'Metatarsalgia' (literally metatarsal pain, colloquially known as stone bruise) is a general term used to refer to any painful foot condition affecting the Metatarsus region of the foot. This is a common problem that can affect the joints and bones of the metatarsals. Metatarsalgia is most often localized to the first metatarsal head (the ball of the foot just behind the big toe). There are two small sesamoid bones under the first metatarsal head. The next most frequent site of metatarsal head pain is under the second metatarsal. This can be due to either too short a first metatarsal bone or to "hypermobility of the first ray" (metatarsal bone + medial cuneiform bone behind it), both of which result in excess pressure being transmitted into the second metatarsal head.
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  • Sharp, aching or burning pain in the ball of your foot — the part of the sole just behind your toes
  • Pain that gets worse when you stand, walk or run and improves when you rest
  • Sharp or shooting pain in your toes
  • Numbness or tingling in your toes
  • Pain that worsens when you flex your feet
  • A feeling in your feet as if you're walking with a pebble in your shoe
  • Increased pain when you're walking barefoot, especially on a hard surface
  • Intense training or activity
  • Excessive runners
  • High arch can put extra pressure on the metatarsals
  • Having a second toe that's longer than the big toe
  • Hammertoe
  • Bunion
  • Excess weight
  • Poorly fitting shoes
  • Stress fractures
  • Morton's neuroma
  • ROM and stretching
  • Foot intrinsic strengthening
  • Ankle strengthening exercises
  • Use of metatarsal pad
  • Proper fitting shoes



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