All About Metatarsalgia

All About Metatarsalgia

Metatarsalgia (met-uh-tahr-SAL-juh) is a painful condition that affects the ball of the foot. Metatarsalgia is named for the five metatarsal bones in the midsection of your feet that connect to your toes.

It can result from overuse or high-impact sports, arthritis, and wearing inappropriate footwear, such as high-heeled shoes

Metatarsalgia mostly occurs from overuse injuries in sports that involve running and jumping. It can also result from shoes that don’t fit, foot abnormalities, or arthritis and other diseases.

What are the symptoms of metatarsalgia?

The pain of metatarsalgia usually begins gradually over time. It may improve when you rest your foot and get worse when you stand, walk, or exercise. Your foot may feel like:

  • you’re walking with a marble or pebbles in your shoe
  • you have a sharp burning or shooting pain in the ball of your foot
  • your toes are numb or tingling

You may also notice that your pain gets worse when you:

  • stand
  • run
  • walk barefoot
  • participate in a high-impact sports activity

What causes metatarsalgia?

The most frequent cause of metatarsalgia is participating in sports or activities that put pressure on the metatarsal bones at the front of your foot. The abnormal stress on your foot can increase inflammation in the metatarsal area. It can also irritate the tendons, ligaments, and cartilage around the bone.

Other causes include:

  • Shoes that don’t fit right: Your shoes may be too tight, squeezing your foot. Or your shoes may be too loose, making your foot slide back and forth.
  • High heels or sneakers without adequate padding and arch support: These shoes can cause you to put more weight on the ball of your foot.
  • Foot abnormalities: High arches, a second toe that is longer than your big toe, calluses on the bottom of your foot, bunions, and hammer toe can contribute to metatarsalgia.
  • Extra weight: Being overweight or obese puts more pressure on your feet and metatarsal area.
  • Some diseases: Bursitis, arthritis, gout, Morton’s neuroma, and small stress fractures in your toes and metatarsal bones can increase the stress on the ball of your foot.

Who’s at risk?

Athletes who wear shoes with spikes or shoes without good support. Other people who have a greater risk of metatarsalgia include:

  • older people
  • women who wear high heels
  • people who wear ill-fitting shoes
  • people who have inflammatory arthritis or foot deformities
  • people who are overweight or obese

How is metatarsalgia diagnosed?

If your pain in the metatarsal area persists for a few days after resting your feet or changing your footwear, it’s best to see a doctor.

Your doctor will examine your foot and ask you to walk so they can observe your gait. They will also ask you questions about your activities and when the pain started. If your doctor suspects other causes of the pain, you may have other tests. These may include:

  • an X-ray to rule out a stress fracture
  • a blood test to check for uric acid, which is an indication of gout
  • an ultrasound test to look at soft tissue problems like bursitis or neuromas, which may contribute to metatarsalgia
  • magnetic resonance imaging (MRI) to look for evidence of arthritis and possible injuries

How is it treated?

Treatment for metatarsalgia depends on the cause and severity of your pain. Usually, conservative measures like staying off of your feet, changing your footwear, and using an ORTHOTIC CUSTOMIZED HEAT MOLDABLE INSERT  in your shoe will relieve the pain.

At-home remedies include:

  • resting your foot
  • icing your foot a few times per day, 20 minutes at a time
  • elevating your foot after activity
  • taking an over-the-counter pain reliever to help with pain and inflammation
  • losing weight if you’re overweight

You may also be able to ease pain and prevent recurrence by wearing a well-fitting pair of shoes with good support. You should also avoid wearing high-heeled shoes.

Your doctor may recommend you work with a physical or occupational therapist, who can recommend orthotics with metatarsal pad and arch support.

If left untreated, pain can cause you to alter your gait, which may affect your hips, lower back, and legs.

Remember, therapeutic/orthotic footwear, doesn’t mean you have to sacrifice style.

Let me mention a few reasons why we are growing so fast in the internet world.

We at www.dtfootwear we offer up to 3 sets of Heat Moldable Customized Inserts to you when you purchase a pair of shoes from us, and this is a $240.00 gift to you from us. Remember, if the bottom of your feet hurt – you lacking the in proper support in the foundation of your footwear. Then these Heat Moldable Customized Inserts are mandatory that you start using them.

Let me break down each word ( Heat Moldable Customized Insert) for a better understanding:

Heat: means that they generate a 2 percent rise in the plantar of your foot (bottom) and this in turns helps create better circulation to your feet, legs, knees, lower back and beyond. If you have edema or swelling you need these 3 sets of inserts that you change every four months, so you have a year supply from us and again FREE.

Moldable:   means that our inserts will mold (100 percent) to every part of the plantar of your feet (bottom) and creates that perfect fit, support, balance, and comfort to your feet over a short period of wearing time.

Customized: means our inserts will fit you, in a short wearing period. As a simple molding procedure (that means each time you wear the insert it will form to every bottom position of your foot) and will offload and create maximum support to all necessary areas.

We carry sizes from 4A to 14E widths for Men and Women. Try to find all those sizes under one website- unheard of! But Yes, we do provide 9E 10E and 14E widths for Men and Women. Yes, we carry 4A (Slender eight styles) and 2A (Narrow 42 styles) for Ladies and B (Narrow 5 styles) for Men as well. So to repeat this (this is how vital these widths are to our site) that is available: Slender’s, Narrow’s to Extra Extra Extra Wide Widths (7E 9E 10E 14E) for Ladies. Narrow’s to Extra Extra Extra Wide (9E 10E 14E)Widths for Men.

We have styles in Men’s 5 to 6 (in length), and those are hard to find sizes.

We have extended bottoms for the protection of your plantar (bottom) of your feet, and there is no more hang-over, of your feet, dealing with our footwear.

We carry lengths up to a 20 for Men and 15 in Women’s.

Most of our styles are perfect for diabetics as well, but you don’t have to be a diabetic to fall in love with our footwear and inserts. 80 percent of our customers are individuals that need that added support (because their current shoe is lacking support and comfort and is very disappointing to them). They need the feeling of maximum support/comfort and the additional sense of “walking on a pillow” all day long (this pillow concept is from dealing with our unbelievable insert program) with their new footwear.

Again, receive 1 to 3 sets of Heat Moldable Customized Inserts (value up to $240) all for FREE – YES FREE!! Once you start wearing these inserts, you never go back to the conventional form of support. Most shoes and that is athletic, or comfort footwear provides poor supporting foot supplements or inserts.

We teach you how to measure your feet correctly and how our feet change, over the years, is astonishing – you don’t alone! Please if you are wearing an inside brace, let us know. If your shoes been too uncomfortable or tight over the past few months or years – you need to update your size and width information and this “inch program” is very easy to do at home. I wish you could be in our shoes and witness how many (especially Man) that been misfitting themselves over a significant period.  YOU NEEED WIGGLE ROOM IN YOUR SHOES!

Still, more advantages that have helped us grow but I don’t want to put you to sleep!


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Thank you,
Ron Heinlein  | President/Founder | Cell # 909-215-1622
            Designer Therapeutic Footwear Co.
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