Metatarsal Head Pain Treatment

Metatarsal Head Pain

The head of the metatarsal bones is located at the ball of the foot. Pain in this region is often associated with excessive pressure on the foot and can be exacerbated by being overweight, spending hours on your feet (standing, running, or walking), and having high arches. Women are especially susceptible to metatarsalgia if they often wear high-heeled shoes–the angle of these shoes puts added pressure on the ball of the foot rather than diffusing the body weight over the entire foot.

The ball of the foot is designed with a fatty pad to help cushion and support the foot. Over time and with added pressure the fatty pad can get worn down. This causes pain and can lead to difficulty walking. You may also develop calluses in the affected area as a result of repeated pressure and friction on the bottom of your foot. 

Treatment for Metatarsal Head Pain: Filler Injections

Research has determined that silicone and collagen injections may not be the most effective route for the treatment of metatarsal head pain. However, injections of hyaluronic acid can be safe and effective. Hyaluronic acid occurs naturally in connective tissue, joints, the eyes, and skin. It helps maintain flexibility, keep areas hydrated, and helps tissues move smoothly against each other. In gel form it can be safely injected into the skin and help maintain shape and cushion in the balls of the feet. 

Filler Injections: What to Expect

Here is what to expect if you and your doctor decide that a filler injection is the right treatment for you. This procedure is performed in our office under local anesthesia. The provider will first inject a lidocaine solution to numb the area and follow this with the gel filler injection. After a short recovery time to allow you to regain feeling in the foot, you will be able to walk out of the office. You will have a follow-up appointment a few weeks after the procedure to discuss your results. 

Adverse Reactions

Adverse reactions to filler injections are rare. Allergic reactions and infection are the most common. Contact your doctor immediately if you have any of the following symptoms:

  • increased pain, redness, warmth, and swelling at the injection site
  • hives, difficulty breathing, tightness in your chest
  • throbbing, numbness, discoloration, or excessive cold feeling in the toes

Results of Filler Injections

Patients who undergo filler injections for metatarsal pain have experienced successful results: a decrease or complete absence of pain, fewer calluses, and improved tolerance to exercise, time on their feet, and wearing high-heeled shoes. Depending on the severity of your condition, you may need more than one injection. Patients report decreased pain over time with multiple injections. A full course of treatment is typically completed within 6 months from the initial injection. 

Filler Injections at Best Foot Doctor NY

If you have been experiencing metatarsal head pain, contact us today to see if filler injections are the right treatment for your needs.

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