Definition
Metatarsalgia is pain in the ball of the foot. It is usually felt in the sole of the foot and sometimes feel like "walking on pebbles". Other people feel a more diffuse vague pain, ache or burning.
Cause
Being overweight.
High heeled shoes.
Claw or hammer toes which press the metatarsals down towards the ground.
A stiff ankle which cannot be drawn up to right angles with the leg but points the foot down to the ground.
A bunion or arthritis in the big toe can weaken the big toe and throw extra stress onto the ball of the foot.
Athletes or walkers occasionally get stress fractures of the metatarsal bones.
Treatment & Prevention
Try to take the pressure off your feet as far as possible.
Rest with your feet up after periods of standing or walking.
Keep your weight at the right level for your height and built.
Wear comfortable shoes with a small heel and plenty of room for your feet.
Exercise your ankle and stretch your Achilles tendon.