Forefoot problems such as metatarsalgia, bunions, hammer toes, calluses, Morton’s neuroma, and capsulitis cause pain and mobility limitations in the palm of the foot. Early consultation with a podiatrist is essential to prevent worsening symptoms and ensure proper treatment.
Metatarsalgia
Metatarsalgia is a common forefoot pain affecting the metatarsus and phalanges, often worsening when standing. It results from inflammation of the metatarsal heads, caused by factors like sports injuries, arthritis, or tight footwear. Orthotics may help relieve this pain.
Bunion (hallux abducto valgus)
Bunions involve deformation of the first metatarsus, with the big toe bending toward the second toe creating a painful hump. Causes include heredity, rheumatic diseases, injuries, and poorly fitting shoes. Predominantly affecting women aged 40-50, bunions can require orthotics or orthopaedic shoes for relief.
Hammer toe
Hammer toe is characterised by forward bending of toe joints, often the second toe, causing discomfort and potential bursitis, corns, or calluses if untreated. Causes include narrow shoes, biomechanical issues, inflammation, and heredity. Loose, cushioned shoes or surgery may be required.
Calluses
Calluses form hard, thick skin due to friction or pressure, different from contagious warts. Causes include improper footwear, lack of stockings, poor foot care, and toe deformities. Prevention requires good hygiene, moisturising, and orthopaedic insoles. Consult a podiatrist before calluses become painful.
Morton’s neuroma
Morton’s neuroma is nerve pain between the 3rd and 4th toes caused by nerve compression, leading to tingling, burning, or shock-like sensations. Causes include tight shoes, old injuries, flat or hollow feet, bunions, and excess pronation. Treatment options include anti-inflammatory drugs, ultrasound, cortisone injections, and orthotics.
Capsulitis
Capsulitis is inflammation of the joint capsule causing stiffness and limited mobility, affecting feet among other joints. Causes include sedentary lifestyle, diabetes, trauma, and excess joint pressure. Treatment involves exercises, anti-inflammatories, cortisone injections, taping, physical therapy, orthotics, and ultrasound evaluation.
Treating metatarsalgia and common forefoot problems through podiatry
Consulting a podiatrist promptly for forefoot pain like metatarsalgia is vital. Podiatrists provide accurate diagnosis and treatments tailored to foot issues. Contact a PiedRéseau clinic in Quebec to regain foot health and mobility.