Excess pressure on your forefoot can cause pain and inflammation in your metatarsals — the long bones in the front of your feet, just below your toes.
Metatarsalgia (met-uh-tahr-SAL-juh) is a condition in which the ball of your foot becomes painful and inflamed. You might develop it if you participate in activities that involve running and jumping. There are other causes as well, including foot deformities and shoes that are too tight or too loose.
Although generally not serious, metatarsalgia can sideline you. Fortunately, at-home treatments, such as ice and rest, often relieve symptoms. Wearing proper footwear with shock-absorbing insoles or arch supports might prevent or minimize future problems with metatarsalgia.
Products & Services
Symptoms of metatarsalgia can include:
- Sharp, aching or burning pain in the ball of your foot — the part of the sole just behind your toes
- Pain that worsens when you stand, run, flex your feet or walk — especially barefoot on a hard surface — and improves when you rest
- Sharp or shooting pain, numbness, or tingling in your toes
- A feeling of having a pebble in your shoe
When to see a doctor
Not all foot problems need medical care. Sometimes your feet ache after a long day of standing or a punishing workout. But it's best not to ignore foot pain that lasts more than a few days. Talk to your doctor if you have a burning pain in the ball of your foot that doesn't improve after changing your shoes and modifying your activities.
From Mayo Clinic to your inbox
Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health.
ErrorEmail field is required
ErrorInclude a valid email address
To provide you with the most relevant and helpful information, and understand which
information is beneficial, we may combine your email and website usage information with
other information we have about you. If you are a Mayo Clinic patient, this could
include protected health information. If we combine this information with your protected
health information, we will treat all of that information as protected health
information and will only use or disclose that information as set forth in our notice of
privacy practices. You may opt-out of email communications at any time by clicking on
the unsubscribe link in the e-mail.
Thank you for subscribing!
You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox.
Sorry something went wrong with your subscription
Please, try again in a couple of minutes
Sometimes a single factor can lead to metatarsalgia. More often, several factors are involved, including:
- Intense training or activity. Distance runners are at risk of metatarsalgia, primarily because the front of the foot absorbs significant force when a person runs. But anyone who participates in a high-impact sport is at risk, especially if your shoes fit poorly or are worn.
- Certain foot shapes. A high arch can put extra pressure on the metatarsals. So can having a second toe that's longer than the big toe, which causes more weight than normal to be shifted to the second metatarsal head.
- Foot deformities. Wearing too-small shoes or high heels can cause your foot to be misshapen. A downward-curling toe (hammertoe) and swollen, painful bumps at the base of your big toes (bunions) can cause 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. High heels, which transfer extra weight to the front of your foot, are a common cause of metatarsalgia in women. Shoes with a narrow toe box or athletic shoes that lack support and padding also can contribute to the problem.
- Stress fractures. Small breaks in the metatarsals or toe bones can be painful and change the way you put weight on your foot.
- Morton's neuroma. This noncancerous growth of fibrous tissue around a nerve usually occurs between the third and fourth metatarsal heads. It causes symptoms that are similar to metatarsalgia and can also contribute to metatarsal stress.
Almost anyone can develop metatarsalgia, but you're at higher risk if you:
- Participate in high-impact sports that involve running and jumping
- Wear high heels, shoes that don't fit properly or shoes with spikes, such as cleats
- Are overweight or obese
- Have other foot problems, including hammertoe and calluses on the bottom of your feet
- Have inflammatory arthritis, such as rheumatoid arthritis or gout
Left untreated, metatarsalgia might lead to pain in other parts of the same or opposite foot and pain elsewhere in the body, such as the low back or hip, due to limping (altered gait) from foot pain.
Nov. 03, 2021
- Fields KB. Evaluation and diagnosis of common causes of foot pain in adults. http://www.uptodate.com/home. Accessed Aug. 23, 2016.
- Metatarsalgia. The American College of Foot & Ankle Orthopedics & Medicine. http://www.acfaom.org/information-for-patients/common-conditions/metatarsalgia. Accessed Aug. 23, 2016.
- Espinosa N, et al. Metatarsalgia. Journal of the American Academy of Orthopaedic Surgeons. 2010;18:474.
- Metatarsalgia (forefoot pain). American Orthopaedic Foot & Ankle Society. http://www.aofas.org/footcaremd/conditions/ailments-of-the-smaller-toes/Pages/Metatarsalgia.aspx. Accessed Aug. 23, 2016.
- Imboden JB, et al. Approach to the patient with foot & ankle pain. In: Current Diagnosis & Treatment: Rheumatology. 3rd ed. New York, NY: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com. Accessed Aug. 24, 2016.
Products & Services