Freiberg’s Disease usually begins as a pain in the ball of a child’s foot. Its onset is often linked to an injury to the growth plate of one of the long bones behind the toes, called metatarsals. The loss of blood flow to the growth plate causes pain. Freiberg’s Disease is most frequently seen in adolescents between the ages of 13 and15. It is three times as likely to occur in females as in males. Treatment for Freiberg’s Disease consists of reducing pressure under the affected bone. This may require the use of crutches and/or prescription of a custom orthotic.