The long bones in the foot that connect with the toes are called the metatarsals. Metatarsalgia is an injury on the underside of one or more metatarsal heads. It most commonly occurs on the second metatarsal. The undersides of the metatarsophalangeal joints bear the entire weight of your body when your go up on demi pointe, come down in your jumps, and even when you push off in normal walking. The joints can be overused and become bruised. This normally happens from faulty weight distribution across the ball of the foot, or from doing your ballet dancing on hard surfaces. The metatarsals can drop downwards, spread further apart or move closer together as a result of all the forces of bearing weight. There are other metatarsal conditions that can produce similar pain for instance, stress fractures or osteonecrosis, so it is always best to seek accurate diagnosis and treatment from a medical professional.
If you get a stone bruise, the best treatments include removing pressure of the sore spot. A flat and stiff-soled flat shoe that does not bend at the metatarsal joint line like a clog could also be used. Try to avoid a lot of walking, jumping or stair climbing and stay off demi pointe.
If you only have a mild condition, you can still do your barre, apart from rises and releves and any other movements in which the heel leaves the floor. Reduce pain and inflammation by applying ice for ten minutes. Padding the foot underneath will also help. You could try placing gel or foam strips on both sides of the stone bruise so that it ‘floats’ above the floor and relieves the pressure.
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