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Foot.com Cafe > General Foot Health > Ball of Foot Pain
la_cavaliere
I have been experiencing pain in the big toe area of one foot and in the balls of my feet in both feet. It started about six months ago with a sharp, recurring pain on the side of the bone of my big toe of my right foot -- exactly where a bunion would be, but there is no bunion or bump of any kind there. The pain is worse if I step on my foot in a certain way or lift my big toe up, and it is definitely worse with certain shoes. I am unable to stand on my tiptoes on that foot while barefoot. I have noticed I have started walking on the outside of that foot to avoid putting pressure on my big toe. I have tried a gel toe separator and some of those donut-shaped sticky bunion protectors, but that didn't work.

In the last couple months, I have had worsening pain in the balls of both feet as well. It is worse when I first get out of bed or after I have been sitting for a while -- I limp terribly for several steps, and then it gradually gets better. The pain is generally in the middle of the ball of my foot and is getting worse every week.

I walk three to five miles a day and I never wear high heels to work.

When I go walking, I have begun wearing my old custom orthotics, which were made for me several years ago when I had a bad case of Plantar Fascitis (I don't seem to have that problem anymore). I don't think the orthotics are hurting, but they're not helping either, probably because they're not made for my current problem.

I am considering getting orthotics with a metatarsal cushion. Will this do the trick? Is the pain in the bunion area of my big toe and in the balls of my feet related?
Suzanne Belyea, DPM, C.Ped.
The plantar fascia runs from the heel to the ball of the foot. So, it is possible to have plantar fasciitis in other areas besides the heel, but less likely. Yes, a metatarsal bad should help. It lifts the long bones and takes pressure off the ball of the foot. And you should consider a new pair of orthotics to address your new condition.

Suzanne Belyea, DPM, C.Ped.
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