Metatarsalgia is a broad term to describe pain in and around the front of the foot (forefoot region). Often this pain is from damage to the plantar plates or inflammation of the bursae (“intermetatarsal bursitis”) that occur here. The plantar plates are a fibrous thickening of the joint capsule under the ball of the foot. Injuries of the plantar plates include partial tears through to complete rupture.
How does it happen?
Plantar plate injuries and intermetatarsal bursitis typically occur as a result of overuse. The plantar plates are thickened ligaments on the plantar (underside) aspect of the metatarsophalangeal joint (the joint connecting the toes to the foot). When high loads are placed through the forefoot, it places more load through the plantar plates. Increased load through the forefoot can result from poor biomechanics or incorrect shoes (such as high heels).
How does it feel?
Plantar plate injuries cause pain under the ball of the foot (forefoot). Typically, the pain is restricted to an area no bigger than the size of a 20 cent coin. The pain will generally get worse the longer you stand on your feet and feel better when you rest. You may notice some swelling under or on top of the forefoot. Sometimes this swelling can impinge on nerves causing a numb sensation in the forefoot. You may even notice your toe deviating slightly.
What should you do?
Plantar plate injuries generally do not settle without treatment. If it is ignored, it will often get worse making it more resistant to conservative treatments. If you have or suspect you have a plantar plate injury, you should consult your nearest sports medicine professional.
What shouldn’t you do?
If you have pain under the forefoot, you shouldn’t ignore the problem. If you do not seek treatment, it is likely to get worse and possibly progress to a complete rupture.
Could there be any long-term effects?
Plantar plate injuries do not produce any long-term effects, as long as it is properly diagnosed and appropriately treated. However, the condition can worsen unless causative factors are not addressed.
Management
The assistance of a sports medicine professional is important in the treatment of plantar plate injuries. Initially, they can assist in diagnosing the problem and establishing its severity. From this, an appropriate treatment plan will be developed.
This may involve initial activity modification, icing, anti-inflammatory medications, taping and the correction of biomechanical abnormalities using orthoses. The sports medicine professional will also be able to assess and determine why you developed a plantar plate injury and address this during your recovery to prevent a re-occurrence when you return to full participation.
Fanatic service. Highly knowledgeable and patient. Had foot pain preventing me from running . With some changes made over a few weeks after my initial consultation I was able to complete my goal of a half marathon.
Excellent outcome! 3years of foot pain sorted in 3 months & now working on overall foot, leg strength for long term, pain free mobility. Highly recommend Ben & the network of providers @ Clem Jones centre
My GP referred me to Ben after many years of treatment for a myriad of lower body ailments. Ben was wonderful and blended art and science to help me find significant improvement to my pain and discomfort. My only regret is not finding him sooner! Thank you.
Dr Sweeting went above and beyond for me every appointment. After 3 years of dealing with an injury, multiple doctors, I was finally able have results and am now on the mend! Couldn't reccomend Ben any more highly!
Great service, knowledgeable, and a great outcome for my feet. Thanks again, now I can tell my story walking, happy feet, highly recommend Ben and the team.
We were so pleased to find Ben! His assessment of my daughter for orthotics was extremely thorough and included diagnostic equipment and software for biomechanics. His explanation of his findings and treatment plan was clear and meaningful. Ben’s caring, friendly and professional approach combined with his expertise ensured we felt comfortable and informed throughout the entire process. We would highly recommend Ben to anyone looking for an exceptionally skilled and caring podiatrist.
My experience at Sports & Family Podiatry was excellent. Ben really listened, took his time, and was friendly and professional. I’d definitely recommend Ben and his clinic.
Ben is possibly the best medical practitioner I’ve ever worked with and probably the best podiatrist I’ve ever seen. Ben is very thorough, very supportive and very understanding. He tailors his treatment and exercises to suit the client. He has a calm and considered approach and doesn’t rush through his appointments. Ben is focused on a long term outcome, not just a short term fix. I appreciate that. Thanks Ben.
I saw Dr Sweeting for an initial consultation a couple of weeks ago after experiencing heel pain. I attended the clinic after reading all of the positive reviews. I was very impressed with Ben's level of knowledge, professionalism and approachability. Ben was spot on with his initial diagnosis (confirmed by subsequent ultrasound). I have also appreciated being able to contact him outside of consultation times to confirm treatment / exercises, plus how he sends an email post consultation to confirm what was discussed. Ben has also been welcoming of having my young children attend the clinic. I have already recommended the clinic to friends. The clinic itself is also very nice!
Fabulous podiatrist who has always gone above and beyond to assist with my many foot issues. Often fits me in when there is an urgent issues even when he has not time and it’s outside hours. Ben’s knowledge of foot issues is extensive and he always try’s to find ways to keep me moving and offer a range of options. Ben explains things very well and is very supportive and reassuring when there are significant issues to be addressed. Cant’t speak more highly of Ben’s approach and knowledge.
I came to Sports & Family Podiatry due to shin pain when running. After diagnosing a dreaded bone stress reaction and evaluating my running form, Ben developed an active recovery plan for me. His approach allowed me to maintain (some) running, accompanied by custom orthotics, cross-training, stretching, and strength work. Ben discussed and adjusted the plan at every consult based on my progress, and I now feel stronger in my running and confident this injury won't reoccur. Thanks Ben!
I am very thankful for my experience with Ben. He is very knowledgable, attentive and friendly and has really helped my running recovery - even only over just a few sessions. Thank you so much!
Refreshing to be treated by a health professional who digs deep to find the problem and create solutions for your wellbeing and recovery. Initial appointment included extensive assessment and advice for treatment with exercises provided by email video link alongside summary of appointment. Highly recommend Ben!
Ben was incredibly patient and honest with us when looking at how our toddler hip to knee to foot are developing. I would highly recommend Sports and Family Podiatry for children's podiatry.
I have severe inflammatory issues and psoriatic arthritis which affect both my feet and achilles tendons bilaterally. I've been seeing Ben for just over a year and he has helped tremendously. My pain levels have decreased enough for me to lead a fairly normal life now. I'd recommend Ben - he's not only (obviously) extremely knowledgeable, but he's also very compassionate and caring. I've never felt rushed and he's listened to me complain about more than just my feet!
Dr. Benjamin offered a highly professional experience at his new clinic. His expertise in foot health and proactive approach to addressing my concerns were impressive. I appreciated the personalized recommendations he provided for alleviating my foot pain. Excellent service overall.
Can't stress enough how great the service is from these guys and Ben is amazing in the level of service he offers. I have had issues for years and after 1 week I can see a huge improvement.
The most professional, knowledgeable & caring podiatrist in Brisbane! Helped my kids with school shoe insoles & sports performance insoles and exercises. Highly recommend.
Ben's been fantastic in helping the whole family with everything from feet, knees and hips. Ben is extremely knowledgeable, friendly and gives his full attention.
Could not recommend Ben enough.Pain and discomfort I was dealing with daily has almost gone all together. Amazed with the progress made in the time I have been seeing him.
I was very happy with the professional treatment and clinical skills of Ben at Sports & Family Podiatry. The clinic is very inviting and staff are polite and helpful. I would strongly recommend this clinic to others as I am a very lucky patient to have found this clinic. Dave
Ben Sweeting is an exceptional podiatrist whose expertise and care is leagues above. The practice has all the equipment and technology needed. With a compassionate approach, he attentively addresses patients' needs, providing thorough assessments and personalised treatment plans. Ben’s professionalism and commitment to excellence makes him a standout choice for anyone seeking a top-tier podiatrist.
Ben takes the time to get to know your needs, and has great attention to detail. I walked out of his clinic feeling refreshed, like someone had actually taken the time to tailor a solution to my specific problem. Would refer him and his practice to anyone. Thanks Ben!!
Can't fault Ben at all. Have been seeing Ben for almost 20 years now, following him across his various practices he has worked out.He takes the time to get to know his patients so he can offer the best advice and takes his time to offer the best treatment.The new Sports & Family Podiatry facility is fantastic and I look forward to recommending Ben to people that I know.
I have seen Ben as patient and also been referring him my patients with foot pain and lower limb biomechanical issues for the past five years. He is extremely knowledgeable and empathetic. I can always trust him to look after my patients and deliver the best care and advice. As a patient and practitioner I can't recommend him highly enough.
I have seen Ben for my feet and shin issues and he was quick to pick up what was wrong and put together a action plan to ensure the correct treatment and management could be started. Have been very happy with the service and follow up.
Ben is a very professional and experienced podiatrist who has been looking after our family for 18 years. He always makes his patients feeled valued and never rushes or judges you. He is a great asset to the new Wellness Precinct at Clem Jones.
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Comprehensive Guide to Metatarsalgia
Metatarsalgia, commonly referred to as forefoot pain, is a condition that affects the ball of the foot, causing discomfort and difficulty in walking. This condition can arise from various factors including improper footwear, high-impact activities, or underlying health issues. Understanding metatarsalgia is crucial for those experiencing foot pain, as it can significantly impact daily activities and overall quality of life.
Individuals suffering from metatarsalgia often describe the pain as sharp or burning, typically located in the area of the metatarsal bones. This discomfort can be exacerbated by prolonged standing or walking, particularly in high-heeled or ill-fitting shoes. Early diagnosis and intervention are key to managing this condition effectively and preventing further complications.
Common Causes of Metatarsalgia
Metatarsalgia can be triggered by a variety of factors, including biomechanical issues, overuse injuries, and certain medical conditions. Biomechanical problems such as flat feet or high arches can lead to uneven weight distribution on the foot, increasing pressure on the metatarsal bones. Additionally, high-impact sports or activities that involve repetitive stress can contribute to the development of this condition.
Other potential causes include arthritis, neuromas, and stress fractures, which can all result in inflammation and pain in the forefoot area. Understanding these causes is essential for effective treatment and prevention strategies, which may involve modifying activities, choosing appropriate footwear, and seeking professional advice from a podiatrist.
Symptoms of Metatarsalgia
The primary symptom of metatarsalgia is pain in the ball of the foot, which may worsen with activity and improve with rest. Patients often report a sensation of having a pebble in their shoe or a burning feeling in the affected area. Swelling and tenderness can also accompany this pain, making it difficult to walk or engage in physical activities.
In some cases, numbness or tingling may occur, particularly if a nerve is compressed. Recognizing these symptoms early can lead to timely treatment, which is crucial for alleviating pain and restoring normal function. If you experience persistent foot pain, consulting a podiatrist for a thorough evaluation is recommended.
Treatment Options for Metatarsalgia
Treatment for metatarsalgia typically begins with conservative measures aimed at relieving pain and addressing any underlying issues. Common approaches include rest, ice application, and the use of anti-inflammatory medications. Additionally, changing footwear to more supportive options can significantly reduce pressure on the forefoot.
In some cases, custom orthotics may be prescribed to correct biomechanical abnormalities and improve foot alignment. If conservative treatments fail, more advanced options such as corticosteroid injections or, in rare cases, surgical intervention may be considered. It is essential to work closely with a healthcare professional to determine the best course of action based on individual needs.
