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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».
3. Metatarsal Stress Fracture â A tiny fracture through the outside of the bone caused by overuse rather than acute trauma. More common on the 2nd and 3rd metatarsals but can occur in the 5th metatarsal on the outside of the foot also. Swelling is common as is very localized pain when you press on the metatarsal bone.