Metatarsalgia (Ball of foot pain)
Definition:
Pain in the plantar forefoot metatarsal area.
Symptoms:
This condition usually causes a burning sensation in the plantar forefoot region. Sometimes patients may describe the pain as a lump underneath the ball of the foot. Applying pressure to the plantar surface of the metatarsal heads may elicit pain.
Biomechanical etiology:
When a foot is pronated excessively for any length of time, there is a progressive weakening of the soft tissue structures. In the forefoot, as this occurs the metatarsals plantarflex and rotate. This results in shearing forces on these foot structures. After a period of time the foot may experience nerve damage or callosities.
Treatment:
VASYLI orthotics realign the metatarsal heads by dorsiflexing the 2nd, 3rd & 4th metatarsals to their neutral position, using a built-in metatarsal raise. By controlling excess pronation orthotics also prevent plantar-flexion and shearing of the metatarsal shafts. Balancing the weight distribution over the 5 metatarsal bones helps remove excess weight and friction which commonly causes the callous and burning sensation.
Exercises:
- Intrinsic forefoot exercises.
Summary
Metatarsalgia:
Pain in the plantar forefoot metatarsal area caused by plantar-flexion and shearing of the metatarsal shafts due to excess pronation.
Treatment:
Pre-molded orthotic or custom made orthotic. Other: Intrinsic forefoot exercises