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Metatarsalgia.

J S Gould1

  • 1Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee.

The Orthopedic Clinics of North America
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

Metatarsalgia, or pain in the ball of the foot, has diverse causes. Management often involves shoe modifications and inserts for effective relief.

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Area of Science:

  • Podiatric medicine
  • Orthopedics
  • Biomechanics

Background:

  • Metatarsalgia presents as pain in the metatarsal head region.
  • It stems from various underlying causes, including mechanical, neurogenic, vascular, and inflammatory factors.
  • Accurate diagnosis is crucial for effective treatment.

Purpose of the Study:

  • To outline the diagnostic considerations for metatarsalgia.
  • To review the management strategies for metatarsalgia.
  • To emphasize the role of conservative treatments like shoe modifications and inserts.

Main Methods:

  • Literature review of diagnostic and management approaches for metatarsalgia.
  • Analysis of etiological factors contributing to metatarsalgia.
  • Evaluation of treatment outcomes for conservative and surgical interventions.

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Main Results:

  • Metatarsalgia management requires identifying specific etiologies.
  • Conservative treatments, including shoe modifications and orthotic inserts, are effective for many cases.
  • Surgical options exist for severe or persistent conditions.

Conclusions:

  • Effective management of metatarsalgia hinges on precise diagnosis.
  • Conservative interventions, particularly footwear adjustments and inserts, provide successful outcomes for a majority of patients.
  • Surgical treatment remains an option for refractory metatarsalgia cases.