Pain is centred over one or more of the metatarsal bones, most commonly the second bone. Symptoms include pain and swelling; sometimes a callus may be found under the affected joint. Metatarsalgia can be caused by walking on hard surfaces, wearing rigid soled work boots and high heels. It can also be caused by abnormal weight distribution caused by the person's walking pattern. If this is the case, the person needs to be evaluated by a chiropodist and any underlying problem needs to be addressed and corrected.

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