Skip to content
Font Size
A
A
A

Metatarsalgia

TREATMENT continued...

Individuals with a high arch who experience pain from metatarsalgia respond well to an orthotic device. Patients with a Morton neuroma respond well to a rigid orthotic with an extension underneath the first metatarsal bone.

Recovery Phase

Physical Therapy

The primary focus of treatment is restoration of normal biomechanics and relief of pressure in the symptomatic area. Therapy needs to allow the inflammation to subside or resolve by relieving the repeated excessive pressure.

Once the athlete is pain-free, isometric, isotonic, and isokinetic exercises will be started for strengthening. Passive range of motion exercises will progress to active exercises as the inflammation disappears.

Recreational Therapy

Alternate forms of conditioning and training during healing should be encouraged. For example, swimming is an excellent exercise for maintaining physical conditioning while the patient is in a restricted weight-bearing phase of healing.

Other Treatment

Patients with an interdigital neuroma can benefit from a nerve block in combination with long-acting steroids. Individuals with primary metatarsalgia receive little benefit from these types of injections.

Maintenance Phase

Physical Therapy

As inflammation subsides, an orthotic device often is the only intervention required to maintain normal mechanical function. These devices are necessary to distribute force away from the site of injury. At the very least, regular replacement of shoes, especially for runners, can help to maintain support for the foot.Patients should continue self-mobilization exercises, including long-axis distraction and dorsal/plantar glides as directed by the practitioner.

Surgical Intervention

Shoe modification with an orthotic may be the only treatment required, although in severe cases, surgical realignment of the metatarsal bones may be required.

Consultations

A patient may be referred to an orthopedic or podiatric specialist if the condition is not improving or is worsening.

MEDICATION

Nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen, are useful; however, they rarely provide a long-term solution.

FOLLOW-UP

Return to Play

Returning to play for most injured athletes exposes them to the same traumatic conditions that resulted in the original injury. Therefore, the individual must be completely healed, free of symptoms, and prepared for resuming the stress and trauma inherent to his or her sport. Proper selection of running and training shoes is critically important to prevent re-injury.

Hot Topics

WebMD Video: Now Playing

Click here to wach video: Dirty Truth About Hand Washing

Which sex is the worst about washing up? Why is it so important? We’ve got the dirty truth on how and when to wash your hands.

Click here to watch video: Dirty Truth About Hand Washing

Popular Slideshows & Tools on WebMD

disciplining a boy
Types, symptoms, causes.
psoriasis
What it looks like.
No gym workout
Moves to help control blood sugar.
acupuncture needle on shoulder
10 tips to look and feel good.
Epinephrine Injection using Auto-Injector Syringe
Life-threatening triggers.
chest x-ray
7 early symptoms.
woman biting a big ice cube
Habits that wreck your teeth.
Breast Cancer Overview
Symptoms and treatments.
embarrassed woman
Do you feel guilty after eating?
pacemaker next to xray
Treatment options.
caregiver with parent
10 tips for daily life.
birth control pills
Which kind is right for you?

Pollen counts, treatment tips, and more.

It's nothing to sneeze at.

Loading ...

Sending your email...

This feature is temporarily unavailable. Please try again later.

Thanks!

Now check your email account on your mobile phone to download your new app.

Women's Health Newsletter

Find out what women really need.