Metatarsaaliluissa

Metatarsaaliluissa, the Finnish term for the clinical condition commonly known as metatarsalgia, refers to pain and discomfort located in the front part of the foot, particularly involving the metatarsal bones. The syndrome can affect one or more of the metatarsal heads and is often described by patients as a burning or aching sensation that worsens with activity or when wearing tight footwear.

Typical symptoms include localized tenderness, swelling, and sometimes numbness or tingling. In severe cases, the pain may radiate toward the heel or the toes. The discomfort is usually more pronounced during walking, running, or standing for prolonged periods and may be exacerbated by activities that place pressure on the forefoot, such as sprinting or jumping.

Causes of metatarsaaliluissa are multifactorial. Common contributing factors are biomechanical abnormalities like overpronation, high arches, or foot malalignments; footwear with insufficient shock absorption or a narrow toe box; overuse or repetitive strain; and intrinsic factors such as obesity or age‑related cartilage wear. Certain medical conditions, including rheumatoid arthritis or diabetes, can also predispose individuals to develop the syndrome.

Diagnosis is primarily clinical, based on history and physical examination. Imaging studies, such as weight‑bearing X‑rays or MRI, may be employed to rule out fractures, osteoarthritis, or other structural abnormalities.

Management typically begins conservatively with rest, ice, anti‑inflammatory medications, and orthotic devices to redistribute pressure. Changes in footwear and gradual return to activity are recommended. Physical therapy focusing on stretching and strengthening the foot and ankle can provide long‑term relief. In refractory cases, interventions such as steroid injections or minor surgical procedures may be considered.

Preventive strategies emphasize the importance of appropriate, supportive shoes, regular foot care, and maintaining a healthy body weight. Awareness of early symptoms allows for timely intervention and reduce the risk of chronic pain and functional impairment.