Freiberg's Disease


Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.


The medical term for this condition is osteochondrosis.  It effects the metatarsal bones that partially make up the forefoot of the foot. It is most commonly identified in the 2nd metatarsal and most often found in females aged 13-15.

Symptoms & Signs

The effected forefoot region can become painful with weight-bearing activities especially at the push off phase of walking or running. Pain can usually be localized to the effected bone vs the whole forefoot or toes.


The goal is to reduce pressure to the effected bony region. This includes proper shoe fitting to reduce side compression. A metatarsal pad on a custom or non-custom orthotic can reduce pressure from the ground. Activity modification / reduction may be required.

Symptoms & Cause

The effected foot can become painful on both the top and bottom aspect. Palpation of the specific bone can increase localized pain. There may be localized swelling and thickening about the bone.

  • Pain in the forefoot, usually localized to the head of the second metatarsal.
  • Usually this is associated with physical activity.
  • Wearing high-heeled shoes makes it worse.
  • A limp may be visible with walking.
Pedorthic Treatment

Due to the potential severity of the condition if left to progress a proper clinical diagnosis which is usually confirmed through x-ray is made by your physician.

Once confirmed your pedorthist can help off-load the effected region and allow for proper healing. Ensuring proper footwear fit and usage during all weight bearing activities is important. In cases where a structural issue or biomechanical abnormality is identified, custom foot orthotics with metatarsal unloading and cushioning can be designed and fitted.

If you are experiencing foot pain or discomfort, you should consult your physician for a proper diagnosis and an appropriate treatment plan.


Your doctor may refer you to  OKAPED’s to see a Canadian Certified Pedorthist for Pedorthic management of your foot pain. This may include orthopaedic footwear, shoe selection guidance, orthotics and/or foot related products such as a metatarsal pad. If you know your condition and want to learn about new products and treatments please give us a call.