If you think you've got a stress fracture, you should seek assistance immediately. Use the information above to work out if the pain is likely to be originating from a soft tissue structure or bone. What should you do if you have pain in the ball of your foot? That said, it's important to highlight that a more severe soft tissue injury could present similarly to a bone injury. Pain gets much worse with continued weight-bearing activityĪs you can see, there is usually quite a big difference between the pain pattern of a soft tissue and bone injury. Pain gets worse with continued weight-bearing activity May start off similar to soft tissue symptoms Typical pain pattern Irritation/inflammation irritation/inflammation) and progressing towards more severe injuries with longer recovery times (e.g. Bone stress injuries sit on a continuum, starting with a mild injury (e.g. There are also two sesamoid bones underneath the end of the first metatarsal bones, which are prone to taking a long time to heal or not healing if a bone stress injury diagnosis is delayed. The first metatarsal bone is the strongest and thus less prone to overuse injury. There are five long metatarsal bones in the ball of each foot (highlighted in blue below). Symptoms may be present for couple of hours up to couple of days after walk/run Symptoms may be present throughout run as gets worse Symptoms return later in day after spending time on feet Symptoms return when walking after sitting Sore and/or stiff when getting out of bed in morning So while the nature of the pain will typically vary according to the structure it's originating from, when you experience the pain and how it's affected by weight-bearing activity will usually be similar. Soft tissue injuries in the ball of the footĪs mentioned, there are lots of soft tissue structures in the ball of the foot, including muscle, tendon, fascia, ligament, joint capsule, nerve and bursa. However, I can teach you how to work out if the pain originates from soft tissue or bone, some simple things you can do to help yourself and when you should get the ball of your foot checked out by an expert. Also, it has taken our podiatrists at least four years of university study and years of clinical experience to master the assessment and diagnosis of forefoot pain, so a blog post isn't going to get you up to scratch. There are so many structures in a relatively small space, and it isn't uncommon for multiple structures to be irritated simultaneously. Teaching you how to diagnose which structure the pain originates from is beyond this blog post's scope. Pain in the ball of the foot can range from a niggle that makes running less enjoyable to more severe pain that stops you in your tracks. This should be no surprise if you think about the substantial amount of pressure applied to this region when your foot contacts the ground and when you're pushing off. Most runners will experience pain in the ball of their foot at some point in their running journey.
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