Hi. I am a podiatrist. Before we get too far, this is a useful info sheet for Friedberg's disease. http://www.walkwithoutpain.com.au/freibergs-disease Ultimately, the 2nd metatarsal head gets traumatised due to being overloaded. This comes about because the 1st metatarsal is not doing its job properly, fails to bear weight and passes that weight over to the 2nd bone. A correctly made orthotic should do the job properly. An important feature includes a depression under the length of the 1st metatarsal head to allow it to sit low and be stabilised by the peroneus longus muscle action. Contoured padding under the sore bone will further decrease the pressure load on it. There is a surgical option to cut off the 2nd metatarsal head. The problem with that is this - initially there was too much pressure on metatarsal 2 and it got sore. Now that there aren't five bones anymore, only four, the pressure on the other bones will increase. Often metatarsal 4 will soon get sore a few months later in just the same way. For this reason, surgery such as this should be avoided, especially at your age with many years of walking in front of you. I would suggest seeing a good podiatrist and getting the orthotic insert as good as it can be. All the best with the process. Stephanie</span>
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