“Metatarsalgia” is an injury to the soft tissues surrounding the small metatarsal joints. The 2nd metatarsal joint is the most commonly injured. The joint can be mildly sore, and the corresponding toe can ache, or if worsens it can become swollen, and very painful. Sometimes the 2nd toe can become unstable and “pop up”. Often there is a bunion deformity present which can destabilize the 2nd joint as it has undue pressures pressing over onto the 2nd toe. For women, this will make high heel walking difficult, and barefoot walking can be uncomfortable too. This problem should be treated quickly with aggressive conservative treatments. Stabilizing the 2nd toe joint while treating swiftly is absoulutely imperative, as ongoing injury may lead to surgical corrections, as the tissue can tear from all the pressure and abnormal stresses.