Metatarsal Accommodations

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Accommodations are made from various densities of EVA* and Poron* materials determined by our lab based on patient weight/condition and predetermined practitioner preferences.

Met pad

metatarsal-img-1 Triangular dome shaped EVA pad placed proximal to the 2nd, 3rd and 4th metatarsal heads.

Indications: Metatarsalgia, dropped metatarsals, interdigital neuroma, hammer toes, hallux valgus, rigid/immobile forefoot.

Met bar

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EVA pad spanning from 1st to 5th metatarsals, beginning atshaft and extending to the met head.

Indications: Metatarsalgia, reduced transverse arch, dropped metatarsals, forefoot callusing.

Dancer’s pad

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EVA forefoot extension starting at the base of the metatarsals and extending to sulcus with a cut-out located sub 1st MPJ.

Indications: Rigid plantarflexed 1st ray, sesamoiditis, fractured sesamoides.

Sub-met bar

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EVA or Poron pad located in the forefoot area of the orthosis directly below the metatarsals, may include u-shaped cut-outs to offload specific met heads.

Indications: Forefoot callusing, reduced forefoot fat pad. Cut-out used for dropped or painful MPJ and sub-MPJ lesions, ulcers, calluses, corns or plantar warts.

Pocket met heads

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Hole in forefoot of orthosis sub-indicated- MPJ, filled with PPT or soft EVA.

Indications: Painful and persistent callus, corn or plantar wart, lesion or ulcer sub-MPJ.

  • * EVA: Ethylene vinyl acetate is the copolymer of ethylene and vinyl acetate. It’s an extremely elastic material that can be sintered to form a porous material similar to rubber, yet with excellent toughness. It is resistant to cracks and ultra violet radiation.
  • * PORON: cellular urethanes are engineered, medium density, microcellular (cells are roughly 100 microns) foam material. They are used in orthopedic and prosthetic applications, including custom orthotics, custom prefabricated orthotics, prosthetic padding and other biomechanical supports. PORON is a good shock attenuator and is very durable. It is commonly used as the middle layer of laminated soft orthotics. It is not good cover due to its poor abrasion resistance.