Best Practice Case Studies-Metatarsalgia

Pdf Summary

Metatarsalgia is a condition characterized by pain in the balls of the feet, often affecting athletes like dancers, track-and-field competitors, and baseball catchers due to repetitive stress on the forefoot. It results from overloading the metatarsal bones or abnormal foot mechanics, causing a dull ache in the 2nd to 4th toes, worsening with activities like running. Chronic cases may develop calluses and increased pain. Contributing factors include toe deformities, abnormal metatarsal shapes, over-pronation, tight Achilles tendons, and high-heeled shoes. Conditions resembling metatarsalgia include stress fractures, sesamoiditis, Morton’s neuromas, tarsal tunnel syndrome, and plantar plate tears.<br /><br />Diagnosis involves a detailed medical history and examination by a physician. Imaging such as x-rays, bone scans, MRI, or ultrasound may be used to rule out other conditions. Blood tests might be required to detect inflammatory conditions.<br /><br />Treatment starts with rest, icing, and anti-inflammatory medications like NSAIDs. Metatarsal pads or orthotic inserts may help redistribute pressure. Rehabilitation, including mobility exercises and addressing underlying issues like over-pronation and tightness in the Achilles tendon, is crucial. Physical therapy may be necessary if home treatments are inadequate. If conservative methods fail, surgery may be needed.<br /><br />Athletes can return to sports after symptoms alleviate and they can perform without pain, typically within days to weeks, but may need to adjust footwear to prevent recurrence. The American Medical Society for Sports Medicine (AMSSM) provides resources and support for sports medicine professionals, promoting comprehensive care and education for athletes and active individuals. More information can be found at www.amssm.org.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 14

Topic Foot and Ankle

Keywords

2nd Edition, CASE 14

2nd Edition

Foot and Ankle

metatarsalgia

foot pain

athletes

forefoot stress

treatment

diagnosis

rehabilitation

sports medicine

orthotic inserts

American Medical Society for Sports Medicine