Metatarsalgia

Metatarsalgia (Plantar Plate Dysfunction, Synovitis – Capsulitis)

Metatarsalgia refers to localized pain in the forefoot, often in the heads of the metatarsals. This problem, also known as plantar plate dysfunction, can lead to considerable discomfort when walking, exercising, or even resting.

Causes and symptoms

Metatarsalgia can be caused by a variety of factors, including:

  • Inappropriate shoes, including high heels or soles that are too thin.
  • Intensive sports activities, such as running or jumping.
  • Deformities of the foot, such as flat feet, bunions (hallux valgus) or hammertoes.
  • Overweight or obese, increasing pressure on the forefoot.

Common symptoms include:

  • Sharp or burning pain under the soles of the feet.
  • Inability to walk barefoot.
  • Thickening of the skin (corn or callus) under the painful joint.
  • Feeling of “stabbing” or numbness.
  • Swelling and inflammation in the forefoot.
  • Difficulty walking or standing for long periods of time.

Diagnosis

At Médecine podiatrique du Plateau, we carry out a complete evaluation to diagnose metatarsalgia. This includes a detailed physical examination, mobility tests, and possibly X-rays to rule out other problems, such as fractures or osteoarthritis.

Treatment

Treatment for metatarsalgia depends on the underlying cause and may include:

  • Custom foot orthotics to redistribute pressure and improve alignment.
  • Shoe changes to promote comfort and support.
  • Physical therapy to strengthen the foot muscles and improve flexibility.
  • Anti-inflammatory medications to reduce pain and swelling.
  • In some cases, surgery may be necessary to correct deformities.

Conclusion

If you are experiencing pain in the front of your foot, it is essential to consult a podiatrist for an accurate diagnosis and an appropriate treatment plan. At Médecine podiatrique du Plateau, our team is dedicated to helping you regain comfort and mobility.