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. The average age of the four patients was 55.8 years (range 46–62). The average operation time was 40 minutes (range 24–65). Blood loss was minimal in all patients. The length of hospital stay was 4 days in all patients. All osteotomies healed uneventfully in 4 months. There was no major complication. The average metatarsal index decreased from 3.125 to 2.8 mm, and the average first/second inter-metatarsal angle on lateral X-ray decreased from 6° to 2°. The average American College of Foot and Ankle Surgeons score improved from 66.25 (range 56–74) preoperatively to 96.25 (range 93–99) postoperatively.
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