tight toe boxes.
High Impact Sports - Activities like running or jumping can overload the
metatarsal bones.
Anatomy - High arches or having a longer second toe.
Medical Conditions: Conditions like arthritis, gout, bunions, Morton's neuroma,
Freiberg's infraction, rear foot equinus, gastrocnemius equinus or stress
fractures.
Weight & Aging: Being overweight increases forefoot pressure, while age-
related thinning of the foot's fat pad reduces cushioning.
Self treatment:
In some cases, you can manage and relieve the pain at home:
Rest: Refrain from strenuous activity.
Pain Medication: Over-the-counter anti-inflammatories can help reduce pain
and swelling.
Footwear Changes: Switch to supportive, shock-absorbing shoes with a roomy
toe box. Avoid high heels and completely flat, thin soled shoes or jandals.
If you need help please contact us:
24 Arthur Street, Timaru, (03) 6889900
99 Thames Street, Oamaru (03) 4349900
email us: [email protected]
or visit our website: www.thefootplace.co.nz
Providing the highest standard of podiatric care.