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Freiberg’s Disease

Physical stress causes multiple tiny fractures which then impairs blood flow to the metatarsal head.

Freiberg's Disease

Are you experiencing pain and stiffness in the front part of your foot?

Freiberg’s Disease, also known as Freiberg infraction, is osteochondrosis (Avascular Necrosis) of the metatarsal head that most often occurs in the second metatarsal head although it can happen to any metatarsal head.

Physical stress causes multiple tiny fractures, impairing blood flow to the metatarsal head. Without blood, the bone cells die, and the bone and joint surface may collapse. Freiberg’s Disease can become a debilitating condition, and if not treated properly, arthritic changes can occur. It commonly presents in adolescence with a 5:1 female: male ratio.


Although not fully understood, the most likely cause is a combination of trauma and vascular insufficiency.


Treatments may be operational or non-operational.


Initial treatment is usually directed toward protection and the alleviation of discomfort.

  • Immobilisation: with limitation of activity for 4-6 weeks.
  • Anti-inflammatories: to reduce inflammation, swelling and pain.
  • Bone Stimulator: to promote bone healing
  • Orthotics
  • Corticosteroid injection


Surgery is considered in patients who have not responded well to non-surgical treatments.

Freiberg’s Disease Surgery

As the disease process progresses, or the acute phase has passed, or the joint has deteriorated, surgical intervention may be of benefit. Depending on the severity of the condition, your surgeon will recommend different procedures.


  • clean-up of the joint and removal of any osteophytes
  • Removal of damaged cartilage


Decompression of the joint by metatarsal shortening osteotomy.


Interpositional arthroplasty


joint replacement.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Podiatric Surgeon Dr Kim is the leading surgeon for Foot Surgery in Brisbane and Gold Coast, contact him today.

No referral needed

Contact Us

A GP referral is welcome however it is not essential for your appointment


Dr Ji Soo Kim (Specialist Podiatric Surgeon) BPodM, DClinPod, FFPM RCPS(Glasg)

Book Appointment

Dr Kim has two offices, one located in Kelvin Grove, Brisbane. The other is in Southport, Gold Coast.

Please call 1300 522 096

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