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    Metatarsalgia: Yakshita Chaube B.P.T Final Year

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    Kapil Lakhwara
    Metatarsalgia is a condition characterized by pain in the ball of the foot at the metatarsal heads, typically exacerbated by weight bearing activities. Common causes include muscular weakness, wearing high heels, tight plantar fascia, bunions, and excessive weight or activity. Signs and symptoms include sharp pain at the metatarsals that worsens with standing and walking. Conservative treatment focuses on rest, ice, orthotics, padding, and anti-inflammatory medications to reduce pain and inflammation.

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    Metatarsalgia: Yakshita Chaube B.P.T Final Year

    Uploaded by

    Kapil Lakhwara
    507 views18 pages
    Metatarsalgia is a condition characterized by pain in the ball of the foot at the metatarsal heads, typically exacerbated by weight bearing activities. Common causes include muscular weakness, wearing high heels, tight plantar fascia, bunions, and excessive weight or activity. Signs and symptoms include sharp pain at the metatarsals that worsens with standing and walking. Conservative treatment focuses on rest, ice, orthotics, padding, and anti-inflammatory medications to reduce pain and inflammation.

    Original Description:

    Clinical condition and Pt Rx.

    Original Title

    METATARSALGIA

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    Metatarsalgia is a condition characterized by pain in the ball of the foot at the metatarsal heads, typically exacerbated by weight bearing activities. Common causes include muscular weakness, wearing high heels, tight plantar fascia, bunions, and excessive weight or activity. Signs and symptoms include sharp pain at the metatarsals that worsens with standing and walking. Conservative treatment focuses on rest, ice, orthotics, padding, and anti-inflammatory medications to reduce pain and inflammation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    507 views18 pages

    Metatarsalgia: Yakshita Chaube B.P.T Final Year

    Uploaded by

    Kapil Lakhwara
    Metatarsalgia is a condition characterized by pain in the ball of the foot at the metatarsal heads, typically exacerbated by weight bearing activities. Common causes include muscular weakness, wearing high heels, tight plantar fascia, bunions, and excessive weight or activity. Signs and symptoms include sharp pain at the metatarsals that worsens with standing and walking. Conservative treatment focuses on rest, ice, orthotics, padding, and anti-inflammatory medications to reduce pain and inflammation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    Metatarsalgia

    Presented by-
    Yakshita chaube
    B.P.T final year
    Metatarsalgia

    Introduction

    • Normally about one-third of the body weight falls at the


    forefoot and that weight distributed between the pads of the
    toe and MTP joints.
    • The metatarsalgia comes from the names of the bone that
    are in this part of the foot; metatarsals.
    • Pressure on the ends of the metatarsals bones causes
    symptoms in the ball of foot.
    Defination:
     It is described as condition that cause plantar pain in the forefoot at the MTP
    joints.
     It is best characterized by pain under the metatarsal head exacerbated by
    weight bearing.
     There is marked pain and inflammation in the ball of foot.
     This ball of the foot pain is often located under the second, third and fourth
    metatarsal head.
     And this metatarsalgia pain experience during activity that involve running
    and jumping.
     Tenderness is felt over the plantar aspect of capsule of MTP joint.
    Common factors:
     Pes plantaris
     Pes cavus
     Muscular weakness
     Wearing high heels
     Tight aponeurosis
     Hammer toe
     Intense training or activity
     Bunion
     Excessive weight
     Stress #
    Bunion
    Contd:
     Muscular weakness- weakness in toe flexors, during inactivity or
    immobilization can also rise to metatarsalgia on initiating sudden weight
    bearing.
     Wearing heels- It also cause constant pain over the forefoot giving rise
    to metatarsalgia.
     Tightness of plantar aponeurosis- due to the tight aponeurosis.
    Aponeurosis get shortened pulling the metatarsal head downward causing
    curling of the toes
     Bunion – swollen painful bump at the base of big toe which put extra
    stress on the ball of the foot
     Stress #- small breaks in the metatarsals and toe bones can be painful and
    injury may lead to metatarsalgia
    Sign and Symptoms

     Sharp aching and burning pain in ball of foot or metatarsal head


     Pain around 2,3,4th toe
     Pain gets worse when stand, walk and run improves while in rest
     Numbness or tinging in toes
     Pain gets worsens when flex feet
    Differential diagnosis

     Degenerative changes like arthritis


     Morton’s neuroma
     Loss of metatarsal fatpad
     Metatarsal stress #
    Morton’s neuroma
    Morton’s metatarsalgia

     In Morton’s metatarsalgia there is sudden onset of pain with burning


    sensation over the outer border of the forefoot and between the third
    and fourth toes while walking. Pain subsides after rest and massage

     The causative factor is thickened digital nerve (often a neuroma) between the
    third and fourth metatarsal bones.

    Conservative treatment consists of:


    The alignment of the metatarsal heads by providing a small pad which elevates the
    heads of metatarsals.
    This prevents painful nipping of the digital nerve.
    Test And Diagnosis

     X-ray to identify and rule out a stress fracture or other foot problems.
     MRI
    Metatarsalgia
    X- Ray MRI
    Complications
    1. If Metatarsalgia left untreated, it may lead to:

    2. Pain in other parts of the same or opposite foot.


    3. Pain elsewhere in the body, such as the low back
    or hip, due to limping (altered gait) from foot
    pain.
    Drugs:
     Ibuprofen (Advil, Motrin, Others)
     Naproxen (Aleve, Others)
     Aspirin to reduce pain
    Physiotherapy Management:
    1. Rest : protect the foot from further injury by not stressing it.
    Low impact exercises such as swimming and cycling continues
    with stretching.
    2. ICE the affected area: ice the affected area when associated
    with swelling with leg in elevation for 20 min ,

    3. PAINFUL STAGE: Warm water, contrast bath, TENS,


    Ultrasound
    4. Ankle and toe movement to reduce edema and to improve
    circulation.
    5. Faradism under pressure with leg in elevation.
    6. Faradic foot bath with voluntary intrinsic exercises.
    SHOE MODIFICATIONS

     Wearing proper shoes with appropriate shoe wedge.


     Use metatarsal pads.
     Try shock absorbing insoles these are made of plastic ,
    rubber or gel like substance ,fit inside the shoes and works
    as a cushion.
     Consider arch support, it minimize stress on the
    metatarsal head and improve foot function.
    THANKING YOU

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