A 3mm foam pad placed under 2-5 metatarsal-phalangeal joints to the sulcus. This is designed to take pressure off the 1st metatarsal-phalangeal joint and slightly dorsi-flex the 1st.
Patient benefited: Designed for patients with a plantar-flexed first ray, hallux, Sesamoiditis, and severe forefoot Valgus deformity.
1st Metatarsal Cut Out
A 45° cut to the Orthotic shell under the 1st metatarsal-phalangeal joint at the distal-medial aspect of the Orthotic shell. This is designed to slightly plantar-flex the 1st ray and pronates the forefoot.
For Use: Most commonly used with functional hallux limitus and supinators. A 1st metatarsal cut-out drops the first metatarsal down (into plantar-flexion) and forces the forefoot into pronation, achieving a better toe-off and conversely a better heel strike.