Ball of Foot Pain (Metatarsalgia & Morton’s Neuroma)

Pain under the ball of the foot can feel like walking on a bruise, stone or burning hotspot. It often becomes worse in tighter shoes or after longer periods on your feet.

How ball of foot pain can present

Common descriptions include:

• Aching or sharp pain under the forefoot when standing or walking
• Burning or tingling between the toes, sometimes with numbness
• Pain that worsens in narrow or high-heeled shoes
• Relief when shoes are removed or pressure is reduced

Possible causes of forefoot pain

Ball of foot pain may be due to:

• Metatarsalgia – overload of the joints and soft tissues under the ball of the foot
• Morton’s neuroma – irritation of a digital nerve between the toes
• Joint changes or capsulitis around the lesser toes
• Callus buildup from repeated pressure in one area
• Footwear that does not match the shape of the foot

Because several problems can feel similar, careful assessment is important.

How we assess ball of foot pain

We look at both local structures and overall foot function. Assessment usually includes:

• History of footwear, activities and symptom behaviour
• Palpation of joints, soft tissues and nerves in the forefoot
• Assessment of toe position, flexibility and strength
• Observation of walking and pressure patterns through the forefoot
• Review of shoe fit and any existing insoles or orthotics

Treatment options

Treatment depends on the diagnosis and may include:

• Footwear changes to improve fit, forefoot depth and cushioning
• Deflective padding or orthotics to redistribute pressure
• Exercise and taping to improve toe function and stability
• Injection therapies for selected neuroma or joint conditions
• Laser therapy or other modalities for soft tissue pain
• Overall load and activity advice within a musculoskeletal assessment

Who we see with ball of foot pain

We see people who spend long hours on their feet, runners, and those who regularly wear narrower or dress shoes. Some have had persistent pain for years and avoid certain footwear because of it.

Forefoot pain treatment near Forest Hill

From our Forest Hill clinic we see patients with ball of foot pain from nearby suburbs such as Doncaster East and Ringwood.

Book an appointment for ball of foot pain

If forefoot pain is making work, walking or shoes difficult, an assessment can clarify the cause and best management. You can book online or contact the clinic for an appointment.