Foot Pain

Pedal Pain / Metatarsalgia

Mild severity42% reported by patientsICD-10: M79.671

Summary

Pain in the foot ranging from heel (plantar fasciitis) to ball of foot (metatarsalgia) to arch and toes, with causes including overuse, structural issues, and systemic diseases.

What is it?

Foot pain affects approximately 1 in 4 adults and is a leading cause of disability in the elderly. Plantar fasciitis, characterized by stabbing heel pain worst with the first morning steps, is the most common cause. Metatarsalgia refers to pain in the metatarsal heads (ball of the foot), often from wearing high heels or from Morton's neuroma (perineural fibrosis causing burning pain between toes). Gout classically presents as severe first metatarsophalangeal (MTP) joint pain. Diabetic peripheral neuropathy causes bilateral burning, tingling, and pain in the feet. Stress fractures from repetitive loading present with insidious-onset focal metatarsal tenderness.

Common causes

Overuse / Structural

  • Plantar fasciitis
  • Achilles tendinopathy
  • Stress fracture
  • Morton's neuroma
  • Metatarsalgia
  • Bunion (hallux valgus)

Inflammatory / Metabolic

  • Gout (first MTP joint)
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Reactive arthritis

Neurological

  • Diabetic peripheral neuropathy
  • Tarsal tunnel syndrome
  • Peripheral arterial disease

Skin / Nail

  • Ingrown toenail
  • Plantar wart
  • Cellulitis
  • Tinea pedis (athlete's foot)

When to see a doctor

  • 1Severe sudden foot pain with swelling and redness — evaluate for gout, fracture, or infection
  • 2Foot pain with numbness and pallor — possible arterial insufficiency, emergency
  • 3Diabetic foot ulcer or wound that is not healing — high risk for infection and amputation
  • 4Suspected stress fracture — foot pain after increased training that is worse with activity
  • 5Morton's neuroma causing constant numbness or burning between toes — conservative treatment window

What you can do

  • Wear supportive, well-fitting footwear — most foot pain improves with proper shoes
  • Stretch the plantar fascia and Achilles tendon each morning before taking the first steps
  • Use arch supports or custom orthotics for plantar fasciitis and flat feet
  • Avoid walking barefoot on hard surfaces if plantar fasciitis is present
  • Ice the affected area for 15–20 minutes after activity to reduce inflammation

Medications that may help

Treatment depends on the underlying cause. Always consult your provider before starting any medication.

Frequently asked questions

This page is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified health provider with questions about your symptoms or medical conditions.

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