Metatarsalgia Treatment in Orange County

Symptoms of Metatarsalgia or Capsulitis:
Pain at the “ball of the foot”.
Pain under the 2nd metatarsal or ball of foot is most common.
Drifting of toes or hammer toe formation.
The feeling of a “lump” under the ball of the foot.
Swelling around the metatarsophalangeal joint.
Metatarsalgia can occur at any of the five metatarsals.

Causes of Metatarsalgia or Capsulitis:
Wearing incorrect shoes.
Walking around barefoot.
Walking around in sandals or slippers.
High heels.
High impact activities with no support of the forefoot.
Bunion deformity.
Hammer toe.
Long 2nd metatarsal.

Conservative Treatment of Metatarsalgia or Capsulitis

Metatarsal pads. Placed proximal or behind the area of pain. The goal of any treatment is to offload the painful area. Most common mistake is placing more padding under the painful area.

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Beats Insoles


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Metatarsal Pad


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GelHeel Pad


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Supportive shoes.

Avoid barefoot walking, sandals, high heels.
Typically takes 6 weeks to feel better.

Surgical Treatment of Metatarsalgia or Capsulitis
When conservative treatment has failed, there are surgical options. The surgery will shorten the metatarsal bone to change the pressure point area. If a tear in the capsule or plantar plate exists, that can be sutured back together. If a hammer-toe is present, that is usually straightened.

Contact Dr. Kolodenker for surgical options of Metatarsalgia or Capsulitis in Orange County – Southern California – Irvine and Huntington Beach.

Other possible causes of pain at the ball of the foot:
Stress fracture
Bone tumor



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Last Updated 1-03-2017