Freiberg’s disease

Freiberg’s disease affects a bone in the ball of the foot, usually the second metatarsal. The end of the bone loses its normal rounded shape, affecting how smoothly the toe joint moves. The condition is more common in women and often develops around puberty, during the teenage years or in early adulthood.

What is Freiberg’s disease?

Freiberg’s disease affects a bone in the ball of the foot, usually the second metatarsal. The end of the bone loses its normal rounded shape, affecting how smoothly the toe joint moves. The condition is more common in women and often develops around puberty, during the teenage years or in early adulthood.

What causes it?

There may be more than one reason why this develops. Possible causes or contributing factors include:

  • A reduced blood supply to the end of the bone
  • Repeated strain through the ball of the foot
  • Subtle damage near the growing area of the bone
  • Changes that prevent the bone developing its normal shape

 

What are the symptoms?

Everyone experiences symptoms differently, but you may notice:

  • Pain beneath the ball of the foot
  • Swelling and stiffness around the affected toe
  • Pain that may be worse in high heels
  • Long-term discomfort
  • A limp as symptoms progress

 

How is it diagnosed?

Your consultant will examine the toe, assess the painful area and discuss your symptoms. X-rays are normally used to show the shape of the bone and confirm the diagnosis.

We’ll explain any tests clearly and talk you through the results, so you understand what they mean for you.

How is it treated?

Treatment aims to reduce pressure through the affected joint, improve comfort and help you remain active. Non-surgical treatment cannot reverse the change in the bone but can often manage symptoms. Together, we’ll build a plan around your needs, your recovery and the activities that matter most to you.

  • Insoles to reduce pressure beneath the painful toe
  • Custom-made or supportive shoes
  • Changes to aggravating activities
  • Pain relief or anti-inflammatory medicine, if advised

Your consultant will help you understand which options may be right for you and when your progress should be reviewed.

 

Recovery goals after treatment for freiberg’s disease

Phase 1

Early recovery

Reduce pain and swelling Take pressure off the affected joint Make footwear more comfortable

Phase 2

As your symptoms improve

Restore comfortable walking Maintain useful toe movement Build tolerance to everyday activity

Phase 3

Returning to full activity

Return to suitable exercise Regain confidence in the foot Continue using appropriate footwear or insoles

Working with professionals and teams

Our consultants support professional athletes, sports teams and active individuals with the assessment and treatment of meniscus injuries. Working closely with physiotherapists, strength and conditioning specialists and the wider care team, they develop personalised treatment plans that support a safe return to sport or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or goals.

 

Working with professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

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