The doctor will typically diagnose this problem with a proper physical exam and simple x-rays. The X-ray will show changes to the 2nd metatarsal head where there will be flattening of the joint space and also some spurring. The X-ray will also be helpful in ruling out any other pathologies such as stress fractures. Once the diagnose is made then treatment consists of steroid injections, custom orthotics, padding, walking boot, and orthotics. All these treatment options can help to reduce pressure and decrease the swelling to the area. Surgery may be necessary if the joint changes become severely painful.