You are here

Metatarsalgia M77.40 726.70

ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / Differential Diagnosis
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References


Metatarsalgia ICD-10

Metatarsalgia ICD-9

  • 726.70

Metatarsalgia Etiology / Epidemiology / Natural History

  •  Metatarsalgia = nonspecific term for pain in the lesser metatarsalphalangeal joints.

Metatarsalgia Anatomy

  • The extensor digitorum longus and brevis are generally innervated by the deep peroneal nerve.
  • Plantar plate consists of the plantar aponeurosis and the plantar capsule.
  • Plantar fat pad: a protective fatty cushion beneath the metatarsal heads; normally connected to the bases of the phalanges.

Metatarsalgia Clinical Evaluation

  •  Anterior drawer test: hold the metatarsal head between the index finger and thumb; grasp the base of the proximal phalanx with the other hand and apply a dorsally directed force. Dorsal displacement and pain indicate metatarsophalangeal joint instability or MTP synovitis.

Metatarsalgia Xray / Diagnositc Tests

  •  Foot films generally normal.  

Metatarsalgia Classification / Treatment

  • Initially treatment = pre-made flexible orthosis with metatarsal pad or custom-made orthosis
  • Secondary treatment = rocker bottom soled shoe

Metatarsalgia Associated Injuries / Differential Diagnosis

  • Claw toe
  • Monoarticular nontraumatic synovitis
  • Morton's Neuroma
  • Metatarsophalangeal joint instability
  • Plantar Keratosis
  • Frieberg's Infraction
  • Cock-up fifth toe

Metatarsalgia Complications

Metatarsalgia Follow-up Care


Metatarsalgia Review References

  • Mizel MS JAAOS 1995;3:166





The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer