The forefoot (or ball of the foot) is made up of many small bones, muscles ligaments, tendons and other body tissues. This makes pain in this area complex to diagnose. In fact, it is well know that condition in the forefoot are often poorly diagnosed, and therefore inappropriate management provided.
A diagnosis must be carefully made using a thorough history and direct questioning. An expert knowledge of the anatomy of the forefoot allows an in-depth examination and the injured structure can be identified. Often our diagnosis can be as diverse as a fractured bone to an entrapped nerve.
Again management is directed towards targeting the cause of the condition, and measures put in place to offload and distress the affected region. Sometimes semi-immobilisation is required in a short leg pneumatic walker (or soft cast), but more often it is a simple as footwear modifications and in-shoe orthoses.