Metatarsalgia, or forefoot pain, is a general term for a sharp pain, aching or a burning sensation felt at the ball of the foot. There are many causes of this, common ones are being overweight, putting pressure on the delicate metatarsal bones. There can be stress fractures present in active people and also the skin over the affected area can become thick and hard. People with hammer toes and bunions are more likely to also have forefoot pain. Wearing a supportive shoe insert and also using shoes with cushioning soles will help to relieve the forefoot pressure.