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Tuesday, 14 October 2025 00:00

Freiberg Infraction and Foot Pain

Freiberg infraction is a condition that affects the long bones in the front of the foot, most often the second metatarsal. It happens when the bone under the toe joint loses its normal blood supply, leading to tiny fractures and collapse of the bone surface. This can cause pain in the ball of the foot, swelling, and stiffness in the toe. Walking or wearing tight shoes may make the discomfort worse, and over time, the joint may become stiff or uneven. The condition is more common in teenagers and young adults, especially those who are active in sports, although adults can develop it, as well. Treatment may involve rest, wearing cushioned shoes, orthotics, or targeted exercises  to relieve pressure and improve movement. Severe cases may require surgery. If you have persistent pain in the ball of your foot, it is suggested that you see a podiatrist for evaluation and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. 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 offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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