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Metatarsalgia (Ball of the Foot Pain) Metatarsalgia is pain in the area of the ball of the foot, which is given its shape by the rounded ends of the metatarsal bones. Many different conditions can cause metatarsalgia -- most often faulty foot functioning, overuse, or a decreased fat pad on the sole of the foot. More Â».
A metatarsal stress fracture is a small hairline crack that can appear in the metatarsal bone (the long bones on the top of the foot) and is another common cause of pain on top of foot. It occurs due to repetitive strain and trauma to the metatarsals, which over-time leads to the development of a stress fracture.his triggers the inflammatory response which causes the pain and discomfort. Although this is most common in the posterior tibial tendon (more about that condition here) it can potentially occur in any of the foot tendons.