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Mr Lucky JeyaseelanConsultant Trauma & Orthopaedic Foot & Ankle Surgeon
Patient information

Freiberg's disease

Freiberg's disease is a condition where part of the head of a metatarsal bone (usually the second) loses its blood supply and flattens.

Medically reviewed by Mr Lucky Jeyaseelan, Consultant Trauma & Orthopaedic Foot & Ankle Surgeon (GMC 6164291) · Last reviewed October 2026

What is it?

Freiberg's disease is a condition where part of the head of a metatarsal bone (usually the second) loses its blood supply and flattens. It most often affects teenagers and young women.

What causes it?

  • Repeated stress on the bone.
  • Changes in the blood supply to the bone.

Common symptoms

  • Pain and swelling under the ball of the foot, near the second toe.
  • Stiffness of the toe joint.

How is it diagnosed?

Diagnosis is by X-ray, with an MRI scan in early cases.

Things you can do now

  • Wear stiff-soled or rocker-soled shoes
  • Use an insole that offloads the ball of the foot
  • Rest from high-impact sport

Treatment

Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include rest, a stiff-soled shoe or insole, a period in a boot and surgery to tidy or reshape the joint for ongoing symptoms.

Mr Jeyaseelan will talk you through the options that are right for you at your consultation.

When to see a specialist

  • Pain and swelling at the base of the second toe
  • Stiffness in the toe joint
  • Pain persists despite footwear changes

What to expect

Early cases often settle with rest and offloading. Surgery to tidy or reshape the joint helps those with ongoing pain.

Common questions

Where can I see a specialist about Freiberg's disease in London?

Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with freiberg's disease at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.

Do I need a GP referral?

Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.

This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.

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