Risk Factors

Almost anyone can develop metatarsalgia, but there is a higher risk if a person:

• Is athletic, participating in sporting activities such as running, soccer, tennis etc. Swimming and cycling, which don't put pressure on the forefoot, are not likely to cause metatarsalgia.
• Wear high heels or shoes that don't fit properly. High heels transfer extra weight onto the front of the foot, and shoes that are too tight can compress your toes, affecting the foot mechanics. Wearing athletic shoes that are not well padded or that are not appropriate for a particular sport.
• Weigh more than is healthy. Extra pounds mean more weight is transferred to your metatarsals.
• Have other foot problems. Certain foot shapes, such as high arches, a long second toe or unusually long metatarsals, all can contribute to metatarsalgia. So can other conditions such as hammertoe, arthritis and even gout. These can cause pain and inflammation that change the walking pattern and the distribution of weight in the feet.