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Metatarsalgia

Michael Y. Yang, MD and Marc W. McKenna, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Metatarsalgia is a generic term referring to pain in the forefoot in the region of the metatarsal heads.

  • System affected: musculoskeletal

EPIDEMIOLOGY

Incidence

Especially common in athl...

DIAGNOSIS

HISTORY

  • Pain gradually develops and persists over the heads of one or more metatarsals. Pain is usually on the plantar surface and worse during midstance gait phase.

  • Pain is often chronic.

  • Pred...

TREATMENT

Treatment for metatarsalgia is typically conservative. 
  • Relieve pain.

  • Ice initially

  • Rest: temporary alteration of weight-bearing activity; use of cane or crutch. For more physically active pati...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

If stress fracture has been ruled out and patient’s condition has not improved >3 months of conservative treatment, consider surgical evaluat...

REFERENCES

1
Hockenbury RT. Forefoot problems in athletes. Med Sci Sports Exerc.  1999;31(7 Suppl):S448–S458. [View Abstract on OvidMedline]
2
DiPreta JA. Metatarsalgia, lesser toe deformities, and...

ADDITIONAL READING

  • Birbilis T, Theodoropoulou E, Koulalis D. Forefoot complaints—the Morton’s metatarsalgia. The role of MR imaging. Acta Medica (Hradec Kralove).  2007;50(3):221–222. [View Abst...

SEE ALSO

Morton Neuroma (Interdigital Neuroma) 

CODES

ICD10

  • M77.40 Metatarsalgia, unspecified foot

  • G57.60 Lesion of plantar nerve, unspecified lower limb

  • M77.42 Metatarsalgia, left foot

  • M77.41 Metatarsalgia, right foot

  • G57.61 Lesion of plantar nerve, ri...

CLINICAL PEARLS

  • Metatarsalgia refers to pain of the plantar surface of the forefoot in the region of the metatarsal heads.

  • Metatarsalgia is common in athletes who participate in high-impact sports invo...

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