Ball of Foot pain (Metatarsalgia): Causes and Treatment
Understanding Ball of Foot Pain: Metatarsalgia
Pain in the ball of the foot is the second most common foot complaint in Australia, just after heel pain. The medical term for this uncomfortable condition is Metatarsalgia. Ball of foot pain often affects women who wear tight fashion shoes, especially those with high or medium heels. However, metatarsal pain can also be experienced in regular flat shoes. Many men also suffer from this problem, especially after spending long hours on their feet in work shoes or boots.
Thankfully, Metatarsalgia can be treated effectively for most people. With the right Footlogics orthotics, it is possible to reduce or even eliminate the painful burning sensation in the balls of your feet. This means you can wear your favourite footwear, go for a run, or carry out your daily tasks without discomfort.
Symptoms of Ball of Foot Pain (Metatarsalgia)
People with Metatarsalgia typically describe it as sharp or burning pain under the balls of the feet. Sometimes, the pain appears in the area around the second, third, or fourth toes, and this discomfort often worsens with standing, walking, or running. The pain can improve when you rest your feet. Many sufferers mention it feels like there is a small pebble trapped inside their shoe. For some, walking barefoot becomes very painful. Metatarsal pain can also be triggered by wearing high heels or work boots that lack enough cushioning for longer periods. For certain individuals, it takes only seconds in these shoes before pain in the balls of my feet begins.
Learn more about the condition at Healthline.
Causes of Metatarsalgia in Fashion Shoes and High Heels
When you wear high heels, approximately 70-80% of your body weight shifts forward onto the balls of your feet. This pressure causes the metatarsals to drop and the supporting ligaments to weaken. The structure of the forefoot will eventually collapse, creating extra pressure and friction beneath the ball of the foot. This often results in what is called "Hot Feet." If you notice pain in the balls of your feet while wearing high heels, it is important to evaluate your footwear and consider shoes that offer better metatarsal support.
Causes of Ball of Foot Pain in Normal Shoes
Ball of foot pain is not limited to those who wear heels. Regular, flat shoes can also lead to metatarsal pain, especially if you run for sports or walk long distances. Standing for years in hard shoes or boots, such as in jobs in the police, military, or teaching, may also cause pain in the balls of your feet and toes. Excessive weight amplifies the pressure on the balls of your feet and increases discomfort. Other factors, including biomechanical changes, come into play. Research shows the most frequent cause of Metatarsalgia is excessive pronation, sometimes called over-pronation. This condition involves the arches collapsing and ankles rolling inward with each step. Such changes can even lead to additional problems like metatarsal bursitis.
Find detailed biomechanical studies at Podiatry Today.
Why Over-Pronation Causes Metatarsal Pain
To see why over-pronation is a problem, it helps to look at human foot anatomy. Each foot has 26 bones, held by a network of muscles and ligaments. The foot has two main arches: the longitudinal arch running heel-to-toe, and the transverse arch running side-to-side. Five metatarsal bones travel from the foot’s center to the toe joints. When over-pronation occurs, the longitudinal arch drops, and the ankle rolls inward every time your foot lands. This places excess pressure on the metatarsals, causes the transverse arch to fall, and weakens the forefoot’s structure. The result is chronic metatarsal pain. Walking in hard, flat shoes or on concrete and tile floors can intensify this situation and sometimes even lead to metatarsal bursitis.
Treatment and Relief for Metatarsalgia in Fashion Shoes
For those who love fashion shoes, specially designed Footlogics metatarsalgia insoles can provide significant help. Our Catwalk and Versa insoles restore the foot’s biomechanical balance and support both the arches and the metatarsal bones. By distributing your weight evenly across the entire foot, these insoles prevent extra pressure and friction on the balls of your feet. As a result, the burning pain and metatarsal pain often improve with prolonged use. Many users report it feels like wearing low-heeled or flat shoes, even when wearing heels.

Metatarsalgia is not limited to women who love heels. Men and women can both suffer from sharp pain in the ball of their foot even when using normal, flat shoes.
Treatment for Ball of Foot Pain in Flat or Low-Heeled Shoes
For flat or low-heeled shoes, we recommend Footlogics Metatarsalgia Full-length orthotics. These insoles provide excellent cushioning, reliable arch support, and a pronounced metatarsal support pad. By gently lifting the metatarsal bones, the pressure on the balls of your feet is substantially reduced. Orthotic insoles offer the biomechanical correction necessary to help prevent over-pronation and reduce pain, whether you are walking, running, or standing.
With less pressure and friction, Footlogics orthotics can provide lasting relief from metatarsal pain and help prevent the recurring problem of ‘Hot Foot’. However, if Metatarsalgia or pain in the balls of my feet is persistent, consulting a health professional is wise. Visit the Australian Podiatrists Association to find a local podiatrist for expert evaluation and personalized treatment recommendations.
