How can I improve the pain from metatarsalgia? 

Many cases of metatarsalgia just happen and cannot be prevented. But if you are affected, try to take the pressure off your feet as far as possible and:

• Rest with your feet up after periods of standing or walking.
• Keep your weight at the right level for your height and build.
• Wear comfortable shoes with a small heel and plenty of room for your feet.
• Exercise your ankle and stretch your Achilles tendon.
• Take simple pain-killers.
• Use a metatarsal insole or pad bought from a pharmacist or shop.

What can I do about the lesser toe deformities?  

The simplest thing to do is buy shoes which have enough room in the toe area for your toes to fit comfortably. High heels should be avoided since they tend to force the toes down into the tip of the shoe. Small pads on the top or end of the toe may improve the discomfort.

If your toes are interfering with your daily activities and the problem is not helped by the simple measures outlined above, it may be best to have an operation to straighten the toes. Your GP can refer you to an orthopaedic foot and ankle surgeon who will listen to your problems and examine you. Depending on the shape of your toes and how stiff they are, they will advise you on the best method for straightening your toes which may include:

• Freeing up the joints.
• Transferring one of the tendons which curl your toes to the top of the toe.
• Removing bone from one or more joints and then possibly fusing the joint straight.

Is surgery for lesser toe deformities successful? 

Over 90% of toe operations correct the problem for which they were done. However a number of problems can occur:

• Recurrence of the deformity.
• The toe may be swollen for several months, or in a few cases permanently
• Stretching of the nerve in the toe can cause tingling, numbness or over-sensitivity in the toe - this usually gets better after a few weeks, but can be permanent.