The pain in the thick fleshy part of the forefoot is usually caused by fasciitis of the metatarsal phalanges, or strain on the metatarsal phalanges, as follows: 1, walking posture is not correct, the painful area is squeezed resulting in; 2, ageing, osteoporosis, bone aging, bone degeneration leading to pain; 3, long-term standing or walking, heavy physical labor, the metatarsal phalangeal joint area produces chronic inflammation, inflammatory stimulation, namely fasciitis or arthritis of the metatarsal phalanges, which leads to pain ; 4, tendon sheath stenosis: the reason is similar to the previous point, the narrowing of the tendon sheath in the metatarsophalangeal joint area leads to tenosynovitis, part of which may produce a gourd head-like substance, thick on both sides and thin in the middle, sliding in the tendon sheath, so there is a ringing sound when walking, more pain, can be relieved by rest, oral non-steroidal painkillers, warm baths, hot compresses, physical therapy.