Secondary metatarsalgia can transpire if you have health concerns or do activities that increase strain on your own forefoot. Examples involve: Pain that worsens when you stand, operate, flex your ft or walk — Particularly barefoot on a tough surface area — and increases any time you rest Rheumatoid arthritis https://www.theorthopaedicandpainpractice.com/using-orthopaedic-and-pain-management-strategies-to-tackle-foot-pain-near-the-arch/