A member asked:

1st metatarsal head painful to touch, but there is no bump, redness, or swelling. why would this be hurting?

8 doctors weighed in across 3 answers
Dr. Scott Keith answered

Specializes in Podiatry

It's Possible...: Although swelling, redness are signs of inflammation, it is possible to have pain without exhibiting the signs of inflammation. Localized pressure to a specific area can cause the nerve to become irritable and and a slight touch can cause the pain. The foot should be evaluated by a specialist with knowledge of the potential causes of metatarsal pain and familiar with appropriate solutions.

Answered 11/28/2017

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We're on the bone : Is it painful? If on the bottom a sesamoid injury or plantar plate injury is possible. If on the side a tight shoe could of been a culprit. If on top, it is possible a tendon is irritated......sometimes underlying tissue can be irritated without there being lots of swelling....

Answered 11/28/2017

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QUESTIONS: My questions are: how long? Gradual/sudden onset? Worse/better? Where exactly-side, top, bottom, "deep" inside the joint? What makes it better/worse? With such limited information, I will venture a guess of wear-and-tear degenerative arthritis of the joint. See a podiatrist for an exam and x-ray.

Answered 6/2/2016

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