Brachymetatarsia

Brachymetatarsia is a condition in which one or more of the metatarsal bones is abnormally short. This can be a congenital condition or acquired if any injury or trauma occurs while the growth plates are open.

Not only can this condition cause cosmetic concern but it can also cause pain and affect the way one walks.

The toe that is part of this metatarsal shortening is shorter in appearance and can contract dorsally, causing rubbing and irritation in shoes.

This condition most commonly affects the 4th metatarsal and is more common in women. It can cause abnormal pressure distribution in the ball of the foot causing pain and difficulty with walking. It can also be difficult finding regular shoes to wear.

 Conservative Treatment Options for Brachymetatarsia

  • Custom orthotics with areas to help support or offload the affected area
  • Good shoes with wide toe box area
  • Padding
  • NSAIDs
  • Alter physical activity level

What If Conservative Treatments Don't Work?

If one fails conservative treatments, surgery may be recommended. With surgical intervention, the affected shortened metatarsal is exposed and cut towards the base of the metatarsal where there is good blood supply.

Then an external fixator device is placed with a pin on each side of the bone cut and this is used to grow the bone out to length over time until desired length is achieved. This typically requires a non-weightbearing period of up to 6-8 weeks. Typically this procedure brings the entire ray, the metatarsal and toe, out to length and physical appearance and function is improved.

If you are experiencing foot pain, call our office or make an online appointment

Reviews

5-Five-Star-Google-Review-Lexington-KY-Podiatry

Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

5-Five-Star-Google-Review-Lexington-KY-Podiatry

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

5-Five-Star-Google-Review-Lexington-KY-Podiatry

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

5-Five-Star-Google-Review-Lexington-KY-Podiatry

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

5-Five-Star-Google-Review-Lexington-KY-Podiatry

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. Visit our New Patient page for more details.