Definition: Metatarsalgia is a catch-all phrase that basically means 'a pain in the ball of the foot'.The ball of the foot is made up of 5 joints called the metatarsophalangeal joints. It is the joint at which the toes begin. Underneath these joints, there exists a natural fat pad for absorption of shock and protection to the joints. Also, an arch exists at this joint in an upward arc, called a metatarsal arch.

Function: These joints have movement in a hinge form, up and down to move the toes. Also, they allow for shock absorption and help propel us into our next step.

• Pain in the ball of the foot can range from a dull ache to a sharp shooting pain, occassionally proceeding right into the toes
• A sensation of walking on a pebble may be experienced
• Swelling or redness may be apparent at the ball of the foot calluses may form under the ball of the foot where excessive forces exist

• Can be as a result of the metatarsal arch dropping
• Degeneration or thinning of the fat pad
• Ill fitting or narrow shoes (high heeled or pointy shoes)
• Flat or over-pronated feet
• Prominent metatarsal heads
• Arthritis
• Short first toe (Mortons toe) -overuse or prolonged walking or standing
• Trauma to the foot
• Weakening of the ligaments, muscles and plantar fascia

• STRETCHING: calf stretch
• ICE: 10-15 minutes to relieve pain and reduce swelling
• OTHER TREATMENT may include pain and anti-inflammatory medication.