Metatarsalgia: Metatarsalgia, also known as stone bruise, is a type of pain and inflammation that occurs in a part of the foot known as the metatarsal. It often occurs in the metatarsal heads - where the three middle toes meet the ball of the foot. It is a common problem which can affect the bones and joints of the metatarsals. A lot of physically active people suffer from this condition as it can be caused by high impact of the foot which is a product of running, jumping etc. Sometimes, the condition can be caused by badly-fitting footwear, or even an underlying medical condition. The severity of the pain can vary and may affect just one or two toes - sometimes the whole foot or even both feet might be affected. Metatarsalgia can worsen when weight is put on the foot, as may be the case when standing, walking, or running. Metatarsalgia can affect males and females of all ages, but is most common in middle aged females. in whom Morton's metatarsalgia was diagnosed during an 18-year period, 12 (24%) had rheumatoid arthritis at the time of presentation.
After conservative management had failed, 20 patients had subtotal excision of the intermetatarsophalangeal bursa and associated digital nerve; in two patients, only the nerve was excised. During the follow-up period ranging from two months to 15 years, an additional eight patients developed sero-positive rheumatoid arthritis. Thus, a total of 20 patients (40%) presenting with Morton's metatarsalgia had rheumatoid disease at initial presentation or later developed this disease. Histological changes in the intermetatarsophalangeal bursa consistent with rheumatoid arthritis were found in ten patients. Of these, two were known already to have rheumatoid arthritis, three subsequently developed rheumatoid arthritis, and five do not yet have other evidence of the disease. The evidence suggests that Morton's metatarsalgia is associated with rheumatoid arthritis and is the basic etiology in a significant number of patients.
Treatment for metatarsalgia: Metatarsalgia can be treated with simple methods such as rest and ice. Most treatment options are self-care methods. The treatment you will receive will be based on the cause of the metatarsalgia.For more serious cases, NSAIDs (Nonsteroidal anti-inflammatory drugs), steroid injections, physical therapy, or foot surgery may help reduce pain and swelling and correct the underlying condition causing the metatarsalgia.
• Using insole inserts to supports the correct position of the foot
• Non-steroid anti-inflammatory drugs (NSAIDs)
• Pain relief medication
• Steroid injection, and
• Surgery in severe cases