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Updated: May 22, 2025

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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[Metatarsalgia].

Fabienne Inglin1,2, Markus Knupp1

  • 1Mein Fusszentrum, Basel.

Therapeutische Umschau. Revue Therapeutique
|March 13, 2025
PubMed
Summary
This summary is machine-generated.

Metatarsalgia, or forefoot pain, encompasses various symptoms with diverse causes, including mechanical issues and systemic diseases. Treatment strategies are tailored to the underlying cause, prioritizing conservative methods before considering surgery.

Keywords:
MetatarsalgiaMorton’s neuromaconservative therapyforefoot painsurgical treatment

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Area of Science:

  • Podiatry
  • Orthopedic Medicine
  • Rheumatology

Background:

  • Metatarsalgia is a symptom complex affecting the forefoot and metatarsophalangeal joints II-IV.
  • Causes range from mechanical issues like foot malformations and instability to non-mechanical factors such as Morton's neuroma, fractures, and systemic diseases.
  • Symptoms include stress-dependent forefoot pain, often burning or stabbing, exacerbated by tight footwear.

Purpose of the Study:

  • To provide a comprehensive overview of metatarsalgia.
  • To discuss the diverse etiologies of forefoot pain.
  • To outline current therapeutic approaches, encompassing conservative and surgical interventions.

Main Methods:

  • Literature review of causes and symptoms of metatarsalgia.
  • Analysis of conservative treatment options (footwear, orthotics, exercises).
  • Review of surgical interventions for specific conditions.

Main Results:

  • Metatarsalgia presents with varied symptoms and has multifactorial origins.
  • Conservative treatments like proper footwear, exercises, and orthotics are primary therapeutic strategies.
  • Surgical options are reserved for specific conditions unresponsive to conservative care.

Conclusions:

  • Effective management of metatarsalgia requires accurate diagnosis of the underlying cause.
  • A stepwise approach, starting with conservative measures, is recommended.
  • Individualized treatment plans are crucial for successful outcomes in managing forefoot pain.