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The onset is sub-acute; subsequent foot discomfort may progress to disabling pain with prolonged standing. It is considered a pain out of proportion, where the symptoms described do not correspond to the other signs, making an early diagnosis more difficult. [7] Pain is in mid- and hindfoot, with tenderness on the top of the midfoot. [8]
One cause of metatarsalgia is Morton's neuroma. When toes are squeezed together too often and for too long, the nerve that runs between the toes can swell and get thicker. This swelling can make it painful when walking on that foot. High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance.
Freiberg disease, also known as a Freiberg infraction, is a form of avascular necrosis in the metatarsal bone of the foot. It generally develops in the second metatarsal, but can occur in any metatarsal. Physical stress causes multiple tiny fractures where the middle of the metatarsal meets the growth plate.
It is more common in soldiers, but also occurs in hikers, organists, and other people whose duties entail much standing (such as hospital doctors). March fractures most commonly occur in the second and third metatarsal bones of the foot. [1] [2] [3] It is a common cause of foot pain, especially when people suddenly increase their activities. [4]
The foot may is a complex structure with 26 bones, 33 joints, numerous muscles, nerves and different ligament types. Any part of the foot can be affected by diseases, with symptoms ranging from mild aches to more serious pain hindering one's ability to walk or bear weight. Most minor cases of foot pain can be responded to by home care treatments.
If pain is constantly present it may indicate a more serious bone injury. [4] There is usually an area of localized tenderness on or near the bone and generalized swelling in the area. Pressure applied to the bone may reproduce symptoms [1] and reveal crepitus in well-developed stress fractures. [3]
Brachymetatarsia is a rare malformation that causes one or more toes to be abnormally short. The condition is characterized by a metatarsal arch shortness of more than 5 mm. The condition is more common in females, and the incidence reported in the literature ranges from 0.02% to 0.05%.
Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
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