Metatarsalgia & Ball of the Foot
Causes & Best Treatment
Do you have persistent pain in the ball of your foot that makes walking or standing uncomfortable? Some of the most common causes include #1) Metatarsalgia, #2) Morton’s Neuroma, #3) Capsulitis, #4) Plantar Plate Injury, and other conditions that can put extra stress on this sensitive area. The pain may feel sharp, burning, or like you’re stepping on a small stone. At Balance Foot & Ankle Specialist in Michigan, our expert podiatry team identifies the root cause and creates a personalized treatment plan to relieve discomfort and restore mobility. In this guide, we’ll explain the leading causes of ball of the foot pain and show you effective ways to fix it, prevent flare-ups, and get back to moving comfortably again.
Ball of the Foot Pain
Ball of the Foot Pain Pictures & Photo Gallery:
Look:
- Metatarsalgia: which means generalized foot pain without a specific cause.
- Second toe capsulitis: this is the inflammation of the second toe joint capsule.
- Capsulitis is related to hammertoe formation, and can lead to a plantar plate tear. There is some overlap between these three disorders. As they get worse tearing and ligament damage can occur.
- Morton’s neuroma: this is the damage and inflammation to the nerves between and underneath the metatarsal joints.
- Fat pad atrophy of the ball of the foot: this is the loss of cushioning in the ball the foot.
- Plantar Plate Tear: A plantar plate tear is ripping of the ligaments holding the toe together.
So, click on the photo gallery to see the specific causes of your ball of the foot pain!
Top 6 Causes of Ball of the Foot Pain:
Capsulitis:
- This is inflammation of the joints in the ball of the foot.
- This presents as an aching pain that gets worse with increased standing and activity.
- This most commonly occurs at the second metatarsal phalangeal joint. It is due to overuse and injury to the capsule and tendons.
Metatarsalgia:
- This is generalized pain in the ball of the foot. This is due to biomechanics overloading the front of the foot.
- This is a term used to cover all of the ball of the foot problems.
- Treating this condition should make most of the ball of the foot problems feel better.
Morton’s Neuroma:
- This is an aching, burning, and throbbing pain in between the 3rd and 4th MPJ joints.
- This can result secondary to a nerve impingement in the bulb foot.
- This is a pervasive problem that we see frequently.
Metatarsal Stress Fracture:
- This pain appears in runners or people who put a lot of pressure on their feet.
- This almost always happens after a period of inactivity, followed by heavy-duty training or work for a few days or weeks.
- Stress fractures occur as there is too much pressure and repetitive loading of the metatarsal bones.
- This is a widespread problem that can take 6 to 8 weeks to get better with the correct treatment.
Plantar Plate Pain:
- The plantar plate is a structure that holds the bottom of the metatarsal phalangeal joints together.
- This may become stretched out in tears over time.
- This can eventually lead to crossover toes, especially the second toe crossing over the big toe.
- This causes pain at the bottom of the second metatarsal phalangeal joint, the third metatarsal phalangeal joint, and the fourth metatarsal joint.
Hammertoe Pain:
- A hammertoe is the curvature or contractor of the toes.
- This happens due to an imbalance of the tendons anchoring into the toe.
- There are three types of hammertoes.
- These are called hammertoe, the claw toe, and the mallet toe.
Ball of the Foot Pain Treatment Infographic

Ball of the Foot Home Treatment:
- Consider taping, orthotics, and great shoes as a combination to fix your foot problem.
- Products are not always necessary to fix your problem.
- The key is correcting the biomechanical problems that are leading to forefoot overload.
- Foot overload means too much pressure in the ball of the foot.
- Generally, something called ankle joint equinus can lead to too much pressure in the ball of your foot. This means your ankle is not flexible enough to move up and down.
- Ball of the foot pain treatment consists of two phases, first is control inflammation, next is to control bio-mechanics.
Remove Control Inflammation:
Massage & Ice Products:
- The metal ball is one of my personal favorites.
- This works great for your arch, less for the ball of the foot.
- These can help relax the arch or heel ligaments, leading to less pressure in the ball of the foot.
- Pills, creams, and ice will never completely fix your problem alone. What they will do is reduce the pressure on the area.






Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- Consider using these as options when resting on the couch or going to sleep at night.








Massage Sticks:
- These can work great for loosening your muscles.
- This is means for your hamstring and calf muscles. This can loosen the ankle tightness, putting pressure on the ball of your foot.
- This allows less tightness and pressure on the ball of your foot.






Ball of the Foot Stress Relief.
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- This means proper cushion, proper stability, and pressure relief from the front of your foot.
- This will relieve pressure from your big toe, your 2nd toe, your Morton’s neuroma, your plantar plate, hammertoes and joint capsules.
Best Metatarsalgia Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the ball of your foot.
- This is especially important if you have metatarsalgia, Morton’s neuroma, 2nd metatarsal overload syndrome, and capsulitis!
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
Best Ball of the Foot Insoles:
- These are our recommended orthotics & insoles.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
Best Full-Length Orthotics:
- Full-length orthotics are the most recommended type for the ball of the foot pain.
- Be aware that if they are too uncomfortable, it might be worth starting with a less corrective pair.
- Eventually, you can then work your way up to these.








Best Dress Shoe Orthotics:
- These are a stronger option for shoes with tight dress shoes.
- Just be aware that less corrective orthotics & tight shoes are usually not a good combination.






Best 3/4 Length Orthotics:
- These may be a good option for the ball of the foot if the full-length orthotics are too tight or too uncomfortable.


Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- Personally, I have the stationary block set up in my kitchen to stretch every day multiple times while getting my coffee!
- This will take pressure off of the ball of your foot.








Ball of the Foot Pain: Trusted Foot & Ankle Solutions
Step into knowledge — before you step into treatment.
Why Choose Balance Foot & Ankle Specialist in Howell and Bloomfield Hills?
Our expert care for ball of the foot pain (metatarsalgia) focuses on accurate diagnosis, targeted treatment, and lasting relief. We treat the underlying causes—such as high-impact activity, improper footwear, or foot structure imbalances—while offering customized therapies, orthotics, and preventive strategies to relieve pressure, restore comfort, and keep you moving with confidence.

Ball of the Foot Pain
Frequently Asked Questions About Ball of the Foot Pain
Ball of the foot pain, also known as metatarsalgia, is discomfort or inflammation in the area between your toes and arch.
Common causes include overuse, high-impact activities, wearing unsupportive shoes, foot deformities, nerve issues, or underlying medical conditions.
Symptoms may include sharp or aching pain, burning sensations, numbness, or feeling like you’re standing on a small stone.
Yes, metatarsalgia is the medical term for pain and inflammation in the ball of the foot.
A podiatrist will perform a physical exam and may use imaging tests such as X-rays or MRIs to determine the cause.
Treatment options include rest, ice, orthotics, proper footwear, anti-inflammatory medications, physical therapy, and in severe cases, surgery.
Mild cases may improve with rest and lifestyle changes, but persistent pain should be evaluated by a foot specialist.
Wearing supportive shoes, maintaining a healthy weight, stretching, and avoiding repetitive stress can help prevent recurrence.
If the pain is severe, interferes with daily activities, or does not improve with self-care, it’s important to consult a podiatrist.