What is metatarsalgia foot: symptoms and treatment of the syndrome

Foot pain of various Genesis or metatarsalgia

People are often intimidated by diseases associated with major organs — heart, kidneys, liver and other, without regard for the fact that many diseases that are not accepted to pay attention, can also lead to serious consequences for the person.

For this reason, experts recommend to pay attention to all the uncomfortable feelings arising in the body.

Foot pain can be caused by many reasons: infringement of the blood supply by changing the shape of the metatarsal bones, compression of nerves between the toes, arthritis, tenosynovitis.

Often uncomfortable feelings associated with age deformities from the foot which appear in patients after forty years.

Pain in the ankle

Metatarsalgia — this is pain occurring in the foot. It is not a diagnosis, but a symptom of some diseases of the foot, which are very common in athletes involved in running and other similar types of activity.

The sensation of pain appears between the ankle and toes; pain is usually felt in the sole of the foot, manifesting itself during the walk as «walking on stones».

Some people may also feel diffuse, vague pain or a slight burning sensation in the area 2-3 finger or on the area of the whole foot.

The types of the disease

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Conventionally metatarsalgia can be of two types:

  1. Neurogenic. Tied to the influence of certain factors on nerve endings, which leads to uncomfortable sensations.
  2. Mechanical. It occurs due to overloading of the small rays of the foot that occurs in diseases of different etiology. It can also be the result of some anatomical features of the bone.


Discomfort in the metatarsal bones are similar to those that occur when the tunnel syndrome in the fingers.

In the first, as in the second case, the cause is compression of the nerve.

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This condition is the result of fractures of the foot, flat feet, inflammation in the area of the foot, the presence of the tumor, hallux valgus, obliteriruushih atherosclerosis, incorrectly performed surgery on the ankle, a long walk or other physical activity.

The resulting pain in the front of the foot are divided into primary and secondary, which occurs as a result of any disease, most often it is flat. And the pain can affect both legs.

Along with common diseases that lead to metatarsalgia, there are factors that exacerbate pain and accelerating their development:

  • overweight;
  • neuroma and synovitis;
  • aseptic necrosis;
  • vascular insufficiency;
  • frequent injuries of the foot;
  • poor mobility and blood circulation;
  • muscle fatigue;
  • neurological problem.

The manifestation of pain

At the beginning of the disease the patient plagued by aching pain and burning, gradually extending to the fingertips.

The arch of the foot may begin to hurt at any time, generally it occurs after exercise.

After sleep feet hurt a bit stronger than tonight, and if you click on the area set, it is felt that the area of the foot markedly swollen.

If the metatarsophalangeal joint is inflamed, then the foot may receive a bump, which will increase in size as body weight because of the inverted inside of the foot begins to concentrate in the area of the big toe for relief of painful points of the foot.

This becomes more painful and the big toe joint. Such feelings may often provoke tight and uncomfortable shoes.

If untreated, they have difficulties in bending the fingers and tingling starts, giving the impression of stone feet.

It is also possible pain in the joints of the fingers, which is a very common pathology, the cause of which is too high or low arch, deforming his fingers and breaking the surface of the articular bone.

I suffer from metatarsalgia there are signs of osteochondrosis, diseases of joints of lower extremities and posture of the hip joint.

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Morton’s neuroma — as one of the risk factors

Morton’s neuroma can also be a cause of metatarsalgia.

This disease is a benign thickening growth of fibrous tissue of the plantar nerve of the foot.

The pathological lesion appears at the base area between the third and fourth finger on the foot.

It most often develops unilateral lesion of the nerve, which occasionally can develop in two way.

The disease most often develops in women fifty years of age.

Diagnostic methods

The diagnosis of the patient is performed by:

  • survey – reveals the history and marked symptoms of the disease;
  • polerowania – pressing on the painful area between the fourth and third toes;
  • conducting a magnetic resonance imaging test to exclude similar symptoms of diseases such as arthritis or a bone fracture;
  • the use of local anesthetics to determine the place of localization of pain.

What to treat and how?

Existing methods of treatment of diseases which are most often caused by metatarsalgia foot:

  • operational;
  • conservative;
  • folk.

If the disease is caused pathology in the joints or there is a tumor, surgery is used. If the cause of the inflammation was neuroma, conduct the procedure for its excision.

However, most of the pain disappear after drug treatment, bed rest, and orthopedic shoes. This method is called conservative.

The patient between the toes administered injections of anesthetics in combination with corticosteroids: Desametasone and Hydrocortisone.

Can also be used for injections into the cavity of the joints.

For the relief of pain additionally prescribed anti-inflammatory drugs:

  • Naproxen;
  • Keterolac;
  • Ibupofen;
  • Nimesulide;
  • Diclofenac and others.

In the rehabilitation period, patients wear orthotics, due to their reduced load on the forefoot; stimulate blood circulation and eliminate pressure on inflamed nerve.

This method reduces the likelihood of surgical intervention.

The use of all these tools, combined with correct and high-quality shoes, gives considerable relief. However, if conservative treatment does not bring due results, do not be afraid of surgical intervention. All operations absolutely painless, and anesthesia does not give any complications

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There are other methods of treatment, but they must be prescribed by a doctor, as self medication is the worst of the possible options that can lead to serious consequences and complications.

Non-traditional methods of treatment also require specialist advice.

Treatment of folk remedies

In the period of exacerbation of pain to the affected area apply compresses of ice, or something cold, also can be used baths and rubbing with the juice of ginger, cinquefoil, and Larkspur.

Shilajit, honey and cabbage juice have anti-inflammatory effect, and bandages impregnated with juice of wormwood, soothe aching pain.

As warming mass use pork oil mixed with sea salt, this mixture is rubbed into the location of the pain.

Also used for the treatment of active food additives.

On the basis of the prescription of rheumatologist or orthopedist can purchase polishes and ointments based on herbal ingredients.

The prognosis of pain syndrome

If the disease develops for a long time and not subjected to quality treatment, there may be serious complications associated with the worsening pain, a significant increase in inflammatory processes and increasing discomfort in the forefoot.

Thus, at the slightest suspicion should be referred to a specialist for advice.

An experienced doctor will be able to make a diagnosis and if necessary prescribe treatment.