Health Center :: Ball-of-Foot Pain

There is a protective pad of fat that cushions the metatarsal heads at the balls of your feet. This cushion typically provides the shock absorption the body needs to avoid pain but this is not always the case. Many factors including the wearing away of this cushion, due to age or over use, can cause ball-of-foot pain (often referred to as metatarsalgia).

How does this occur?
Pain in the ball of the foot may have many different causes, including: arthritis, ligament injuries, joint irritation, Morton’s neuroma (a benign nerve tumor usually located between the 3rd and 4th toes), tarsal tunnel syndrome (pinched nerve) or excessive pressure over a long period of use.  But most often it is caused by improperly fitting shoes. 

High-heels and narrow toe boxes can really take their toll on your feet.  Even the pair of shoes that starts out comfortable, by mid-day (or mid-night) begins to cause discomfort or pain which in turn impacts the way you walk or stand. 

How can this be prevented or treated?
Your first step in relieving ball-of-foot pain is determining what is causing the pain. The easiest place to start is with your shoes. Your choice of shoes and the added support you can give them can make all the difference.

• Choose supportive shoes:  This isn’t the first time you’ve read that high heels and even flat shoes can be bad for your feet.  So, if you want to stop the pain or want to take steps to prevent plantar fasciitis, buy shoes with a low to moderate heel, good arch support and shock absorbency.  And try not to go barefoot, especially on hard surfaces.
• Replace your insoles: High-impact activity is a contributor to the wearing down of the padding at the balls of your feet, so be sure that your athletic shoes are providing the maximum support.  Replace your insoles before they stop supporting and cushioning your feet.  The same goes for dress shoes. Designers are typically focused on the outside of the shoe – so you need to focus on the inside.  It’s a good idea to replace the insole of even a new pair of shoes with one that provides more support, especially arch support, and shock absorption.
• Cushion your feet:  For summer shoes or open toe shoes metatarsal cushions can provide much needed relief.

NOTE:  Consult your doctor before starting any exercise program.  A fitness assessment may be necessary prior to choosing certain activities.

Suffers of ball-of-foot pain have found these products
helpful in controlling pain and providing support: