Freiberg’s Disease (FD) is not a usual term that we hear on a regular basis!
FD is a relatively rare condition that predominantly affects the second and third metatarsal bones (i.e. foot bones). While FD is nonspecific to a particular age group, it is primarily diagnosed in those from adolescence to the 20’s.
For those suffering from FD, the head of the affected metatarsal essentially dies. As such, FD generally presents as pain, tenderness, swelling, reduced range of motion and stiffness of the forefoot. Over time, these symptoms can lead to the development of a limp. Furthermore, the symptoms tend to present while weight bearing, such as when walking. The exact cause of FD and the death of the affected metatarsal is not totally understood, however, what is known is that genetic and environmental or lifestyle factors may play a role. Also, acute or repetitive insults to the forefoot area and vascular (i.e. blood supply) compromise to a metatarsal bone are theorized as contributing factors in the development of FD.
Diagnosis of FD is usually made via special imaging such as x-ray, MRI, bone scan and/or CT scan. Blood tests may also be ordered by your healthcare team in order to rule out other similar diseases. Typically, FD can be managed conservatively by a Chiropractor or Physiotherapist to control pain, restore range of motion and provide applicable and safe rehabilitation.
If you think you may be suffering from Freiberg’s Disease, contact our office today to book your initial assessment!
Author: Dr. Paolo De Ciantis, B.Sc.(Hons.), M.Sc., D.C.