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Foot Ankle Clin. 2018 Mar;23(1):9-20. doi: 10.1016/j.fcl.2017.09.003. Epub 2017 Nov 11.

Conservative Management of Metatarsalgia and Lesser Toe Deformities.

Author information

1
Foot and Ankle Division, Department of Orthopedic Surgery, Duke University Medical Center, 2301 Erwin Road, Box 3000, Durham, NC 27710, USA.
2
Foot and Ankle Division, Department of Orthopedic Surgery, Duke University Medical Center, 2301 Erwin Road, Box 3000, Durham, NC 27710, USA. Electronic address: karl.schweitzer@duke.edu.

Abstract

There are several forefoot conditions that can result in metatarsal head pain. Various points of the gait cycle can predispose the metatarsal heads to pain based on intrinsic and extrinsic imbalances. Metatarsalgia can further be classified according to primary, secondary, or iatrogenic etiologies. Within these groups, conservative management is the first line of treatment and can often obviate surgical intervention. Depending on the cause of pain, proper shoewear, orthoses, and inserts coupled with targeted physical therapy can alleviate most symptoms of metatarsalgia and lesser toe deformities.

KEYWORDS:

Claw toe; Crossover toe; Forefoot pain; Hammer toe; Mallet toe; Metatarsalgia

PMID:
29362036
DOI:
10.1016/j.fcl.2017.09.003
[Indexed for MEDLINE]

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