{"id":4639,"date":"2025-02-05T11:28:00","date_gmt":"2025-02-05T10:28:00","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/metatarsalgia\/"},"modified":"2026-06-11T19:18:56","modified_gmt":"2026-06-11T17:18:56","slug":"metatarsalgia","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/en\/treatments\/metatarsalgia\/","title":{"rendered":"Metatarsalgia"},"content":{"rendered":"<p><!-- ============================================================ --><br \/>\n<!-- REVAMP METATARSALGIA - POST 512                              --><br \/>\n<!-- ============================================================ --><\/p>\n\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@graph\": [\n  {\n   \"@type\": \"BreadcrumbList\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/metatarsalgia\/#breadcrumb\",\n   \"itemListElement\": [\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 1,\n     \"name\": \"Home\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 2,\n     \"name\": \"Treatments\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/treatments\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 3,\n     \"name\": \"Metatarsalgia\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/treatments\/metatarsalgia\/\"\n    }\n   ]\n  },\n  {\n   \"@type\": \"MedicalClinic\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/#clinic\",\n   \"name\": \"Cl\u00ednica San Rom\u00e1n\",\n   \"url\": \"https:\/\/clinicasanroman.com\/\",\n   \"telephone\": \"+34965921156\",\n   \"address\": {\n    \"@type\": \"PostalAddress\",\n    \"streetAddress\": \"Av. del Dr. Ram\u00f3n y Cajal 1\",\n    \"addressLocality\": \"Alicante\",\n    \"postalCode\": \"03001\",\n    \"addressCountry\": \"ES\"\n   },\n   \"aggregateRating\": {\n    \"@type\": \"AggregateRating\",\n    \"ratingValue\": \"4.8\",\n    \"reviewCount\": \"191\"\n   }\n  },\n  {\n   \"@type\": \"MedicalCondition\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/metatarsalgia\/#condition\",\n   \"name\": \"Metatarsalgia\",\n   \"inLanguage\": \"en\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Foot\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/metatarsalgia\/#faq\",\n   \"inLanguage\": \"en\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is metatarsalgia the same thing as Morton's neuroma?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"No, although they share some symptoms. Metatarsalgia is pain in the metatarsal heads caused by overuse. Morton's neuroma is fibrosis of the interdigital nerve that causes pain resembling an electric shock, burning, or numbness between the third and fourth toes. Sometimes they coexist, which is why a differential diagnosis using ultrasound or MRI is important.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can metatarsalgia be prevented?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"You can reduce the risk by wearing shoes with forefoot cushioning, avoiding prolonged use of high heels, maintaining a healthy weight, doing foot-strengthening exercises, and consulting a podiatrist at the first sign of discomfort. Custom insoles are helpful for patients with biomechanical predispositions (cavus foot, short first metatarsal).\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"I have a bunion and metatarsalgia. Can they be treated at the same time?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"In most cases, yes, and it is recommended. Metatarsalgia is usually a consequence of hallux valgus: as the big toe deviates, the load is transferred to the second and third metatarsal heads. Correcting only the bunion without treating the metatarsalgia (or vice versa) leaves the problem unresolved. MIS surgery allows both conditions to be addressed in a single procedure.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do insoles help relieve metatarsalgia?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Well-designed insoles relieve symptoms by redistributing pressure and taking the load off the affected metatarsal head. If the cause is functional (overuse due to footwear, sports, or a cavus foot), they may be sufficient. If the cause is structural (long metatarsal bone, deformity), insoles help but do not correct the underlying issue: the definitive solution involves MIS surgery.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"What exactly is DMMO?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"DMMO (Distal Metatarsal Minimally-invasive Osteotomy) is a percutaneous osteotomy of the distal metatarsal bone (near the head), which allows it to shift slightly upward under the patient\u2019s weight, thereby relieving plantar pressure. It is performed without exposing the bone, through millimeter-sized incisions and under fluoroscopic guidance.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do you use screws or pins?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"No. At Cl\u00ednica San Rom\u00e1n, we perform DMMO without any internal fixation devices. The osteotomy is stabilized using a specialized functional bandage that positions the metatarsal heads. This eliminates the need for a second surgery, which is required with other techniques to remove the Kirschner wires.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"How long does the procedure take?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"A DMMO procedure involving 2\u20133 metatarsals typically takes between 30 and 45 minutes. If combined with correction of hallux valgus or claw toes, the total procedure time can range from 60 to 90 minutes. The entire procedure is performed under local anesthesia and sedation if the patient prefers.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"What are the risks?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Like any surgery, DMMO carries risks, albeit at a low rate: prolonged swelling (up to 30% of patients experience it for more than 6 weeks), delayed healing, metatarsalgia due to weight-bearing shifting to another metatarsal head if planning is incorrect, or stiffness. The MIS technique has fewer complications related to infection and scarring than open surgery.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is metatarsalgia just something that affects older people?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. Although it is more common in people over 50 due to the loss of the plantar fat pad, metatarsalgia can occur at any age: in runners, in people with a cavus foot, following forefoot surgery, or due to prolonged use of high heels.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Will removing the corn solve the problem?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. A callus is the result, not the cause. Removing it provides temporary relief, but it will reappear within weeks if the underlying cause (biomechanics, deformity, footwear) is not addressed. Podiatry is complementary to, not a substitute for, the actual treatment.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is infiltration always necessary?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. Corticosteroid injections are reserved for very specific cases (intermetatarsal bursitis, moderate Morton\u2019s neuroma) and should be used sparingly because they can cause atrophy of the plantar fat pad and worsen metatarsalgia in the long term. PRP is a safer alternative in chronic cases.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"If I have surgery for metatarsalgia, will I be able to run again?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. Following appropriately indicated MIS surgery for metatarsalgia and proper rehabilitation, a return to high-impact sports (including running) typically occurs within 3 to 6 months. Many patients see an improvement in their performance because they no longer compensate for the pain with an abnormal gait.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\ud83d\udcda Scientific bibliography and references\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Percutaneous forefoot surgery (DMMO and MIS techniques):- Laffenetre O, Lucas Y, Hernandez J, Cerrato R. Minimally Invasive Lesser Metatarsal Osteotomies and Their Variations. Foot Ankle Clin. 2025 Sep;30(3):489-506. [PubMed]- Redfern DJ, Vernois J. Percutaneous Surgery for Metatarsalgia and the Lesser Toes. Foot Ankle Clin. 2016 Sep;21(3):459-473. [PubMed]- Biz C, Corradin M, Petretta I, et al. Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia. BioMed Res Int. 2018;2018:1947024. [PubMed]- Del Vecchio CM, Trujillo MM, Kirtley SM. Percutaneous Distal Osteotomy of Lesser Metatarsals (DMMO) for Treatment of Metatarsalgia With Metatarsophalangeal Instability. J Foot Ankle Surg. 2018;57(3):539-547. [PubMed]- Coughlin MJ, Shurnas PS. Percutaneous Techniques in Foot and Ankle Surgery. J Am Acad Orthop Surg. Feb 2025;33(4):e167-e178. [PubMed]Plantar plate and pathology of the second radius:- Baker EA, Baker ET, Newman N. Treatment of Lesser Metatarsophalangeal Joint Instability With Plantar Plate Repair: A Systematic Review and Meta-Analysis. J Foot Ankle Surg. 2022;61(5):1114-1118. [PubMed]- Jastifer JR. Plantar Plate Repair for Metatarsophalangeal Joint Instability of the Lesser Toes. Orthop Clin North Am. 2022;53(3):349-359. [PubMed]Biomechanics, plantar overload, and Morton's neuroma:- Chatwin C, Abbott CA, Boulton AJM. The Role of Foot Pressure Measurement in the Prediction and Prevention of Diabetic Foot Ulceration. Diabetes Metab Res Rev. 2020;36(6):e3258. [PubMed]- Shirazinejad H, Mardian Y, Diab T, et al. Safety and Efficacy of Percutaneous Morton Neuroma Cryoneurolysis Under Ultrasound Guidance. J Foot Ankle Surg. 2024;63(3):e1-e7. [PubMed]\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n\n<p><!-- HERO --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#E6F0EC;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:14px;letter-spacing:2px\"><strong>PERCUTANEOUS SURGERY OF THE FOREFOOT<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Treatment for metatarsalgia in Alicante<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic\">Say goodbye to pain in the ball of your foot. Conservative treatment and MIS percutaneous surgery. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you experience a <strong>burning pain on the sole of your foot<\/strong> at the end of the day, notice calluses under your metatarsal heads, or feel like you\u2019re \u201cwalking on small pebbles,\u201d you may have <strong>metatarsalgia<\/strong>. At <strong>Cl\u00ednica San Rom\u00e1n<\/strong>, we combine 45 years of experience with internationally recognized techniques: custom insoles, shockwave therapy, and, when necessary, minimally invasive <strong>percutaneous osteotomies (DMMO)<\/strong>. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:14px;padding-right:24px;padding-bottom:14px;padding-left:24px\">\ud83d\udcde Request your free assessment<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:13px\"><strong>\u2b50 4.8\/5<\/strong> (190 reviews) \u00b7  <strong>\ud83c\udfc5 Cert. MIS23BE03 <\/strong>  \u00b7 <strong>\ud83c\uddea\ud83c\uddfa 5 languages<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg.jpg\" alt=\"Metatarsalgia \u2014 pain in the ball of the foot caused by metatarsal overload\" class=\"wp-image-8778\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/metatarsalgia-dolor-antepie-clinica-san-roman.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONFIANZA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-e5aaa7f3 wp-block-group-is-layout-constrained\" style=\"padding-top:50px;padding-bottom:50px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Backed by 45 years of experience<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">45+ years old<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Family clinic founded in 1979<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:32px;font-weight:800;line-height:1\">\ud83c\udfc5 MIS23BE03<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">First in Europe to receive American Board certification<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\u2b50 4.8<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">190 verified reviews on Google<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\ud83c\uddea\ud83c\uddfa 5<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Languages: ES \u00b7 EN \u00b7 NL \u00b7 FR \u00b7 DE<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-style:italic\">Led by <strong>Dr. Jos\u00e9 Manuel San Rom\u00e1n P\u00e9rez<\/strong> (founder) and <strong>Dr. Israel San Rom\u00e1n Sirvent<\/strong>, a Fellow of the American Academy of Ambulatory Foot &amp; Ankle Surgery since 1986.<\/p>\n<\/div>\n\n\n<p><!-- QU\u00c9 ES --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg.jpg\" alt=\"Anatomy of the Forefoot \u2014 Metatarsal Innervation and Morton's Neuroma Associated with Metatarsalgia\" class=\"wp-image-8777\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/anatomia-antepie-nervios-neuroma-morton.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">What is metatarsalgia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Metatarsalgia<\/strong> is pain located in the front part of the sole of the foot, beneath the <strong>heads of the metatarsal bones<\/strong> (the long bones of the forefoot, between the tarsus and the toes). It can be described as <em> a &#8220;feeling of walking on small pebbles<\/em>, <em>&#8220;<\/em> <em> a &#8220;tight sock,&#8221;<\/em> or <em>a constant burning sensation in the area under the toes where the foot makes contact with the ground<\/em>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is not a disease in itself, but rather a <strong>symptom<\/strong> of mechanical overload of the forefoot. It can affect a single metatarsal head (the second is the most common) or several, and is usually accompanied by: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Calluses and plantar helomas<\/strong> under the affected metatarsal heads.<\/li>\n\n\n\n<li><strong>Claw toes or hammer<\/strong> toes (when the plantar fascia is damaged).<\/li>\n\n\n\n<li><strong>Hallux valgus (bunion)<\/strong> that alters the distribution of weight to the smaller toes.<\/li>\n\n\n\n<li><strong>Morton&#8217;s neuroma<\/strong>, which shares symptoms and sometimes occurs alongside it.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Is this a common problem?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is one of the most common causes of <strong>forefoot pain in adults over the age of 50<\/strong> and is more common in women, especially those who have worn high heels for years. It also occurs in runners and in patients with <strong>a cavus foot<\/strong> or a history of forefoot surgery. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- S\u00cdNTOMAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Symptoms of metatarsalgia<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A sharp, burning, or &#8220;pebble-like&#8221; pain<\/strong> in the ball of the foot when walking or standing.<\/li>\n\n\n\n<li><strong>Symptoms worsen at the end of the day<\/strong> or after walking a lot, running, or wearing high heels.<\/li>\n\n\n\n<li><strong>Plantar calluses<\/strong> located beneath painful metatarsal heads.<\/li>\n\n\n\n<li><strong>A feeling of pressure or swelling<\/strong> in the forefoot.<\/li>\n\n\n\n<li><strong>Tingling or numbness<\/strong> between the toes (suggestive of Morton&#8217;s neuroma).<\/li>\n\n\n\n<li><strong>Pain when pressing on the forefoot with the hand<\/strong> or when palpating a specific metatarsal head.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-left-color:#D94F4F;border-left-width:4px;background-color:#fff3f3;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udd34 When to seek medical attention<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The pain has lasted for <strong>more than three months<\/strong> and does not improve with basic measures.<\/li>\n\n\n\n<li><strong>Visible deformities<\/strong> appear: claw toes, bunions, and deviation of the second toe.<\/li>\n\n\n\n<li>It limits your ability to <strong>walk, work, or play sports<\/strong>.<\/li>\n\n\n\n<li>You have <strong>diabetes<\/strong>, and your calluses aren&#8217;t going away with standard treatment.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Seeking medical advice early allows metatarsalgia to be treated conservatively, <strong>before surgery becomes necessary<\/strong>.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62\">Request your free assessment<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1125\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg.jpg\" alt=\"Symptoms of metatarsalgia \u2014 a sensation of small pebbles under the foot and a burning pain\" class=\"wp-image-8776\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-300x169.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-1024x576.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-768x432.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-metatarsalgia-sobrecarga-antepie.jpg-1536x864.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CAUSAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg\" alt=\"High-heeled shoes as a common cause of foot deformities\" class=\"wp-image-8765\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-300x225.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1024x768.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-768x576.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Why does metatarsalgia occur?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Metatarsalgia occurs when one or more metatarsal heads <strong>bear more weight than they should<\/strong>. The most common causes are: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hallux valgus (bunion):<\/strong> When the big toe deviates, the weight is transferred to the second and third metatarsal heads, which are not designed to bear that load.<\/li>\n\n\n\n<li><strong>Claw toes or hammer<\/strong> toes<strong>:<\/strong> The bent toe does not make proper contact with the ground, placing all the weight on its metatarsal head.<\/li>\n\n\n\n<li><strong>Insufficient first metatarsal<\/strong> (Morton&#8217;s): The first metatarsal is short or hypermobile and does not bear its share of the load.<\/li>\n\n\n\n<li><strong>Rupture of the plantar plate:<\/strong> degeneration of the &#8220;ligament&#8221; that stabilizes the metatarsophalangeal joint, very common in the second toe.<\/li>\n\n\n\n<li><strong>Cavus foot:<\/strong> With a very high arch, the metatarsal heads are subjected to abnormally high pressure.<\/li>\n\n\n\n<li><strong>Inappropriate footwear:<\/strong> high heels, narrow toes, stiff soles without cushioning.<\/li>\n\n\n\n<li><strong>Loss of the plantar fat pad<\/strong> (common with age).<\/li>\n\n\n\n<li><strong>High-impact sports:<\/strong> running, jumping, dancing on hard surfaces.<\/li>\n\n\n\n<li><strong>Rheumatic diseases:<\/strong> rheumatoid arthritis, spondyloarthropathies.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Understanding the underlying cause is key: metatarsalgia cannot be cured with insoles alone if the cause is mechanical or structural. That is why our first step is always a comprehensive biomechanical assessment. <\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- TRATAMIENTO CONSERVADOR --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\">Conservative treatment of metatarsalgia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases, <strong>conservative treatment is the first line<\/strong> of <strong>treatment<\/strong> and is usually effective if applied properly and in a timely manner:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Custom insoles<\/strong> with a bar or heel lift that relieves pressure on the affected metatarsal head and redistributes pressure.<\/li>\n\n\n\n<li><strong>Appropriate footwear:<\/strong> wide last, rocker sole, air cushioning or forefoot cushioning, heel height of &lt; 3 cm.<\/li>\n\n\n\n<li><strong>Regular foot care<\/strong> to manage painful calluses.<\/li>\n\n\n\n<li><strong>Specific exercises<\/strong> for stretching the Achilles tendon and strengthening the intrinsic muscles of the foot.<\/li>\n\n\n\n<li><strong>Shockwave therapy (ESWT)<\/strong> for chronic conditions associated with enthesopathies.<\/li>\n\n\n\n<li>Corticosteroid or PRP <strong>injections<\/strong> in very select cases.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-left-color:#F4A300;border-left-width:4px;background-color:#FFF8E1;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<p class=\"wp-block-paragraph\"><strong>\u26a0\ufe0f When conservative treatment isn&#8217;t enough:<\/strong> if pain persists after 6 months of proper treatment, or if there is a structural deformity (bunion, claw toes, or a fractured plantar plate), <strong>minimally invasive surgery<\/strong> is the definitive solution.<\/p>\n<\/div>\n<\/div>\n\n\n<p><!-- CIRUG\u00cdA MIS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"cirugia-mis\" style=\"background-color:#E6F0EC;padding-top:80px;padding-bottom:80px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Percutaneous surgery for metatarsalgia (DMMO)<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:20px;font-style:italic\">Percutaneous metatarsal osteotomy. No internal fixation. Same-day discharge.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When metatarsalgia is caused by <strong>structural bone overload<\/strong> (one metatarsal bone longer than the others, a fracture of the plantar plate, or an associated deformity), the surgical technique of choice in Europe is <strong>DMMO: Distal Metatarsal Minimally-invasive Osteotomy<\/strong>. It involves performing a <strong>percutaneous osteotomy<\/strong> of the affected metatarsals through millimeter-sized incisions (2\u20133 mm), allowing the metatarsal head to \u201cself-align\u201d to the correct position under physiological load. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MIS was developed by European pioneers such as <strong>Redfern, Vernois, and De Prado<\/strong>. At Cl\u00ednica San Rom\u00e1n, we perform this procedure routinely, and <strong>Dr. Israel San Rom\u00e1n<\/strong> was one of the first specialists in Europe to obtain the subspecialty certification in MIS foot surgery from the <strong>American Board of Multiple Specialties in Podiatry<\/strong> (Cert. MIS23BE03). <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Benefits of MIS Surgery for Metatarsalgia<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2\u20133 mm incisions, with<\/strong> no visible scars.<\/li>\n\n\n\n<li><strong>Local anesthesia<\/strong> and outpatient surgery.<\/li>\n\n\n\n<li><strong>No screws, Kirschner wires, or plates<\/strong> \u2014the osteotomy is stabilized with a functional bandage.<\/li>\n\n\n\n<li><strong>Walk<\/strong> in your postoperative shoe <strong>starting on the first day<\/strong>.<\/li>\n\n\n\n<li><strong>This procedure can be combined<\/strong> with minimally invasive surgery for hallux valgus and claw toes during the same surgical procedure.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1482\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg.jpg\" alt=\"MIS Treatment for Metatarsalgia \u2014 Minimally Invasive DMMO Osteotomy at Cl\u00ednica San Rom\u00e1n\" class=\"wp-image-8779\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-300x222.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-1024x759.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-768x569.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/cirugia-mis-dedos-garra-tratamiento.jpg-1536x1138.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"margin-top:40px\">Recovery after DMMO<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Day 0:<\/strong> Discharged as an outpatient with a postoperative shoe. You are walking on your own. <\/li>\n\n\n\n<li><strong>First 3\u20134 weeks:<\/strong> post-operative shoe, short walks.<\/li>\n\n\n\n<li><strong>Weeks 4\u20136:<\/strong> Removal of the bandage and transition to regular-width shoes.<\/li>\n\n\n\n<li><strong>Weeks 8\u201312:<\/strong> Gradual return to sports.<\/li>\n\n\n\n<li>Swelling may last for several weeks; this is considered normal and does not affect the outcome.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border vida-activa-img\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg\" alt=\"Recovery \u2014 Walking Pain-Free Again After MIS Foot Surgery\" class=\"wp-image-8762\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><figcaption class=\"wp-element-caption\"><em>Walking, running, and wearing any shoes you want without pain\u2014that is the goal of every treatment.<\/em><\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">Does my metatarsalgia require surgery? Request an evaluation <\/a><\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONSULTA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1333\" height=\"2000\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg\" alt=\"First podiatry consultation at Cl\u00ednica San Rom\u00e1n in Alicante\" class=\"wp-image-8763\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg 1333w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-200x300.jpg 200w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-682x1024.jpg 682w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-768x1152.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-1024x1536.jpg 1024w\" sizes=\"auto, (max-width: 1333px) 100vw, 1333px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading\">Your first appointment with us<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The initial consultation is free and requires no obligation. In 30 minutes, we&#8217;ll do:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Clinical examination<\/strong>: palpation, specific tests (forefoot compression, Mulder&#8217;s test, etc.).<\/li>\n\n\n\n<li><strong>Biomechanical gait analysis of<\/strong> static and dynamic <strong>foot strike<\/strong>.<\/li>\n\n\n\n<li><strong>Weight-bearing X-rays<\/strong> to assess the metatarsal alignment and associated deformities.<\/li>\n\n\n\n<li><strong>Musculoskeletal ultrasound<\/strong> if Morton&#8217;s neuroma or a plantar fascia tear is suspected.<\/li>\n\n\n\n<li><strong>Personalized treatment plan<\/strong> (conservative, shockwave therapy, injection, or minimally invasive surgery) and <strong>a fixed-price quote<\/strong>.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">We provide service in <strong>Spanish, English, German, French, and Dutch<\/strong>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- FAQ --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Frequently Asked Questions About Metatarsalgia<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccb About your case<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-casos-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is metatarsalgia the same thing as Morton&#8217;s neuroma?<\/span><\/div><div class=\"uagb-faq-content\"><p>No, although they share some symptoms. <strong>Metatarsalgia<\/strong> is pain in the metatarsal heads caused by overuse. <strong>Morton&#8217;s neuroma<\/strong> is fibrosis of the interdigital nerve that causes pain resembling an electric shock, burning, or numbness between the third and fourth toes. Sometimes they coexist, which is why a differential diagnosis using ultrasound or MRI is important.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Can metatarsalgia be prevented?<\/span><\/div><div class=\"uagb-faq-content\"><p>You can reduce the risk by wearing shoes with forefoot cushioning, avoiding prolonged use of high heels, maintaining a healthy weight, doing foot-strengthening exercises, and consulting a podiatrist at the first sign of discomfort. Custom insoles are helpful for patients with biomechanical predispositions (cavus foot, short first metatarsal). <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">I have a bunion and metatarsalgia. Can they be treated at the same time?<\/span><\/div><div class=\"uagb-faq-content\"><p>In most cases, yes, and it is recommended. Metatarsalgia is usually a consequence of hallux valgus: as the big toe deviates, the load is transferred to the second and third metatarsal heads. Correcting only the bunion without treating the metatarsalgia (or vice versa) leaves the problem unresolved. MIS surgery allows both conditions to be addressed in a single procedure.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do insoles help relieve metatarsalgia?<\/span><\/div><div class=\"uagb-faq-content\"><p>Well-designed insoles <strong>relieve symptoms<\/strong> by redistributing pressure and taking the load off the affected metatarsal head. If the cause is functional (overuse due to footwear, sports, or a cavus foot), they may be sufficient. If the cause is structural (long metatarsal bone, deformity), insoles help but do not correct the underlying issue: the definitive solution involves MIS surgery.  <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udfe5 About the surgery<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-op-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">What exactly is DMMO?<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>DMMO (Distal Metatarsal Minimally-invasive Osteotomy)<\/strong> is a percutaneous osteotomy of the distal metatarsal bone (near the head), which allows it to shift slightly upward under the patient\u2019s weight, thereby relieving plantar pressure. It is performed without exposing the bone, through millimeter-sized incisions and under fluoroscopic guidance. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do you use screws or pins?<\/span><\/div><div class=\"uagb-faq-content\"><p>No. At Cl\u00ednica San Rom\u00e1n, we perform DMMO <strong>without any internal fixation devices<\/strong>. The osteotomy is stabilized using a specialized functional bandage that positions the metatarsal heads. This eliminates the need for a second surgery, which is required with other techniques to remove the Kirschner wires.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">How long does the procedure take?<\/span><\/div><div class=\"uagb-faq-content\"><p>A DMMO procedure involving 2\u20133 metatarsals typically takes between 30 and 45 minutes. If combined with correction of hallux valgus or claw toes, the total procedure time can range from 60 to 90 minutes. The entire procedure is performed under local anesthesia and sedation if the patient prefers.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-o4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">What are the risks?<\/span><\/div><div class=\"uagb-faq-content\"><p>Like any surgery, DMMO carries risks, albeit at a low rate: prolonged swelling (up to 30% of patients experience it for more than 6 weeks), delayed healing, metatarsalgia due to weight-bearing shifting to another metatarsal head if planning is incorrect, or stiffness. The MIS technique has fewer complications related to infection and scarring than open surgery. <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\u274c Myths<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-mitos-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m1-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is metatarsalgia just something that affects older people?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. Although it is more common in people over 50 due to the loss of the plantar fat pad, metatarsalgia can occur at any age: in runners, in people with a cavus foot, following forefoot surgery, or due to prolonged use of high heels. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m2-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Will removing the corn solve the problem?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. A callus is the result, not the cause. Removing it provides temporary relief, but it will reappear within weeks if the underlying cause (biomechanics, deformity, footwear) is not addressed. Podiatry is complementary to, not a substitute for, the actual treatment.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m3-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is infiltration always necessary?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. Corticosteroid injections are reserved for very specific cases (intermetatarsal bursitis, moderate Morton\u2019s neuroma) and should be used sparingly because they can cause atrophy of the plantar fat pad and worsen metatarsalgia in the long term. PRP is a safer alternative in chronic cases.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m4-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">If I have surgery for metatarsalgia, will I be able to run again?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. Following appropriately indicated MIS surgery for metatarsalgia and proper rehabilitation, a return to high-impact sports (including running) typically occurs within 3 to 6 months. Many patients see an improvement in their performance because they no longer compensate for the pain with an abnormal gait.  <\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- BIBLIOGRAF\u00cdA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-1e9ef514 wp-block-group-is-layout-constrained\" style=\"padding-top:40px;padding-bottom:40px\"><div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-biblio-512 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-biblio-512 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">\ud83d\udcda Scientific bibliography and references<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Percutaneous forefoot surgery (DMMO and MIS techniques):<\/strong><br \/>&#8211; Laffenetre O, Lucas Y, Hernandez J, Cerrato R. <em>Minimally Invasive Lesser Metatarsal Osteotomies and Their Variations.<\/em> Foot Ankle Clin. 2025 Sep;30(3):489-506. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40713332\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Redfern DJ, Vernois J. <em>Percutaneous Surgery for Metatarsalgia and the Lesser Toes.<\/em> Foot Ankle Clin. 2016 Sep;21(3):459-473. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27524704\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Biz C, Corradin M, Petretta I, et al. <em>Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia.<\/em> BioMed Res Int. 2018;2018:1947024. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30581846\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Del Vecchio CM, Trujillo MM, Kirtley SM. <em>Percutaneous Distal Osteotomy of Lesser Metatarsals (DMMO) for Treatment of Metatarsalgia With Metatarsophalangeal Instability.<\/em> J Foot Ankle Surg. 2018;57(3):539-547. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29409206\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Coughlin MJ, Shurnas PS. <em>Percutaneous Techniques in Foot and Ankle Surgery.<\/em> J Am Acad Orthop Surg. Feb 2025;33(4):e167-e178.      <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39550093\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Plantar plate and pathology of the second radius:<\/strong><br \/>&#8211; Baker EA, Baker ET, Newman N. <em>Treatment of Lesser Metatarsophalangeal Joint Instability With Plantar Plate Repair: A Systematic Review and Meta-Analysis.<\/em> J Foot Ankle Surg. 2022;61(5):1114-1118. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35283034\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Jastifer JR. <em>Plantar Plate Repair for Metatarsophalangeal Joint Instability of the Lesser Toes.<\/em> Orthop Clin North Am. 2022;53(3):349-359.    <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35725043\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Biomechanics, plantar overload, and Morton&#8217;s neuroma:<\/strong><br \/>&#8211; Chatwin C, Abbott CA, Boulton AJM. <em>The Role of Foot Pressure Measurement in the Prediction and Prevention of Diabetic Foot Ulceration.<\/em> Diabetes Metab Res Rev. 2020;36(6):e3258. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32405192\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Shirazinejad H, Mardian Y, Diab T, et al. <em>Safety and Efficacy of Percutaneous Morton Neuroma Cryoneurolysis Under Ultrasound Guidance.<\/em> J Foot Ankle Surg. 2024;63(3):e1-e7.    <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38438685\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- CTA FINAL --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-text-color has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"contacto\" style=\"color:#FFFFFF;background-color:#0a3d62;padding-top:80px;padding-bottom:80px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 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https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#FFFFFF\">Walk again without feeling &#8220;pebbles&#8221; under your feet<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is a solution for metatarsalgia.  <strong>The initial consultation is free and requires no obligation.<\/strong>  An accurate diagnosis and a personalized treatment plan\u2014whether conservative or surgical\u2014can help you walk pain-free again.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong><a href=\"tel:+34965921156\" style=\"color:#FFFFFF\">+34 965 921 156<\/a><\/strong><br>\u2709\ufe0f <strong><a href=\"mailto:info@clinicasanroman.com\" style=\"color:#FFFFFF\">info@clinicasanroman.com<\/a><\/strong><br>\ud83d\udccd Av. del Dr. Ram\u00f3n y Cajal 1, 03001 Alicante<br>\ud83c\udf10 Service available in Spanish, English, German, French, and Dutch<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button spectra-popup-trigger-712\" href=\"https:\/\/clinicasanroman.com\/en\/contact\/\" onclick=\"return false;\" style=\"color:#0a3d62;background-color:#FFFFFF;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">\ud83d\udcc5 Request your free assessment<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>metatarsalgia<\/p>\n","protected":false},"author":1,"featured_media":0,"template":"","meta":{"inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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0px;border-radius: 0px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-786e2374 .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-786e2374 .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 24px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-786e2374 .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-786e2374 .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-786e2374 .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-786e2374 .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-786e2374 .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-infobox__content-wrap{text-align: center;}.uagb-block-786e2374.uagb-infobox-icon-above-title{text-align: center;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374 .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox-icon-above-title{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-d1fb0105 .uagb-ifb-icon svg{fill: #333;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105 .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-d1fb0105 .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 19px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-d1fb0105 .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-d1fb0105 .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap{text-align: left;}.uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: left;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-130741ef .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-130741ef .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-130741ef .uagb-ifb-icon svg{fill: #333;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 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