Metatarsalgia

Patient Information

http://www.patient.co.uk/pdf/9031.pdf

GP Information

Background Information

• Atraumatic forefoot pain.
• Primary differential diagnosis is a metatarsal stress fracture.
• Patients typically complain of pain beneath the metatarsal heads on weight bearing.

Investigation Guidelines

• A plain radiograph may be performed to see any structural cause for the callosity.

Management Recommendations

Conservative measures include

• PRICE
• NSAIDs
• Avoid activities that exacerbate symptoms.
• Patient education.
• Shoe wear advice – avoid totally flat, high, or tight shoes. Trainers are appropriate.
• OTC orthotics if flat footed.

Referral Indications;

• Diagnostic uncertainty.
• Pain preventing day to day activities.
• Failure of conservative measures after a minimum of 6 weeks.