Only a qualified healthcare professional can determine the cause of your ball of foot pain, providing a proper diagnosis. If your pain is severe or if it doesn’t resolve on its own, it’s important to see your doctor for an evaluation and treatment plan. There are several common causes of ball of foot pain (metatarsalgia), including:
• Overuse — Repeated physical activity that puts pressure on the foot can lead to ball of foot pain. It’s common for runners to experience ball of foot pain because the ball of the foot absorbs the bulk of the shock during running. Other high impact sports can also increase the risk of ball of foot pain.
• High heels — Wearing high heels causes body weight to shift forward, putting pressure on the ball of the foot. This can lead to pain.
• Morton’s neuroma — Often considered a benign tumor, Morton’s neuroma occurs when there’s a thickening of the tissue that surrounds a nerve leading to the toes. Some people feel like they have a rock in their shoe pressing against the ball of the foot.
• Being overweight — People who are overweight are more susceptible to ball of foot pain because the extra weight puts pressure on the ball of the foot.
• Arthritis — Certain types of arthritis, namely osteoarthritis and rheumatoid arthritis, increase the risk of ball of foot pain.
• Foot conditions and shapes — Certain foot conditions such as bunions, hammertoe and high arches can put extra stress on the ball of the foot, potentially leading to pain. People whose second toe is longer than their big toe also have a higher chance of experiencing ball of foot pain.