Freiberg's disease is characterized by cartilage degeneration in the lesser metatarsal heads of the feet, notably affecting adolescent females, though it can occur in both genders later in life. The condition primarily involves the second and third metatarsals. While the exact cause remains unclear, vascular problems, genetic predisposition, and altered biomechanics are common causes. Diagnosis by a podiatrist includes clinical evaluation and imaging confirmation. In many cases X-rays show normal bone formation in early stages and flattened, fragmented metatarsal heads as the disease progresses. Treatment focuses on relieving foot pressure and may involve nonoperative measures such as activity modification and custom orthotic support. Surgical interventions are considered for advanced cases. Outcomes for Freiberg’s disease from both nonoperative and operative management are generally favorable, allowing most patients to resume previous activities. To find out what may be causing metatarsal foot pain, it is suggested that you make an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Edward Fryman, DPM, FACFAOM of Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Seaford, and Bethpage, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.