{"href":"https://api.simplecast.com/oembed?url=https%3A%2F%2Fbipedal.simplecast.com%2Fepisodes%2Fmetatarsalgia-BfKuUbbL","width":444,"version":"1.0","type":"rich","title":"Metatarsalgia","thumbnail_width":300,"thumbnail_url":"https://image.simplecastcdn.com/images/a30f2a57-bd36-48e5-8ed6-c77057fa3913/b8d45575-ec7c-410d-82bd-790e12c19ad4/bipedal-20cover-20art.jpg","thumbnail_height":300,"provider_url":"https://simplecast.com","provider_name":"Simplecast","html":"<iframe src=\"https://player.simplecast.com/6ed0b9a7-4911-4d0a-b319-919e7a5e0f4a\" height=\"200\" width=\"100%\" title=\"Metatarsalgia\" frameborder=\"0\" scrolling=\"no\"></iframe>","height":200,"description":"Metatarsalgia, or pain in the forefoot, is generally a symptom, not a diagnosis. Causes of metatarsalgia may be structural or functional. Forefoot biomechanics are complex. Load during stance and in gait is a complex series of handoffs. When this system is altered, for example if there is first ray insufficiency, push off moves laterally onto structures that are not meant to bear the kinds of loads being placed upon them. This is the set up for metatarsalgia. Careful evaluation of the signs and symptoms helps identify the underlying cause of pain leading to effective treatments. "}