Pain underneath the ball of the feet could be resulting from several things and often gets given the label, metatarsalgia. This is not a diagnosis as it may stand for many different ailments which might be leading to the pain. Among the more common factors that cause metatarsalgia may be a disorder called a plantar plate tear, even though it could also be a sprain or possibly a malfunction. Surrounding every joint are ligaments that make up a envelope that maintains the joint together and helps to keep the joint fluid inside the joint. In the metatarsophalangeal joints in the front foot, that joint capsule at the base side is much larger as well as more robust and it is referred to as plantar plate. This supplies plenty of steadiness towards the joint, yet it's additionally encountered with a lot of stress whenever walking or running.
When a plantar plate tear comes about, there is initially pain underneath one of the metatarsophalangeal joints in the front foot. The pain sensation is usually typically just in front of the joint too. With time that pain gets worse. Ordinarily, there are various of clinical tests which a skilled clinician can do to evaluate if a plantar plate tear is there and look at the soundness of the joint. In the event that these tests don't confirm it, after that diagnostic sonography is often performed to verify its existence if it's still supposed clinically.
Where a plantar plate injury occurs, they will not get better on their own and they almost always need some form of treatment to stop this from advancing even more. The first thing that is commonly done is usually to lower physical activity amounts if that is simple to allow the injury some rest. Ice packs as well as pain medicine may be used for a while to deal with the signs and symptoms when they are bad, however they will not help correct the problem, they can just make it more tolerable. Taping is generally used to be able to hold the toe downwards to be able to reduce it bend upwards (dorsiflexing). This can be a effective technique to reduce force on the plantar plate to allow the symptom to heal. Normally, this is successful but may take several months of use to find the full benefit. The use of strapping, however, may be inconvenient as it has to be kept clean and continued being reapplied at frequent intervals. You will find wearable detachable splints that can be used rather than the strapping. Footwear which has a stiff outer sole or a rocker sole can certainly be very useful for this as well as they also can reduce movement with the joints and further reduce the force on the plantar plate.
Foot supports with metatarsal pads as well as and indent to keep stress from the sore spot could also be very helpful. These types of conservative methods commonly do help, however it usually takes a while. They need to be kept up so long as there is a steady improvement with the pain. When the pain is notably severe and the symptoms are certainly not improving using these methods, then a operative solution to repair the strain should be looked at.