Our expert says:
Bone spurs do not normally form on the ball of the foot, it could be that you have a dropped transverse metatarsal arch causing an uneven weight distribution on the forefoot. This will lead to thick callus formation, normally on the heads of the 2nd and 3rd metatarsals. Surgery is not usually recommended for this condition, I suggest you try to use an insole first. Its difficult to comment on individual cases without having seen it but the orthotic need not be too big or bulky for smarter shoes. The insole should do two things; support the metatarsals to lift the middle of the forefoot and to give cushioning to replace the fatty pad. This need not be expensive or bulky.
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