Understanding Ball of Foot Pain: Plantar Plate Tears & Metatarsalgia

Pain in the ball of your foot can be frustrating and limiting. Common causes include plantar plate tears and metatarsalgia. A plantar plate tear happens when the ligament supporting your toe joints is damaged, causing instability, swelling, and a feeling of walking on a lump. Metatarsalgia is a general term for forefoot pain, often from excessive pressure, poor footwear, or biomechanical issues. Symptoms include sharp or aching pain, swelling, and discomfort, especially when walking or wearing heels. If untreated, digital deformities like hammertoes or crossover toes may develop.

Treatment Options: From Simple to Advanced

Managing ball of foot pain starts with conservative treatments. Orthotics with metatarsal pads help relieve pressure and align the foot properly. Shockwave therapy is a non-invasive option that stimulates healing by increasing blood flow to the damaged area. PRP (platelet-rich plasma) injections can promote tissue repair by delivering growth factors directly to the injured ligament. Physical therapy, along with supportive, cushioned footwear, can also reduce pain and prevent worsening symptoms.

When Surgery Becomes Necessary

If conservative treatments fail, surgery may be needed, especially for severe plantar plate tears or chronic metatarsalgia. Procedures range from ligament repair to metatarsal shortening osteotomies, which realign bones to reduce pressure. Recovery involves weeks of immobilization and gradual rehabilitation. Early treatment is crucial to avoid long-term complications and restore pain-free movement. If foot pain persists, consult a specialist to find the best solution.