The second and third metatarsals are the most common to give rise to stress fractures. A metatarsal stress fracture usually occurs at one location on one metatarsal bone at any given time. The more fatigued the foot and legs are, the greater the risk of stress fractures. The symptoms of a stress fracture are pain with running, progressing to pain while standing or walking. The pain is felt more on the top of the forefoot rather than the bottom. You may notice subtle swelling on the top of your forefoot. Usually, you can find the most painful location on the top of the affected metatarsal bone with your finger. If you suspect a stress fracture, seek professional help to make the diagnosis and guide your treatment.