Metatarsalgia is the wrong name for a very frequent problem in athletes. This is a term which sadly will get used a lot but is a reasonably useless name and diagnosis. The phrase is comparable to, by way of example, stating you've got a painful knee. That sore knee might be on account of any one of numerous different conditions. Metatarsalgia indicates discomfort in the metatarsals or ball of the foot, therefore it can always be due to numerous distinct things. That is why the term is really so pointless.
The explanation for the signs and symptoms could be a callus of the skin underneath the forefoot; maybe it's a pinched nerve that causes radiating type difficulties; maybe it's a fat pad atrophy that produces problems with weight bearing; or even it could be arthritis type pain within the joints within the ball of the foot. Each one of these potential factors that cause metatarsalgia tend to be rather different to one another with various symptoms and diverse causes that simply serves to underscore precisely what a useless phrase it is to make use of.
One of the most common cause of pain in the forefoot is a disorder known as a plantar plate tear. This is the injury of the ligament beneath the joints in the forefoot which can progress to a small tear. The pain sensation is typically over the joint on the bottom of the foot and simply distal to the metatarsophalangeal joint. Generally it is the second metatarsophalangeal joint, but it can affect each of the joints. This problem is more prevalent in individuals that run more. The problem starts off to be a moderate ache that is often neglected, however it will get worse unless there is a treatment started as it doesn't recover by itself.
Typically the treatments for a plantar plate tear is by using strapping to keep the toe in a plantarflexed or downward posture to avoid it from dorsiflexing up therefore the stress is given a rest. A rocker bottom shoe or a footwear that is more rigid may also help do that. If this helps, it does tend to take a long time and persistence is required. If it doesn't work, then some plantar plate tears should have a surgery treatment.