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Activities such as walking, running, jumping, along with footwear such as high heels or ballet flats place a huge amount of pressure on the ball of your feet. This area is know as the metatarsals. There are many injuries that can occur at this site and and we can assess, diagnose and treat these for you.

Plantar Plate Tear

The plantar plates are thick soft tissue ligaments that attach to the base of the toes and the metatarsals. They work to inhibit your toes from spreading too wide or excessive up and down movements.

  • Tears to these ligaments usually occurs because of force or overuse. Pain is felt under the ball of the foot and can extend towards the toes.
  • Symptoms become worse with additional activity and time spent on your feet.
  • The inflammation in the area can sometimes be visible and sometimes aggravate nerves and result in bursitis in between the toes.
  • A rupture may result in the toes splaying and clawing.

Morton's Neuroma

This condition commonly causes sharp pain between the 3rd and 4th toes but can occur in between other toes.

It’s caused by the thickening of the nerve in the foot. This occurs as a result of compression or irritation from other structures within the foot, including ligaments, bone or swelling.

  • You may experience sharp, burning or tingling sensations in your forefoot.
  • Symptoms and pain are increased when tighter footwear is worn. Morton’s Neuroma occurs more regularly if you have other foot or biomechanical abnormalities.


The sesamoids are two small bones embedded in tendons, under each big toe joint. They act as a pulley that allow the tendons to function and assist in “pushing off” while walking.

  • Sesamoids can fracture, or people can be born with separation of the bones (bipartite). When the tendons surrounding these bones become irritated and inflamed, they cause pain.

Treatment usually involves padding to reduce pressure on the sesamoids. Orthotics and changes to footwear can also address any causative factors.


If parts of your body (ie: feet) suffer excessive pressure or trauma, it can create little fluid like sacs, called bursal sacs.

  • Occurring at the heel, toes or more commonly at the ball of the foot, inflammation around bursal sacs can create pain and discomfort when walking, standing and in tight shoes.

Treatment usually involves padding to reduce pressure. We may also recommend orthotics and changes to footwear to help address any causative factors and to support the foot.