Metatarsophalangeal joint pain is pain affecting the metatarsophalangeal joint, a common symptom, almost all due to abnormal joint surface causing subluxation and the impact of the joint capsule and synovium, eventually leading to the destruction of joint cartilage (degenerative joint disease).
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Metatarsophalangeal joint pain
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1. What are the causes of metatarsophalangeal joint pain?
2. What complications can metatarsophalangeal joint pain easily lead to?
3. What are the typical symptoms of metatarsophalangeal joint pain?
4. How to prevent metatarsophalangeal joint pain?
5. What kind of laboratory tests do you need to do for metatarsophalangeal joint pain?
6. Diet taboos for metatarsophalangeal joint pain patients
7. Routine methods of Western medicine for the treatment of metatarsophalangeal joint pain
1. What are the causes of metatarsophalangeal joint pain?
Metatarsophalangeal joint pain is common in anterior segment stiffness and rigidity, hammer toe deformity, hollow foot, high-arch foot, excessive pronation of the subtalar joint (ankle inward rotation, i.e., pronation), and talus varus deformity (bursitis). Due to the overlap of the toes, patients with bursitis often have traumatic subluxation and pain in the second metatarsophalangeal joint. Painful subluxation of the metatarsophalangeal joint may also be caused by joint diseases (such as rheumatoid arthritis).
2. What complications can metatarsophalangeal joint pain easily lead to?
Metatarsophalangeal joint pain is a common symptom, not the disease itself. There are many reasons for the pain in the metatarsophalangeal joint, the most common being abnormal joint surface causing subluxation and the impact of the joint capsule and synovium, leading to joint pain in turn.
Therefore, the complications of this disease are mainly caused by its primary disease. The most common is the further development of joint dislocation from joint subluxation, which may also cause arthritis. Some joint pain may also be caused by rheumatoid arthritis, and the most serious complication of joint lesions can lead to disability.
3. What are the typical symptoms of metatarsophalangeal joint pain?
The main symptom of metatarsophalangeal joint pain patients is pain. If there is joint pain without obvious fever and swelling, it is generally possible to exclude inflammatory joint disease. It is still beneficial to check for rheumatic diseases. Joint pain without burning sensation, without numbness or tingling, can be distinguished from nerve tumors or neuralgia in the interdigital nerves, and joint palpation and joint movement can usually cause tenderness on the dorsal and plantar surfaces of the joint, while the symptoms of neuralgia are often limited to the plantar surface.
4. How to prevent metatarsophalangeal joint pain
To prevent metatarsophalangeal joint pain, attention should be paid to the causes that can cause metatarsophalangeal joint injury and try to avoid them, such as being careful not to kick things while walking to avoid injury to the metatarsophalangeal joint, and avoiding wearing tight or small shoes.
5. What laboratory tests are needed for metatarsophalangeal joint pain
Metatarsophalangeal joint pain is mainly examined by X-ray and CT to exclude organic diseases. These examinations can detect the condition, and if the metatarsophalangeal joint pain is caused by a fracture or dislocation of the metatarsophalangeal joint, it can show the manifestations of metatarsal dislocation and subluxation of the affected foot, as well as whether there is a fracture of the surrounding bone fragments. If the condition of the affected foot is severe, it can also be found that there are small bone fragments between the metatarsals.
6. Dietary taboos for patients with metatarsophalangeal joint pain
The diet of patients with metatarsophalangeal joint pain should be light and nutritious, with an emphasis on eating more vegetables and fruits such as bananas, strawberries, apples, etc., as they are rich in nutrients. Eat more immune-boosting foods such as propolis to enhance personal disease resistance. It is also necessary to reasonably match the diet and ensure adequate nutrition. Patients should also avoid smoking and drinking, spicy, greasy, and cold foods to prevent recurrent episodes of the disease.
7. Conventional Methods of Western Medicine for Treating Metatarsophalangeal Joint Pain
The treatment of metatarsophalangeal joint pain should be both etiological and symptomatic. If there are high-arched feet or hammertoe deformities, the cause should be sought. It is necessary to exclude anterior tibial muscle weakness, tight Achilles tendons, neurological diseases (such as Friedreich ataxia, Charcot-Marie-Tooth disease) or foot clawing sequelae of stroke. Orthopedic devices can be used to redistribute and relieve pressure on the joints. Local anesthetic injections once a week can provide long-term relief. If there is joint inflammation (bursitis), anesthetics and soluble or insoluble corticosteroids or a combination of both can be used for local injection with an interval between injections. For excessive valgus or high-arched feet at the talocrural joint, a device should be installed inside the shoe to control excessive valgus and reduce the pressure on the sole. Surgery may be considered when conservative treatment is ineffective.
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