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Living with Freiberg disease

A rare condition affecting the long bones of the foot, usually the second or third metatarsal, causing pain and a limp.

Understanding Freiberg disease

Freiberg disease, or osteochondrosis of the metatarsal bone, is a rare condition that mainly affects the second or third long bone of the foot.

Common symptoms are pain and stiffness at the front of the foot, often leading to a limp. People may also have swelling, limited motion, and tenderness. Symptoms are generally triggered by weight-bearing activities such as walking. It usually starts in the teen or adult years.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Foot pain
  • Stiff joints
  • Limp (gait disturbance)
  • Swelling in the foot
  • Joint pain and arthritis
  • Flattened head of the foot bone

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists and bone and joint specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Bone and joint specialists (orthopedists or orthopedic surgeons)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which imaging confirms the diagnosis?
What options are there to relieve pain, such as shoe changes?
When might surgery be considered?

Quick facts

Symptoms usually startTeenager and as an Adult

The exact cause is currently unknown.

Also known as: avascular necrosis of the metatarsal bone; freiberg infraction; freiberg-kohler syndrome; freiberg's disease; freiberg's infraction; juvenile osteochondrosis of second metatarsal

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Freiberg diseaseGARD ID 2380 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Freiberg disease.

Explore the Freiberg disease blog

Explore research for Freiberg disease

Explore actively recruiting Freiberg disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Freiberg disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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