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Posts Tagged ‘Metatarsal Pad’

Pain in the Ball of the Foot = Metatarsalgia    Pain in the ball of your foot is usually referred to as “Metatarsalgia”. In Latin, the word Metatarsal is used to describe the region of the foot that is equivalent to the palm of your hand. The suffix “algia” simply means pain. So the word […]

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I am a 20ish or so mi/wk runner-two 5 milers during week and long run on weekend. I have suffered metatarsalgia for some time now. I usually run through pain. Recently due to increased pain and burning in tip of 2nd toe, I was forced to seek medical care. My primary care doc ruled out […]

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End Stage of a torn Plantar Plate viewed by X-ray

I recently interviewed a new patient who had a 3 month history of pain in the ball of her foot near where the second toe meets the foot.   In anatomy speak we call this the Metatarsal region.  She struggled with this pain and eventually saw a podiatrist who told her she probably had Capsulitis and […]

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Foot pain is horrible.  Metatarsal pain is even more horrible.  The level of apathy, incompetence and ignorance that exists towards the proper diagnosis and treatment of Metatarsalgia, Plantar Plate Sprains, Tenosynovitis and Capsulitis, Morton’s Neuroma’s and Metatarsal Stress Fractures is really frightening.  I see patients every day who were either mis-diagnosed or under diagnosed and […]

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I examined a patient yesterday who had severe metatarsal pain.  She went to her primary MD and received a diagnosis of metatarsalgia (metatarsal means the bones that form the “palm” area in your foot, “Algia” means pain).  So she went to her primary MD with foot pain and he regurgitated back to her in Latin….”you […]

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It happens frequently.  In my early years of practice I thought I was either crazy or had somehow misunderstood information I was taught and read while in college.  Now after 12 years of treating running injuries coupled with reading hundreds of medical research studies I realize that in fact I am quite sane.  Here is […]

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I examined a 40 year old previous runner this week.  In fact he was a previous hiker, previous exercise enthusiast and a previous runner.  Now his foot was in pain.  He explained how he had seen not one, but 3 foot specialists who were all gloom and doom.  2 podiatrists (I personally think most podiatrists […]

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It is amazing to me that more foot specialists are not familiar with how to treat a runner with ball of foot pain.  It could be either Metatarsalgia, Morton’s Neuroma or a Sprained Plantar Plate when a runners presents with pain beneath their second or third toe.  The pain can be anywhere from mild to […]

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A women presented to my clinic yesterday complaining of metatarsal pain that has lasted 10 years!  She has had multiple surgeries including removing one of the nerves in her foot!!  The pain has still persisted.  She found that if she wears a rocker bottom shoe the pain is a little better but she can not […]

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Metatarsalgia. Definition: Pain beneath the metatarsal joints. Anatomy: There is bone, muscle and ligament. If you have Metatarsalgia then you have pain in either the bone, muscle or ligament in the area. Bone: You could have a stress fracture or worse yet something called avascular necrosis. That is bone death and your bone could literally collapse. Do you really think cutting a hole in the orthotic or placing metatarsal pads will help that? Muscle: You could have a muscle strain. That would have gotten better with time. It is highly unlikely you have a muscle strain. Ligament: you could have a torn ligament. It happens all the time. Ligament sprain or tears are a common cause of metatarsalgia.

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Not a week goes by when I do not treat a patient who is suffering from metatarsal pain……..for months to years! Some of the things the medical world tries have no basis in scientific or clinical research, yet they do it anyway. Cortisone injections which break down the natural fat pad under the metatarsal heads. Expensive orthotics with ridiculously hard arches that are so uncomfortable that patients will not wear them. Some barbaric whiz kids even remove the nerve! That is kind of the equivalent of chopping off your head to solve a headache. Think about it. Oh, it hurts, I’ll just remove the nerve so you don’t feel it.

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