Biomechanical disorders commonly treated/managed with foot orthotic shoe inserts

Metatatarsalgia

Metatatarsalgia (Pain in Forefoot)

Definition:
Pain in the plantar forefoot metatarsal area.

Symptoms :
Usually causes a burning sensation in the plantar forefoot region. You may describe the pain as a lump underneath the ball of the foot. Applying pressure to the metatarsal heads may elicit pain.

Biomechanical Aetiology:
When a foot pronates excessively, there is progressive weakening of the soft tissue structures causing the metatarsals to plantarflex and rotate, resulting in shearing forces on these foot structures.

Treatment:
Orthotics realign the metatarsal heads by dorsiflexing the 2nd, 3rd & 4th metatarsals to their neutral position, using a built-in metatarsal raise, removing excess weight and friction which causes the callous and burning sensation.

Exercises:
Intrinsic forefoot exercises.