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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».
Stress fractures are a common cause of pain on top of the foot. Metatarsal fractures are also a common cause. Fractures can be caused by repetitive movements, weak muscles, improper alignment of the bones in the lower extremity, arthritis, reduced bone density, and injury or trauma. Diseases such as gout, diabetes, tendonitis, and arthritis also lead to top-of-foot pain. Occasionally the nerves become traumatized when pressure is applied to them. A tight pair of shoes can cause pressure. Hormonal imbalances, such as occur during pregnancy or menopause, can also cause the top of the foot to ache.