General Information About Freiberg's Disease
Disease Details and Frequently Asked Questions
It is the flattening and crushing of the joint surface of one of the long metatarsal bones just behind the toes (usually the second toe) because its blood supply is cut off, causing the tissue to die (necrosis).
It is frequently seen in adolescent girls undergoing rapid bone development and in athletes like ballerinas and runners who constantly put pressure on the balls of their feet (tiptoes).
Although the exact cause is not fully understood, it is believed that repetitive micro-traumas (impacts) to the bone in that area destroy the blood vessels, stopping the nourishment.
A deep pain in the front part of the sole of the foot that increases when walking or running, slight swelling in that area, stiffness in toe movements, and marked tenderness felt upon touch.
An orthopedics doctor evaluates the pain upon weight-bearing. X-rays show that the head of the metatarsal bone has lost its roundness, flattened, and calcified; if necessary, it is supported by an MRI.
In the early stages, the treatment involves resting the foot, using special orthopedic pads (metatarsal pads) that prevent weight-bearing on that area, and applying a cast. In advanced stages, surgical intervention is performed to reshape the bone or clean the damaged joint.
Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.
