Metatarsalgia

Metatarsalgia (plantar plate dysfunction, synovitis – capsulitis)

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

Causes and symptoms

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

  • Inappropriate footwear, such as high heels or thin soles.
  • Intensive sports activities, such as running or jumping.
  • Foot deformities such as flat feet, hallux valgus or hammertoes.
  • Being 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 (corns or calluses) under the painful joint.
  • Sensation of “stabbing” or numbness.
  • Swelling and inflammation in the forefoot.
  • Difficulty walking or standing for long periods.

Diagnosis

At Médecine podiatrique du Plateau, we perform a comprehensive 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 of metatarsalgia depends on the underlying cause and may include:

  • Customized foot orthotics to redistribute pressure and improve alignment.
  • Shoe changes for comfort and support.
  • Physiotherapy to strengthen foot muscles and improve flexibility.
  • Anti-inflammatory drugs to reduce pain and swelling.
  • In some cases, surgery may be required to correct deformities.

Conclusion

If you’re experiencing pain in the forefoot, it’s 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.