Metatarsalgia (Metatarsophalangeal joint synovitis)

What is metatarsalgia?

Metatarsalgia is an inflammatory condition which occurs in the joints between the metatarsal bones and phalanges (phalanx bones), more often in the second, third or forth MTP joints.

Symptoms of metatarsalgia

• Pain in the forefoot which is worse when weight bearing.
• Pain is usually of gradual onset.
• Pain and tenderness when pressing in on the joint.
• Passive flexion of the toe (bending the toes down) can stimulate pain.
• There may be excessive skin or calluses under the foot due to excess pressure.

Causes of metatarsalgia

• A high or rigid arched foot (pes cavus) may increase the liklehood of metatarsalgia.
• Over pronation of the foot.
• A shortened first metatarsal causing excess pressure to go through the second metatarsal (mortons foot).
• Tight extensor tendons of the toes.

Treatment of metatarsalgia

• X-rays can indicate the amount of degeneration or wear and tear in the joint.
• NSAID's such as ibuprofen (non steroidal anti inflammatory drugs) may be prescribed to reduce pain and inflammation.
• Padding to protect the foot and re-distribute weight on the foot.
• A gel type shock absorbing and cushioning insole can be worn.
• A doctor may inject a corticosteroid injection into the foot.