Metatarsalgia is a type of pain that occurs in the ball of the foot, also called the metatarsal region.

The pain can range from mild to severe and often gets worse when you stand or move. It is sometimes described as a burning or aching sensation and you may have shooting pains, tingling or numbness in your toes. Some people also experience a sensation that feels like walking on pebbles.

The pain often occurs in the area where the second, third and fourth toes meet the ball of the foot.

Read more about the symptoms of metatarsalgia.

Treatment

Most cases of metatarsalgia can be treated using self-care techniques such as:

• RICE – this means rest, applying an ice pack, using a bandage to compress your foot and elevating the foot
• taking painkillers called non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, to relieve pain
• using shock-absorbing insoles, which can be fitted inside your shoes to help cushion the pressure when walking – these are available from pharmacies as well as sports shops (runners often use insoles to protect their feet)

Most cases of metatarsalgia respond well to self-care treatment. In rare cases, orthotic supports or surgery may be required to repair underlying damage to the foot.

Read about treating metatarsalgia.

What causes metatarsalgia?

Metatarsalgia occurs when something damages the long bones in the foot which connect the ankle bones to the bones of the toes. These are known as metatarsals.

Common reasons why these bones can become damaged include:

• wearing poorly fitting shoes
• being overweight or obese (very overweight with a body mass index of 30 or above)
• high-intensity exercise such as running, tennis or squash

Read about the causes of metatarsalgia.