Forefoot pain (often referred to as metatarsalgia), can have many causes. The key is to make an accurate diagnosis and to ascertain the cause for the condition. The Centre uses different techniques including orthotic therapy, mobilisation, rehabilitation, injection therapy and surgery. Kinetic analysis (pressure/force analysis) is one of the key investigations used at the Centre to determine the cause for metatarsalgia. This system is also extremely useful in ensuring that treatment has been effective in normalising forefoot pressures.
Causes for metatarsalgia include:
Another common injury seen at the Centre is called Freiberg's Infarction. Here the metatarsal head begins to break down due to compromised circulation. This in turn is caused by a previous injury (commonly a stubbed toe). The Centre offers various treatments ranging from orthoses and specific operations.
Focal pressure and force is the main cause for forefoot pain. Our centre uses advanced systems to measure the individual loading time and magnitude on joints and bones of the foot.
Treatment focuses on achieving normal loading through footwear change, orthotic therapy and rehabilitation. In chronic cases, surgery is sometimes required to re align bones in the feet.
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