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What Is the Reason for the Pain in the Forefoot?

What Is the Reason for the Pain in the Forefoot?

A dull ache or burning sensation around the ball of your foot may leave you wondering what is causing the pain and how to treat it.

Here, we’ll go over what metatarsalgia is, how it’s diagnosed, and what the best treatment options are. A general term for the pain felt around the ball of the foot when weight-bearing is metatarsalgia (forefoot pain). Irritation of the fibrocartilage plate that sits beneath the joint where a metatarsal joins a toe in the ball of the foot is a common cause of metatarsalgia. A condition known as Morton’s neuroma occurs when the sheath surrounding the nerve that sits between your forefoot bones becomes inflamed or enlarged. Between the third and fourth toes, neuromas are most common. A neuroma is a condition that occurs in the forefoot, but not everyone who has metatarsalgia has neuroma at the same time.

Injuries to the Forefoot

Many conditions can lead to pain in the forefoot. Some of the common causes are:

1. Mechanics of the foot

The metatarsal (or transverse) arch is found across the ball of the foot in normal feet. Three of the four bones in the lower leg are put under additional stress when this arch falls. The soft tissues (nerves and tendons) in between and surrounding the bones can be pinched as a result of this fallen arch.

2. Shoes

Playing a significant role is footwear. Shoes with high heels put extra weight on the ball of the foot, while narrow pointed shoes squeeze the toes together. In addition to compressing the soft tissues and limiting blood and nerve supply, shoes with a narrow toe box can exacerbate forefoot pain from the toes up.

3. Feet with a rigid arch

Less of your foot is in contact with the ground when you have higher, less flexible feet, which increases pressure on your forefoot and heel. Metatarsalgia and neuroma can occur as a result of this foot type.

4. The Big Toe Is Too Short

To make up for the Big Toe’s reduced leverage, some people have shorter than average Big Toes (or more specifically, a short 1st metatarsal).

5. Muscular and Soft Tissue Factors

Our feet lose a lot of their protective fat pad as we age. The transverse (metatarsal) arch can collapse due to weak foot muscles. Walking with an early heel lift is made more difficult by tight calf muscles. Your forefoot is under more strain as a result. The stress on the ball of the foot increases as a result of weight gain.

Acupuncture and other forms of medical care

To alleviate metatarsalgia pain, your doctor may recommend one or more of the following:

  • Stay off your feet. Avoid strenuous activities for a while and prop up your injured foot whenever possible.
  • Apply ice to the sore foot. A frozen water bottle might work as a test subject.
  • Pressure bandages should be used.
  • Make sure your shoes have padding, arch supports, or other orthotics.
  • Stretch and strengthen your muscles with light exercises.
  • It’s possible that your doctor will scrape down a callus on the bottom of your foot in order to relieve some of the pain.
  • A pinched nerve or bone problem may necessitate surgery.

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