If you feel a burning, aching, or stabbing pain in the ball of your foot—especially with walking or standing—you might be dealing with plantar forefoot pain, also known as metatarsalgia. It’s a common condition we treat every week at Katz Regenerative Foot & Ankle in Coral Gables, Miami.
Whether you’re a runner, a working professional, or just someone who’s on their feet all day, this condition can make everyday activities painful—but the good news is, we have effective, non-surgical solutions that work.
What Is Plantar Forefoot Pain?
Plantar forefoot pain typically refers to discomfort located beneath the base of the toes, across the ball of the foot. This pain may:
• Feel like you’re walking on a marble or pebble
• Come with burning or tingling sensations
• Radiate into the toes
• Worsen when barefoot or in unsupportive shoes
• Make walking or running unbearable
Common Causes of Forefoot Pain
• Metatarsalgia – inflammation of the metatarsal joints
• Morton’s Neuroma – nerve compression between the toes
• Capsulitis – inflammation of ligaments at the toe joints
• Fat Pad Atrophy – thinning of the foot’s natural cushioning
• Overuse Injuries – from sports, walking, or prolonged standing
• Foot structure issues – flat feet, high arches, bunions, or hammertoes
• Poor shoe gear – heels, narrow toe boxes, or lack of support
Dr. Katz’s Advanced Forefoot Pain Treatment Options
At Katz Regenerative Foot & Ankle, we don’t offer a one-size-fits-all fix. After a detailed evaluation and diagnostic imaging, we personalize your treatment plan using a combination of cutting-edge therapies:
1. Custom-Molded Orthotics
These are not store-bought inserts. We create prescription-grade orthotics designed to offload pressure from the metatarsals, improve foot alignment, and absorb shock—especially important if you have fat pad loss or structural issues.
2. PRP Injections (Platelet-Rich Plasma)
Using your body’s own healing factors, PRP therapy helps regenerate damaged soft tissue, reduce inflammation, and relieve chronic forefoot pain—particularly helpful for capsulitis or chronic metatarsalgia.
3. Shockwave Therapy (ESWT)
This non-invasive treatment stimulates circulation and cellular repair in the painful area, promoting healing without downtime. Great for overuse injuries and persistent inflammation.
4. Footwear Counseling & Padding
We’ll recommend or modify shoes and provide metatarsal pads to reduce pressure points and improve comfort with every step.
5. Activity Modification & Rehabilitation
Through stretching programs, strengthening exercises, and temporary offloading, we help you reduce strain and promote natural healing.
Don’t Ignore the Pain—It Won’t Just Go Away
If left untreated, plantar forefoot pain can lead to worsening nerve damage, chronic inflammation, or compensation injuries in the knees, hips, or back. Early, targeted treatment is key.
Get Back to Walking Comfortably—Without Surgery
At Katz Regenerative Foot & Ankle, we specialize in conservative and regenerative solutions that help our Coral Gables patients get back to pain-free living—without surgery, pills, or long recovery times.
Call us today at 305-442-1780 or schedule your appointment online at www.AnkleFootCare.com. Let’s take the pressure off—literally.
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