The 10 Best Ways to Treat Metatarsalgia (2024)

  • Posted onJuly 26, 2023

The 10 Best Ways to Treat Metatarsalgia (1)

Metatarsalgia is a condition characterized by pain and inflammation in the ball of the foot, specifically around the metatarsal bones. While it’s important to consult with a healthcare professional for a proper diagnosis and personalized treatment plan, here are ten commonly recommended ways to treat metatarsalgia:

1. Rest and modify activities: Avoid high-impact activities that exacerbate the pain, such as running or jumping. Opt for low-impact exercises like swimming or cycling instead.

2. Orthotic inserts: Custom-made or over-the-counter orthotics can provide cushioning and support to the metatarsal area, relieving pressure and reducing pain.

3. Proper footwear: Wear shoes that have a roomy toe box, good arch support, and sufficient cushioning. Avoid high heels, narrow shoes, or shoes with pointed toes.

4. Padding and metatarsal cushions: Use gel or foam pads specifically designed to alleviate pressure on the ball of the foot. These can be inserted into your shoes to provide additional cushioning and support.

5. Physiotherapy: A physiotherapist can prescribe exercises to strengthen the foot muscles, improve flexibility, and correct gait abnormalities. They may also use modalities like ultrasound or electrical stimulation for pain relief.

6. Chiropractic care: Chiropractic doctors can provide adjustments to the foot and ankle joints to improve alignment, reduce stress on the metatarsals, and alleviate pain.

7. Massage: Massage therapy, focused on the muscles of the foot and calf, can help relax tight muscles, improve circulation, and reduce pain associated with metatarsalgia.

8. Ice: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce inflammation and relieve pain.

9. Medications: Over-the-counter pain relievers like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can temporarily alleviate pain and reduce inflammation. Consult with a healthcare professional before taking any medication.

10. Weight management: Excess weight can contribute to increased pressure on the feet. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce the strain on the metatarsal area.

Remember, it’s crucial to consult with a healthcare professional, such as a podiatrist or orthopedic specialist, to determine the underlying cause of your metatarsalgia and to receive appropriate treatment based on your specific condition.

Dealing with metatarsalgia can be challenging, but there are various treatments available that can help manage the symptoms effectively. Rest and ice, footwear modification, physiotherapy, medications, and surgery are just some of the treatment options available. The key to managing metatarsalgia is to work closely with your doctor or physiotherapist to find the treatment plan that works best for you. By taking the right steps, you can get back to your daily activities and enjoy a pain-free life.

In conclusion, there are several treatment options available for metatarsalgia. Rest and ice, orthotics, physiotherapy, surgery, and pain medication are all effective in managing the symptoms of this condition. If you are experiencing pain in the ball of your foot, it is important to talk to your doctor or a podiatrist to determine the best course of treatment for you. With the right treatment, you can reduce pain and get back to your normal activities.

If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Dr. Tyler Baron, BASc, DC, or another Kitchener chiropractor at CARESPACE.We are happy to listen and are here to help!

The 10 Best Ways to Treat Metatarsalgia (2)

Dr. Tyler Baron, BASc, DC

Chiropractor, Clinic Director
Dr. Tyler Baron is a Chiropractic Doctor at CARESPACE Health+Wellness in Waterloo, Ontario. Dr. Baron takes a functional approach to care, utilizing his background in kinesiology, and advanced knowledge of Dynamic Neuromuscular Stabilization (DNS), and Athletic Movement Assessment (AMA). He has also received certifications in advanced manual techniques including Contemporary Medical Acupuncture and Active Release Therapy (ART).

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The 10 Best Ways to Treat Metatarsalgia (2024)

FAQs

What is the fastest way to cure metatarsalgia? ›

Self care
  1. Rest. Protect your foot from further injury by not stressing it. ...
  2. Ice the affected area. Apply ice packs to the affected area for about 20 minutes at a time several times a day. ...
  3. Take an over-the-counter pain reliever. ...
  4. Wear proper shoes. ...
  5. Use metatarsal pads. ...
  6. Consider arch supports.

Why won't my metatarsalgia go away? ›

It can take months for the pain to go away. If the ligaments around a joint are torn, or if a toe has started to slant toward the toe next to it, you may need surgery. Follow-up care is a key part of your treatment and safety.

What aggravates metatarsalgia? ›

Excess weight. Because most of your body weight transfers to your forefoot when you move, extra pounds mean more pressure on your metatarsals. Losing weight might reduce or eliminate symptoms. Poorly fitting shoes.

What not to do with metatarsalgia? ›

The first thing you'll want to do is rest your foot. Don't participate in any activities or sports that you think may have caused the pain. If possible, don't stand for too long or walk too much. Avoid wearing unsupportive footwear.

What is the best exercise for metatarsalgia? ›

Balance exercises: Improving your balance can help reduce the stress on your metatarsals and prevent metatarsalgia. To do a balance exercise, stand on one foot and try to hold the position for 30 seconds. If you are having trouble, try using a chair or wall for balance. Repeat on the other foot.

What deficiency causes metatarsalgia? ›

Inadequate vitamin D can lead to osteoporosis, increased risk of falls, fractures and bone and muscle pain. In the foot and ankle, stress fractures of the metatarsal bones and ankle may be seen in those with vitamin D deficiency, as well as generalized foot pain.

What can be mistaken for metatarsalgia? ›

The main symptom is pain in a small area of the foot, usually in the sole. It is sometimes mistaken for arthritis or plantar fasciitis. The symptoms of metatarsalgia may include: Severe, continuous, or strong pain in the ball of the foot (the part of the sole just behind the toes)

Can you fully recover from metatarsalgia? ›

Ball of the foot pain or Metatarsalgia generally takes 6-8 weeks to improve and early activity on the healing bone and joint can result in a setback in recovery. Non-compliance can double the recovery time and can be very frustrating for patients.

Is metatarsalgia a damaged nerve? ›

Damage to the nerves in the foot is a common cause of pain in the ball of the foot (metatarsalgia).

How did I get metatarsalgia? ›

It often results from the pounding your feet take during high-impact sports. Or you may have something unusual about your bones or muscles that affects the way pressure is distributed on your feet, such as: A short first metatarsal bone or a long second metatarsal bone. Prominent metatarsal heads.

What diseases cause metatarsalgia? ›

Common causes of metatarsalgia include interdigital neuroma (also known as Morton neuroma), metatarsophalangeal synovitis, avascular necrosis, sesamoiditis, and inflammatory arthritis; however, these causes are often diagnosed separately.

Should you massage metatarsalgia? ›

You might also consider massage therapy as a way to relieve the pressure and stress around the metatarsal bones in your feet so that they have increased mobility and reduced tension in the muscles around the bones.

Does walking barefoot make metatarsalgia worse? ›

Avoid going barefoot: Shoes provide extra shock absorption and pressure relief. Consequently, until metatarsalgia subsides, it's best to avoid walking barefoot.

Is heat or cold better for metatarsalgia? ›

Use ice packs or an ice massage and raise the foot and ankle at or above heart level to reduce swelling. Heat may be used before doing stretching and strengthening activities prescribed by your health care provider or athletic trainer.

What is the advice for metatarsalgia? ›

Ice the painful area for 10 minute periods. Place a towel between the skin and ice to prevent ice burns and skin damage. Shoes should be well cushioned, have low heels and be wide enough for all toes to move. A stiff soled shoe can reduce metatarsalgia, but experiment to find your preferred comfortable option.

Does an Epsom salt soak help metatarsalgia? ›

When dissolved in warm water, Epsom salt releases magnesium and sulfate ions, which are absorbed through the skin. These ions can help relax muscles, reduce inflammation, and alleviate discomfort caused by metatarsalgia.

What will a podiatrist do for metatarsalgia? ›

Footwear recommendations: Podiatrists can provide guidance on appropriate footwear that offers proper support, cushioning, and room for the toes. They may recommend orthotic inserts or custom-made orthotics to redistribute pressure and alleviate discomfort.

What OTC can I take for metatarsalgia? ›

ibuprofen (Advil, Motrin IB) and naproxen sodium (Aleve). If OTC medications do not relieve your pain, your doctor may prescribe stronger pain relievers such as celecoxib (Celebrex), diclofenac (Voltaren), or tramadol (Ultram).

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