Freiberg’s disease, or avascular necrosis of the metatarsal head is a rare, painful bone disorder. It is most commonly seen in adolescence between 12 and 18 years of age.
There is no known cause of Freiberg’s in fraction, it is thought that trauma may initiate the problem.
There can be pain, swelling, redness, or warmth on the top of the foot. The diagnosis is confirmed by imaging studies and a complete examination.
Symptoms can last for a few days, or may persist for up to two years.
Freiberg’s infraction usually resolves within a year and the metatarsal head regains its size, density, and structure.
Our treatment at Advanced Podiatry of Manhasset, Huntington, Plainview and Maspeth is designed to reduce the pain; and this can be in the form of: custom foot orthotics, more supportive shoes, stiff soles, rocker soles,or boot mobilization if pain is severe. Steroid injections may help to relieve pain and reduce inflammation of the joint capsule.
If conservative therapy is unsuccessful, surgical correction by our expert podiatrists at Advanced Podiatry would be indicated. Surgical options could range from simple debridement of the eroded cartilage, tip-up osteotomies to deflect the eroded cartilage, autogenous, or synthetic graft plugs to restore the surface of the cartilage, osteo-articular transfers commonly called OAT procedures; and in the most severe cases, joint implants.
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