Forefoot Pain

What is forefoot pain?


The forefoot is the region of the foot from the metatarsal through to the very tip of the distal phalanges.

A number of bones, joints, ligaments, tendons and other small supportive structures exist within this region.

Each of these structures can become damaged and elicit pain, particularly given the large amount of weight and force absorbed through the forefoot.



What causes forefoot pain?

Forefoot pain is especially common in sportspeople participating in kicking sports and ballet dancers.

Another common cause of forefoot pain is ill fitting or inappropriate footwear.

Often footwear is too tight, too high or has mispositioned characteristics such as spikes or studs that can increase the risk for forefoot injuries.



What are the common causes of forefoot pain?

  • Synovitis of the Metatarso-phalangeal joints
  • Hallux Abducto-valgus (Bunions)
  • Tailor’s Bunion (5 th toe)
  • Hallux Limitus
  • Morton’s Neuroma
  • Intermetatarsal Bursitis
  • Sesamoid Pathology
  • Stress fracture of the metatarsals
  • Corns, calluses and plantar warts.


Why is it necessary to get professional management of forefoot pain?

Due to the complex anatomy of the forefoot it is important to get a thorough assessment.

A podiatrist understands the forefoot anatomy, mechanism of injuries and symptomatic presentation of forefoot injuries to provide a clinical diagnosis.

If we are think is necessary, we can refer for X-ray, Ultrasound or MRI to provide further insight and accuracy to your


What common treatment are used for forefoot injuries?

Treatment depends on the diagnosis of your forefoot injury.

Given the weight and force transmitted through the forefoot, offloading techniques are often required.

  • Padding/Metatarsal domes and bars
  • Rigid taping techniques
  • CAM walker
  • Footwear adjustment or prescription
  • Carbon Fibre Spring Plate
  • Semi Custom or Custom Orthotics