Advice on training with bunion and metatarsalgia

I have been having pain under the bottom of my 2nd-3rd-4th-metatarsal (I have a very large bunion on this left foot next to big toe)…I am a marathon runner, roads and trail (ultra coming up next month) …the swelling is underneath the toes and the pain seems to get better when jog a few miles…not sure what to do…keep on training with mild intensity…I don’t want it to get worse, but need to train too. Any suggestions…I’ve had this before a few times, I think the bunion is the problem, but this started up again a few weeks ago when I ran a 30 mile trail training run. I do swim also and have been trying to swim more, and run less since the re-occurrence of this pain.

One Response


    Hello and thank you for your question. I agree that the bunion is contributing to this pain. When we have a bunion it causes what’s called transfer stres to the other metatarsals or joints in the foot. This will shift pressure to the 2nd, 3rd, 4th digits (ball) of the foot. If you have excess pressure this can lead to joint pain, calluses, stress fractures, neuromas etc. Without examining your foot I am not sure which of these it is howoever I would start by seeing a Podiatrist to rule out anything like a stress fracture and then start using products like Bunion Bootie (, Correct Toes ( and RAD Roller ( to recover your feet daily / nightly. These are all designed to not reverse your bunion but to slow down the stress caused by the bunion. I hope this helps!

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