We tend to take our feet for granted but keeping our feet healthy and pain free is extremely important considering how vital they are to daily life. On average, we walk 110,000 miles in our lifetime so it is no surprise most people suffer foot pain at some point in their lifetime.
Comprised of an intricate combination of bones, muscles, ligaments and tendons, our feet support and adapt to all the forces of the uneven ground maintaining our stability and supporting our body. Direct your feet to a podiatric specialist in NYC to maintain your foot health and keep your feet pain free.
Metatarsals are the 5 long bones in your foot that comprise most of what is referred to as the “ball of your foot.” These bones can begin to cause pain when the weight of the foot is not distributed equally among them or if the fat pad that lies beneath them has become thin. This type of forefoot pain as a whole is called metatarsalgia and your NYC podiatrist can diagnose the cause and treat it.
A work up by a good podiatry doctor will be required and typically involves an x-ray. Advanced imaging techniques may be required depending on the symptoms and suspected diagnosis.
Types of Metatarsal Conditions
Many different metatarsal pathologies can cause foot pain. Find the best NYC podiatry doctor as soon as you begin to have pain because treatment is generally more successful when it is initiated early. Your Midtown NYC podiatrist will explain your condition thoroughly and provide treatment that can help you get back to pain free living.
Common metatarsal conditions are:
Metatarsalgia: This is a general name for pain on bottom of your foot under the metatarsals (forefoot).This can be caused by a number of deformities and is better discussed in the office of your podiatrist due to its complexity.
Stress fractures: Small cracks in the bone typically from overuse injuries caused by repetitive movements such as running.
Fractures: Metatarsals are commonly fractured in foot injuries and must be evaluated and treated by a doctor.
Bunions: Bunions are the most common condition regarding your metatarsal related complaint seen in the office of a foot specialist. Bunions form a bump at the base of your big toe, causing a sideways drifting and misalignment of the first metatarsal bone. Bunions force your toes to crowd together and rub constantly, which can become painful over time.
Additionally, bunion formation can cause complications affecting other bones in your foot thus it is recommended to seek medical evaluation early on. Please refer to the Bunion surgery page if you are interested in this procedure and more information on the condition.
Other Metatarsal Conditions
The second most common form of metatarsal surgery is on the fifth metatarsal bone or pinky toe bone. When your fifth metatarsal bone angles outward, it forms a bump commonly referred to as a tailor’s bunion. This is often an inherited trait, but can be caused by an injury. Surgery can be performed to remove this bump.
Other conditions causing forefoot pain are:
Before Metatarsal Surgery
During your initial meeting with your New York podiatrist, we first must diagnose the cause of your foot pain or discomfort. Then we will explain your treatment options. The goals for a successful metatarsal surgery are to:
- Correct the misalignment
- Stabilize the bone
- Improve the function
- Promote healing
- Reduce further pain and complications
A podiatry doctor evaluates your feet with a physical exam and determines what type of surgery, if any, is the best course of action. X-rays may also be utilized. Most foot conditions can be resolved without surgery, but if other treatments have failed, surgery may be an option. The earlier you acknowledge your condition and make an appointment with your podiatrist in New York City, the more successful your treatment will be.
Types of Metatarsal Surgery
You and your podiatrist in midtown NYC determine exactly what treatment your condition requires depending on the severity of the angulation of your metatarsal bone. Typically, this minimally invasive surgery can be performed at a surgery center and the patient can return home the same day of surgery.. This surgery involves removing any bone enlargement and sometimes realigning the toe. Realignment can be done with or without pins, depending on the severity.
Fifth metatarsal surgeries to correct tailor’s bunions may include removing excess bone growth, followed by realignment. In more serious cases, your podiatric specialist may need to install a screw to reinforce the realignment. Other metatarsal surgeries are less common, but may include shortening the second metatarsal.
After surgery, you feel some minimal pain, which for medication will be prescribed. Most metatarsal surgeries require you to wear a surgical shoe. It is recommended that you take extra precautions and restrict your movement for the first week.
Other suggestions that aid your recovery include:
- Icing your foot for 20 minutes at a time
- Elevating your foot when you’re sitting down to reduce swelling
- Resting your foot as much as possible — if you can take off work for a couple of days, that’s a good idea
- Avoiding overworking your foot
You can transition to sneakers after about five to six weeks. After eight to 10 weeks, you can usually wear most other shoes. Ask a podiatry doctor for shoe recommendations.
The goal of any metatarsal surgery is an overall improvement in your quality of life through reducing pain and complications. Through metatarsal surgery, our podiatrist in NYC, Dr. Sophia Solomon aims to:
- Correct any misalignment
- Stabilize your foot
- Increase functionality
- Promote rapid healing
After surgery, you must return to your podiatric specialist to have any stitches removed. A podiatry doctor examines your foot and likely has you begin small strengthening and mobility exercises to promote healing and a full range of motion. Physical therapy may be utilized in the recovery from certain procedures.
Risks Associated with Metatarsal Surgery
As with any surgery, there are some risks associated with metatarsal surgery, which is why finding a best podiatry doctor is important. Your foot doctor or podiatric specialist does everything possible to make sure you have minimal complications post-surgery.
Some complications include:
- Anesthesia reactions
- Blood clots
- Damage to blood vessels or nerves
- A nonunion, where a fracture doesn’t heal
- Return of pain
Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult your foot doctor about your specific condition. Only a trained, experienced board certified podiatrist or foot specialist can determine an accurate diagnosis and proper treatment.
Do you have any questions about Metatarsal Surgery procedure in NYC? Would you like to schedule an appointment with an internationally recognized, top NYC Podiatrist and foot doctor, Dr. Sophia Solomon of Manhattan Foot Specialists? Please contact our office for a consultation.
Dr. Sophia Solomon, Podiatrist (NYC Foot Doctor)
New York, NY 10010
(Between Madison Ave & Park Ave)
☎ (212) 389-9918