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Dropped Metatarsal Heads

What is it?

Dropped metatarsal headA dropped metatarsal head is a condition wherein one of the metatarsal bones (usually the second metatarsal) is lower than the rest at the distal end.

What are the common symptoms/complaints?

Patients complain of pain and a sensation that they are walking on a stone, and they generally have a callus under the area of the dropped metatarsal.

How is it caused?

This condition is very common and the cause is considered to be almost strictly hereditary. Over-pronation does play a role because abnormal weight distribution in an abnormally pronated foot does tend to throw too much weight to the second metatarsal.

How is it treated?

The patient should be fitted with orthotics to correct any abnormal pronation. The orthotics should have a metatarsal pad under the dropped metatarsal which will raise it and alleviate the pain.

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