What is metatarsalgia?

Metatarsalgia is pain in the forefoot area affecting one or more metatarsal heads.



The causes of metatarsalgia are divided into three groups:

  • Primary metatarsalgia: It is due to the anatomical characteristics of the metatarsals, affecting their structure and that of the rest of the foot.
  • Secondary metatarsalgia: Caused by conditions that increase metatarsal loading through indirect mechanisms, such as chronic synovitis, rheumatoid arthritis, gout, psoriasis, neurological disorders (such as Charcot-Marie-Tooth disease), misalignment or malunion of the metatarsals, or sequelae of Freiberg’s disease.
  • Iatrogenic: Secondary to forefoot surgery, such as hallux valgus, metatarsal osteotomy, isolated excision of one of the metatarsal heads or the base of the proximal phalanx.


How is metatarsalgia treated?

The treatment is intended to relieve tension and stiffness of the leg muscles and improve foot stabilization. The correction of possible biomechanical and anatomical alterations are key to the effective treatment of metatarsalgia.

For this purpose, at Clínica Sohail we carry out a global assessment beforehandWe perform a thorough and complete examination of the musculoskeletal and nervous system, and depending on the results, we assess which type of treatment is the most appropriate for the patient. In a cross-cutting manner, the readaptation team will carry out an intervention through therapeutic exercise

Depending on the degree of injury, and together with the application of technology such as ultrasound-guided percutaneous intratissue electrolysis (EPI), and Echoguided Percutaneous Percutaneous Neuromodulation, Shock waves, Imoove or Magnetic Resonance Therapy (MBST), we will work with a program of control exercises, global postural reeducation (RPG) and/or strength exercises.

The Hyperbaric Chamber can be a great ally in the recovery, thanks to the oxygenation that occurs in the tissues that is produced in the tissues, reduces the recovery times of breaks, wounds, muscle injuries and bone fractures.


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