Metatarsal Osteotomy

If you are experiencing pain under the ball of the foot, forefoot calluses, or toe instability that has not improved with conservative treatment, metatarsal osteotomy may be recommended. At Surgical Solutions Network, we offer private foot surgery at our surgical centre in New Westminster, British Columbia for patients seeking timely access to private care in Canada. A metatarsal osteotomy is a procedure in which a surgeon makes a controlled cut in one of the metatarsal bones and shifts it slightly to improve alignment, reduce pressure, and relieve pain. This procedure may help restore comfort with walking, standing, and wearing shoes. 

At Surgical Solutions Network, our experienced surgeons perform metatarsal osteotomy procedures to help relieve forefoot pain, improve alignment, and support better foot function. We provide patient-centred care, timely access to private surgery, and support throughout every stage of treatment and recovery. 

Why Choose Surgical Solutions Network for Private Foot Surgery? 

Our surgeons are committed to delivering safe, effective surgical care tailored to your condition, symptoms, and recovery goals. At Surgical Solutions Network, patients benefit from: 

• Timely access to private surgery 

• Accredited surgical facilities 

• Experienced surgeons and healthcare teams 

• Patient-centred care and recovery support  

What Does a Metatarsal Osteotomy Treat? 

A metatarsal osteotomy is a foot surgery where a surgeon makes a controlled cut in one of the metatarsal bones (the long bones behind the toes) and shifts it slightly to improve alignment, reduce pressure, and relieve pain. 

It may be recommended for conditions such as: 

• Metatarsalgia (pain under the ball of the foot from high pressure or overload) 

• Plantar plate injury or toe instability (in selected cases, often combined with soft-tissue repair) 

• Hammertoe or toe drifting related to metatarsal length or joint mechanics 

• Bunion-related mechanics (certain metatarsal procedures are used to correct alignment) 

• Calluses under the forefoot caused by uneven weight distribution 

Surgery is typically considered when symptoms persist despite non-surgical care such as footwear changes, orthotics, padding, activity modification, and anti-inflammatory treatment. 

Who Is a Candidate for Metatarsal Osteotomy? 

Most forefoot symptoms are initially managed with non-surgical treatment. However, if pain, pressure, calluses, or toe instability continue despite conservative care, surgery may be considered. Metatarsal osteotomy may be appropriate for patients whose symptoms are affecting mobility, comfort in shoes, or daily activities. 

How Does a Metatarsal Osteotomy Work? 

The exact technique depends on which metatarsal is involved and the problem being treated. In general: 

• A small incision is made over the affected area. 

• The surgeon cuts the metatarsal bone in a precise way. 

• The bone is shifted (for example, shortened, lowered, or realigned) to reduce pressure or correct mechanics. 

• The bone is usually secured with a small screw or pin while it heals. 

• The incision is closed and the foot is bandaged. 

Metatarsal osteotomy is often performed along with other procedures, such as hammertoe correction or soft-tissue repair, depending on your foot structure and symptoms. 

Benefits of Metatarsal Osteotomy 

Depending on the condition and technique, a metatarsal osteotomy may offer: 

• Reduced pain under the ball of the foot 

• Improved toe alignment and stability (in selected cases) 

• Reduced callus formation from pressure points 

• Improved comfort in shoes and with walking 

Risks and Possible Complications 

Risks vary by procedure but may include: 

• Infection, bleeding, nerve irritation, or delayed wound healing 

• Ongoing swelling or stiffness 

• Bone healing problems (delayed union or non-union) 

• Transfer pain (pressure shifting to a neighbouring metatarsal) 

• Hardware irritation (screw/pin discomfort) 

• Recurrence of symptoms or need for further surgery 

Your surgeon will review your specific risks based on your foot structure, the planned correction, and your health history. 

Recovery After Metatarsal Osteotomy 

Recovery depends on the osteotomy type and any additional procedures: 

• You may need a post-op shoe or boot, and sometimes crutches, for a period of time. 

• Weight-bearing instructions vary (some patients can walk right away with protection; others need more restriction). 

• Swelling can take weeks to months to fully resolve. 

• Follow-up visits are used to monitor healing and guide return to regular footwear and activity. 

Your care team will provide a clear plan for wound care, activity, and return to work based on your surgery. 

Next Steps: Book Your Consultation Today 

If forefoot pain, calluses, or toe instability are limiting your mobility, we are here to help. Contact Surgical Solutions Network to request a consultation and learn more about metatarsal osteotomy. Visit our Contact Us page or give us a call, and a member of our team will guide you through the next steps.