Metatarsalgia Treatment Stone Bruise Treatment

Metatarsalgia (Stone Bruise) is a general term used to denote a painful foot condition in the metatarsal region of the foot, commonly referred to as the ball-of-the-foot. This common foot disorder that can affect the bones and joints at the ball-of-the-foot. Metatarsalgia is often located under the 2nd, 3rd, and 4th metatarsal heads, or more isolated at the first metatarsal head just below the big toe.

Metatarsalgia should be understood as a symptom rather than a diagnosis. It probably indicates that you are either; overweight, wearing too much high-heeled shoes, have claw or hammer toes which press the metatarsals down towards the ground, a stiff ankle, a bunion in the big toe, have stress fractures of the metatarsal bones or possibly having pain due to arthritis, gout or inflammation of the joints in the ball of the foot.

Pedorthic Treatment for Metatarsalgia

Orthotic Treatment: The patient is prescribed a full length semi-rigid orthoses.

The orthoses must be fabricated as follows:

i. A build-up is required under the first metatarsal ray in order for it to assume greater weight bearing;

ii. An excavation is required under the second metatarsal head (mpt. joint) to relieve pressure.

iii. A metatarsal mound/support is placed directly behind the 2nd, 3rd and 4th metatarsal heads in order to properly distribute the patients weight during toe off.

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