Metatarsalgia

Question 1

What are some key subjective findings

Answer 1

-Sharp pain, feel like stepping on stones
-2nd and 3rd most painful
-Worse when barefoot

Question 2

What are some significant findings

Answer 2

-Forefoot splay
-Pain on palpation at distal met heads

Question 3

What are some anatomical findings

Answer 3

-Short or long 1st/2nd metatarsal
-Pes planus or Pes Cavus
-Post HAV or HR surgery

Question 4

What are some DDx

Answer 4

-Neuroma (burning, tingling)
-Stress fracture (dorsal pain)
-Frieberg (children)]

Question 5

What are the initial treatment of Metatarsalgia

Answer 5

-Metatarsal pads
-Customized orthotics to offload forefoot
-Short foot exercises