$Unique_ID{BRK01571}
$Pretitle{Musculoskeletal System and Connective Tissue}
$Title{What Can Rid One of a Pain in the Ball of the Foot?}
$Subject{foot pain metatarsal}
$Volume{M-17}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


What Can Rid One of a Pain in the Ball of the Foot?


------------------------------------------------------------------------------

QUESTION:  I have developed a most annoying and painful condition which is
preventing me from getting around as much as I want to.  It is a pain right in
the ball of my left foot that sometimes feels like I have a stone in my shoe,
when there is nothing there.  Is there something you can recommend to help me
get rid of the pain, and start back on my walking program?

------------------------------------------------------------------------------

ANSWER:  It is pretty hard to make an exact diagnosis from the information
you have provided.  There are some 26 bones that make up your foot, bound
together by ligaments, and many tendons that link muscles to the bones and
provide the power that enables you to walk.  The area you describe, the ball
of the foot, is the area in which 5 slim bones, the metatarsals, are located.
Pain in this location is known as "metatarsalgia" and can be the result of a
number conditions.  When the skin in this area is irritated from bunions or
calluses, pain of this nature may result.  However arthritis is often the
cause, a condition easily diagnosed with the help of an x-ray.  Some times
physicians are surprised to find a stress fracture present as the culprit.
Many people who must stay on their feet a great deal, or who are overweight,
or even pregnant are at risk.  Sometimes a benign tumor of the nerve that
passes through this spot can be the cause of the pain (Morton's Neuroma).
While each condition requires its own treatment strategy, there are a few
general tips I can offer.  Check your shoes for fit, and stay away from tight
fitting shoes, or those with high heels.  A metatarsal pad, carefully fitted
by a podiatrist or physician may relieve the pressure that is causing the
pain.  Many over-the-counter pain medications, including nonsteroidal
anti-inflammatory medications (NSAIDS) have been found useful.  Injections of
corticosteroids into the tender area may be used in rare cases, and surgery
may be necessary to remove a Morton's neuroma.  Your best course of action is
to have a thorough examination, and careful evaluation to help choose the best
treatment for your condition.  Don't delay, it probably won't disappear by
itself.
ÿ
----------------

The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
