Have you ever had a nagging pain the ball of the foot that doesn’t seem to go away. You feel it if yIu run and it gets better if you stop physical exercises for a couple of weeks. You may even notice some swelling in the area. Pain in the forefoot can have many causes from metatarsalgia to Morton’s neuroma to the dreaded stress fracture. What is a Metatarsal Stress Fracture? The metatarsal bones are a group of five long bones in the forefoot located between the tarsal bones (midfoot) and the toes. A metatarsal stress fracture or a march fracture can be caused by sudden impact or by repetitive microtrauma such as casual walking. A stress fracture progresses over the period of many days, weeks or months. It is characterized by swelling and pain which are exacerbated with further activity and improve with rest. The initial onset of pain and swelling is gradual and hardly noticeable. Strenuous physical activity or high impact exercises can lead to worsening of both t...