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Metatarsalgia (Ball of the Foot Pain) Metatarsalgia is pain in the area of the ball of the foot, which is given its shape by the rounded ends of the metatarsal bones. Many different conditions can cause metatarsalgia -- most often faulty foot functioning, overuse, or a decreased fat pad on the sole of the foot. More Â».
Symptoms. Common symptoms of metatarsalgia include: 1  Pain in the ball of the foot. 2  Pain in and around the big toe or the second, third, and fourth toes. 3  Pain when flexing the foot. 4  The feeling of walking on pebbles or having a bruise from a stone in the ball of your foot.5  Increased pain walking barefoot, especially on a hard surface. number of activities and conditions can cause pain or increase pressure on the ball of your foot (metatarsal area). These include: 1  Certain sports. 2  Running, walking, standing, or jumping, especially on hard surfaces like concrete, increase the impact on the ball of the foot.