Ball of Foot Pain

Ball of foot pain is a common issue that can cause aching, burning or a pebble‑like sensation under the forefoot. Symptoms often appear during walking, standing or when wearing certain shoes, and can range from mild irritation to sharper, more persistent discomfort.

Many people notice pain when pushing off the ground, walking barefoot on hard floors or after longer periods of activity. The exact pattern depends on which structures are involved and how pressure is being distributed through the front of the foot.

Common causes include overload of the metatarsal heads, changes in activity, footwear that compresses the forefoot, nerve irritation (such as a neuroma), reduced flexibility, or changes in foot posture. Sometimes the discomfort builds gradually; other times it follows a sudden increase in walking or exercise.

An assessment helps identify which tissues are irritated, what’s contributing to the pressure, and which steps will make the biggest difference. This may include reviewing movement, strength, footwear, walking patterns and any relevant medical history.

Treatment usually focuses on reducing irritation, improving how the forefoot loads, and supporting the tissues as they recover. This may involve activity guidance, strengthening, footwear changes, insoles, offloading pads or other targeted approaches depending on your goals.

If symptoms have lasted more than a few weeks, are affecting your day, or keep returning, an assessment can help you understand what’s going on and what will help it improve.