Metatarsalgia is a painful syndrome located in the ball of the foot that - in contrast to other foot injuries - does not produce any form of visible deformity. As such, it is essential to undergo a specialised medical review in order to garner the correct diagnosis.

There is an abundance of non-surgical metatarsalgia treatments and they should be carried out with regularity and engagement.

In cases where traditional treatments do not have the desired effect, after six to eight months of treatment, we recommend surgical intervention.

With only five minutes of surgery, it is possible to resolve the problem without surgical incisions, without the use of osteosynthesis (screws, plates, among others), and without pain.

Surgery duration

10 minutes


It is not required






3 weeks




Metatarsalgia in an overuse pathology - at the head of the metatarsals - which develops when the fatty cushion on the balls of our feet is reabsorbed. When this occurs, patients begin to experience a burning sensation at the front of the balls of their feet.

Treatment for metatarsalgia consists of a metatarsal relief osteotomy aimed at reducing the pressure that said bones apply between the bone structure and the floor. The osteotomies are not fixed, and the bones will be left free in order to allow for natural union of their structures.


The surgery is carried out using local anaesthetic

  • No scarring 
  • No post-operative pain 
  • No need for crutches 
  • Use of conventional footwear following the operation  
  • No hospital admission 
  • Immediate return to social life 
  • Return to sporting activity after two months 
  • Conclusive, permanent result 

During this operation, there is also the option of carrying out combined foot surgeries, along with other foot pathologies and deformities, such as claw toes, hammertoe, Morton´s neuroma, etc.


The operation requires a small amount of care in the following days, although recovery is immediate.


The patient will be able to walk immediately after the operation. 

As a precaution, the patient can resume light activity after six weeks and all other activities can be resumed after three months.

Patients can drive after a week.  

Expert opinion

Dr. Fabio D'Angelo

Dr. Fabio D'Angelo

Percutaneous decompressive osteotomy of the lateral metatarsals is a straightforward technique offering outstanding results with minimal pain and no scarring.

The procedure will not involve the toe being cut, as is the case with traditional techniques, and will not require the fixing, for example, of metallic pins.


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