Chrome 2001
.
Aetna Intelihealth InteliHealth Aetna Intelihealth Aetna Intelihealth
 
.
. .
.
Chrome 2001
Chrome 2001
InteliHealth
Ask the Doc
4464
Ask the Doc
Ask The Expert
Harvard Medical School
Image of a cadeusus
. .
General Medical Questions
.
Question : After walking about 1 kilometer, the balls on both feet are really sore. And I find it hard to walk around for about 2 hours after. What could this be?
.
.
.
The Trusted Source
.
.
Howard LeWine, M.D.

Robert H. Shmerling, M.D. is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

.
.
November 18, 2013
.

Pain in the balls of the feet is a common problem. The medical term is metatarsalgia. Some people describe it as "walking on marbles."

There are a number of causes. They include:

  • Poorly-fitting shoes (especially ones with a high heel and narrow toe)
  • Certain types of arthritis, especially gout and rheumatoid arthritis
  • A swelling along nerves near the toe joints (called a Morton’s Neuroma)
  • Flat feet or high arches
  • Callouses
  • Trauma
  • Loose ligaments or weak muscles in the feet

Obesity may be a risk factor for metatarsalgia. Many people have more than one risk factor (such as obesity and flat feet).

Treatment depends on the cause. Options include:

  • Wearing shoes that provide cushioning and more room for the front of the foot.
  • Shoe inserts (orthotics) that take pressure off the metatarsal-phalangeal joint.
  • Filing down callouses.
  • Exercises to strengthen the small muscles of the feet.
  • Loss of excess weight.
  • Pain medicine (such as acetaminophen or ibuprofen)
  • Medicine directed against a particular type of arthritis. For rheumatoid arthritis, a number of treatments are available to reduce inflammation and modify function of the immune system. For gout, drugs that reduce inflammation and lower uric acid levels are effective.
  • Steroid injections.
  • Surgery. For instance, a Morton’s neuroma that does not improve with other treatments may require surgery to remove.

If properly diagnosed, most people with metatarsalgia can be treated effectively. So, see your doctor for evaluation. He or she may recommend that you see a podiatrist, orthopedist or rheumatologist, all specialists in conditions that cause foot pain.

.
.
InteliHealth
.
Ask A Question
.
.
InteliHealth
Do You Have A Question?
.
. . .
.
Ask The Expert Archives
Topics
.
InteliHealth
.
InteliHealth

    Print Printer-friendly format    
   
dmtatd
dmtATD
dmtatd
126747
InteliHealth
1998-05-15
f
InteliHealth
NULL
411, 4464, 4581, 4582, 7991, 7992, 7995, 7996, 7997, 8122, 8438, 8463, 8464, 8465, 8466, 8467, 8468, 8469, 8470, 8471, 8472, 8473, 8474, 8475, 8476, 8477, 8479, 8480, 8481, 8482, 8483, 8484, 8486, 8487, 8488, 8489, 8490, 8760, 14219, 20807, 21346, 21349, 21351, 23926, 23938, 24017, 24025, 24075, 24151, 24510, 24519, 24549, 24869, 24878, 25107, 25518, 25646, 25968, 29367, 29516, 29595, 48666, 48812, 59367,
4581
.
.  
This website is certified by Health On the Net Foundation. Click to verify.
.