Ball of Foot Pain: Metatarsalgia
Pain in the ball of the foot, also known as metatarsalgia, is a common problem that affects the area just behind your toes. This discomfort often feels like walking on a pebble or having a bruise under the front of your foot. The pain may develop gradually or appear suddenly after physical activity, extended standing, or wearing certain shoes.
Common Causes of Pain in the Ball of the Foot
The most frequent cause of pain in this area is metatarsalgia, which occurs when the metatarsal bones on the front of the foot experience too much pressure. Over time, this pressure leads to irritation and inflammation of the surrounding tissue.
Footwear and Activity
Wearing high heels, tight shoes, or shoes with thin soles can place excessive stress on the forefoot. Similarly, runners and athletes who frequently perform high-impact movements are more likely to develop pain in this area.
Foot Structure and Deformities
Structural problems such as high arches, flat feet, bunions, or hammertoes can alter weight distribution, increasing pressure on the metatarsal heads.
Other Possible Conditions
In some cases, pain in the ball of the foot may result from:
- Morton's neuroma (a thickened nerve between the toes)
- Stress fractures in the metatarsal bones
- Arthritis or joint inflammation
- Calluses or thickened skin from friction or pressure
- Poor circulation or nerve compression
Symptoms of Metatarsalgia
Patients with metatarsalgia or forefoot pain often describe:
- A shark, aching, or burning pain in the ball of the foot
- Pain that worsens during walking, running, or standing
- Tingling or numbness in the toes
- The feeling of having a pebble in the shoe
- Swelling or inflammation in the foot
Treatment and Relief Options
Conservative Care
Most cases of pain in the ball of the foot can be managed with simple, non-surgical treatments, such as:
- Resting and icing the affected area
- Wearing supportive, cushioned shoes with a wide toe box
- Using custom orthotics or metatarsal pads to relieve pressure
- Taking anti-inflammatory medication as directed by your podiatrist
- Stretching and strengthening exercises to improve flexibility and balance
Advanced Treatment Options
If pain persists or worsens, your podiatrist may recommend:
- physical therapy to strengthen supporting muscles
- Imaging tests (such as X-rays or ultrasounds) to rule out fractures or neuromas
- Corticosteroid injections for inflammation relief
- In rare cases, minor surgical correction for underlying structural issues
When to See a Podiatrist
You should schedule an appointment with one of our podiatrists if:
- Pain lasts more than a few days
- You have swelling, bruising, or numbness
- You struggle to walk comfortably or perform daily activities
- The pain is severe or spreading
Early diagnosis and treatment can prevent long-term damage and help you return to an active, pain-free lifestyle.
