Ball-of-foot pain

Metatarsalgia is pain under the ball of the foot, and it is a symptom rather than a diagnosis. The treatment depends entirely on whether the cause is a neuroma, a stress fracture, a fat pad that has thinned, or pressure from a deformity elsewhere.

What's Involved

Pressure mapping — Examination and gait assessment to find exactly where load is concentrating.
Imaging — On-site X-ray and ultrasound to identify stress fractures, neuromas, or capsulitis.
Offloading — Custom orthotics with metatarsal support to redistribute pressure.

When to Come In

Pain like walking on a stone — Discomfort under the ball of the foot when standing.
Worse barefoot or in thin shoes — Symptoms that ease with cushioning.
Callus under one metatarsal — A build-up marking where the load is going.

This content is for general information only and isn't medical advice. Talk with a qualified provider about your own situation. If you have a medical emergency, call 911.