Brachymetatarsia is a condition in which one of the metatarsals (the 5 long bones of the foot) is abnormally short, resulting in a short toe. It usually occurs in both feet in the 4th toe, although more toes can be involved.
When there is a short toe, weight transfer during walking does not occur as nature intended, resulting in the toes on either side of the short one taking on extra weight. The metatarsal area (ball of the foot) ends up being stressed more than it would otherwise. Pain in the toes and ball of the foot usually results. The short toe tends to drift upward, creating problems with footwear.
Other names or similar foot conditions:
- Brachymetatarsia
- Brachymetapody
- Floating toe
Symptoms:
- Pain in the 3rd and 5th toes and metatarsals (ball of foot)
Signs to look for:
- Abnormally short toe(s) bilaterally
- Worn toe box where the short toe drifts upward
Possible Causes:
- Disruption in the growth plate of the metatarsal, caused by genetics or trauma to the foot
Goals:
- Take pressure off the metatarsals
- Move the foot in the correct step movement so all of the forefoot is used for optimal gait
- Foot wear to accommodate the short toe
- Provide toe separators where problems are created by rubbing on the affected toes or adjacent toes
How We Help:
Arch Supports:
- BioOrthotics exercising support with metatarsal lift
- Lower and thinner arch support with longitudinal and metatarsal support for use when shoes cannot accommodate the BioOrthotics exercising support
Shoes:
- Extra depth, double or triple depth shoe with high toe box, firm heel counter, rocker sole and connecting shank
- Smart footwear, such as heel to toe rockers, negative heel footwear or shoes with titanium springs
- Wear heels and pumps minimally
- Walk barefoot minimally
- Shoes with stretchable uppers if toe rubs
Other:
- Toe cushioning and straightening devices, such as toe separators, toe straighteners, toe caps, toe crests, etc.
- Spot stretching of shoe
Activities:
Rotate weight-bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling
This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care. The information has been compiled from sources available to the general public and referenced below. Copyright 2005-2010 Carole Romig
Sources Image: A. Decker, S. Albert, Contemporary Pedorthics Text: PodiatryChannel.com, A. Decker, S. Albert, Contemporary Pedorthics