Custom Orthotics Helps the Foot

By Dr. Brent Bowden

What is Metatarsalgia?

Metatarsalgia is a condition where there is pain in the area of the ball of the foot. The foot has two different arches. The long longitudinal arch which goes from the heel to the ball, and the metatarsal arch which goes from the big toe to the small toe at the level of the ball of the foot. When there is a collapse of this metatarsal arch, it can cause pain across the forefoot area. This problem can become worse with the formation of a neuroma.

What is Mortons Neuroma?

A neuroma is an enlargement of the nerve in an area of irritation. The most common area for a neuroma to form is between the 3rd and 4th toes, at the ball. This is known as a Mortons Neuroma. When this happens, it will send pain up into the toes, and can also cause pain in the ball of the foot. Sometimes the 3rd and 4th toes will become numb. One of the treatments for this problem is to add a metatarsal arch onto your custom orthotics. This is a small soft triangular raise that is positioned on the Custom Orthotic just behind the ball of the foot. This will support the arch, and allow the metatarsal heads to spread slightly, and reduce the irritation on pinch on the nerve. A Custom Orthotic with a metatarsal raise can be an effective treatment for this problem.

How can Custom Orthotics help with pronation?

Pronation is what is commonly referred to as a flat foot. The long arch of the foot collapses and the foot elongates. This bio-mechanical problem can cause pain in the foot, and further up the leg. When this pronation occurs it causes a rotation in the lower bones of the leg. This can be a factor in other problems. This flattening of the foot will cause pain in the arch which becomes worse the longer you are on your feet. It can cause many other problems, such as shin splints and achillies tendonitis.

How can Custom Orthotics help with supination?

A high arch foot is usually in conjunction with supination. Supination is also usually in conjunction with plantar fasciitis. Supination causes someone to plant their foot on the outside of their shoes. Custom orthotics can place a wedge on the outside portion of the custom orthotic that will balance that area of the foot as well as offer support to the inside of the foot. Treatment through the use of custom orthotics can be very effective for those with problems with supination. - 30519

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