Orthopaedic Treatment in Propulsive Metatarsalgia

Inclusion Criteria: * Mechanical pain in the 2nd or 3rd metatarsophalangeal joint (MTPJ) * Positive Laschman's drawer test in 2nd or 3rd MTPJ. (CITA) * Physical exploration revealing pain upon the palpation in plantar plate ( when cranial-caudal pressure was directly applied in the plantar aspect of the 2nd or 3rd MTPJ). (CITA) * Availability of dorsal-plantar and lateral wheightbearing radiography of the affected foot. Exclusion Criteria: * Subjects with at least one of the following were excluded. * Deformity of the 2nr or 3rd metatarsal head (MTH) (Freiberg's disease) * Morton's neuroma and/or neuritic symptomatlogy y referred. * Rigid claw or hammer toe (positive Kelikian test) whithin radiographic dislocation of 2nd or 3rd MTPJ. (CITA) * Dermatological lesión plantar to 2nd or 3rd MTPJ (intractable plantar keratosis (IPK), foot ulcer, plantar wart, etc.) * Neurological, methabolical, vascular or rheumatological not-controlled systemic disease with potential manifestations in foot and ankle. * Previous history of foot or ankle surgery entailing limitations in mobility and/or alterations of the metatarsal parabola. * Previous history of foot or ankle fracture * Morpho-functional alteration of the lower limbs: clinical asymmetry greater than 10 mm and presence of asymmetric genu varus or valgus. * Alterations of the cognitive state preventing to understand the objective of the study and guidelines to follow for their participation.