Metatarsalgiaanatomic abnormalitiesforefoot pain timing during gait cycleindirect overloadingweight-bearing radiographs
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Abstract (AI)
Metatarsalgia can be viewed as more of a symptom rather than a distinct diagnosis. Timing of forefoot pain during the gait cycle and evaluation of whether the pain is from anatomic abnormalities, indirect overloading, or iatrogenic causes can suggest a specific metatarsalgia etiology. A thorough physical examination of the lower extremity, especially evaluation of the plantar foot, and weight-bearing radiographs are critical for diagnosis and treatment. Nonoperative treatment consists of physical therapy, orthotics, shoe wear modification, and injections. If conservative treatment fails, surgical options may be considered. [Orthopedics. 2019; 42(1):e138-e143.].
Key Findings
1
Conservative treatments include physical therapy, orthotics, shoe wear modification, and injections.
2
Metatarsalgia is better considered a symptom rather than a distinct diagnosis.
3
Surgical options are considered when conservative treatment fails.
4
Thorough lower-extremity physical exam, especially plantar foot evaluation, plus weight-bearing radiographs are critical for diagnosis and treatment planning.
5
Timing of forefoot pain during the gait cycle and identifying anatomic, indirect overloading, or iatrogenic causes helps determine specific etiology.
Research Object
Metatarsalgia (forefoot pain syndrome)
Research Subject
Clinical presentation, diagnostic evaluation (including gait timing, plantar exam, weight-bearing radiographs), etiologies (anatomic, overload, iatrogenic), and treatment options (nonoperative and surgical) for metatarsalgia
Publication Details
Publication Date
2018-12-12
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