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Overview of Metatarsalgia.

Daniel A Charen, Jonathan S Markowitz, Zoe B Cheung

    Orthopedics
    |December 13, 2018
    PubMed
    Summary

    Metatarsalgia is a symptom, not a diagnosis. Identifying the cause through gait analysis, physical exam, and X-rays guides effective treatment, from conservative methods to surgery.

    Area of Science:

    • Orthopedics
    • Podiatry
    • Biomechanics

    Background:

    • Metatarsalgia is often a symptom, not a distinct diagnosis, requiring etiological investigation.
    • Understanding the timing of forefoot pain during gait is crucial for diagnosis.
    • Potential causes include anatomical abnormalities, indirect overloading, or iatrogenic factors.

    Purpose of the Study:

    • To outline the diagnostic approach to metatarsalgia.
    • To detail the differential diagnosis and treatment strategies for metatarsalgia.
    • To emphasize the importance of a thorough clinical evaluation.

    Main Methods:

    • Clinical evaluation including lower extremity physical examination, focusing on the plantar foot.
    • Weight-bearing radiography for diagnostic imaging.

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  • Review of nonoperative and operative treatment modalities.

    • Main Results:

    • Diagnosis relies on identifying the specific etiology of metatarsalgia.
    • Conservative treatments include physical therapy, orthotics, footwear modification, and injections.
    • Surgical intervention is considered when conservative management fails.

    Conclusions:

    • Metatarsalgia diagnosis requires a systematic approach to identify the underlying cause.
    • Comprehensive physical examination and appropriate imaging are essential.
    • A stepwise treatment plan, starting with conservative measures, is recommended.