Metatarsalgia is a condition involving localised pain at the level of the metatarso-phalangeal joint associated with pronation and plantarflexion with rotation of the shafts causing inflammation and swelling of the surrounding tissue.
The condition can be caused by structural, functional or traumatic factors (primary) or by systemic disease (secondary).
Symptoms include pain in the underneath forefoot area, particularly the metatarsal heads and transverse arch of the foot.
Mortons Neuroma is the natural progression of Metatarsalgia if left untreated, in which collision of the metatarsal heads causes nerve damage and swelling causing pain and numbness in the toes.
Conservative treatment of either condition involves use of a custom orthotic device with a metatarsal dome addition to support and re-establish the transverse arch. In extreme cases of mortons neuroma where extensive nerve damage has occurred, surgery will be needed to repair damaged nerves.