Plantarflexed or Dropped Metatarsal

Clinically, this can present as an isolated painful callus or bone pain at the ball of the foot usually under the second metatarsal. Although any of the lesser metatarsals can be affected, typically the second metatarsal is too long or angled downward more than the others. Conversely, the first metatarsal may be too short or angled upward. In either case, the pain (called Metatarsalgia) is usually beneath the second metatarsal and difficult to resolve conservatively. Custom orthotics can control the symptoms, but for more long term relief, a surgical procedure can be performed to reposition the bone into a more normal position, usually shortening and/or elevating the bone as well.