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Mountain West Foot & Ankle Institute Mountain West Foot & Ankle Institute
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Why Do I Have Pain To My First Metatarsal?

Pain localized to the inside of the foot? Maybe your pain is affecting the great toe joint or above the arch area. There are multiple reasons for this pain...

The first metatarsal is designed to carry a heavy load with every step.  As we ambulate, the foot pronates (flattens toward the arch) increasing the load taken by the inside of the foot or 1st metatarsal.  This increased load allows multiple deformities of the foot to produce severe pain when walking.  The most common reasons for pain include:

  • Bunion or Hallux Abducto Valgus
  • Hallux Limitus or Rigidus
  • Gout
  • Turf Toe
  • Fracture
  • Sesamoid Injury
  • Tendonitis
  • Soft Tissue Mass
  • Infection
  • Neuropathy
Brandt R Gibson, DPM
Podiatrist, Neuropathy Doctor, Father of 11 and Founder of Mountain West Foot & Ankle Institute