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Sunday, October 10, 2010

Metatarsal Pain: Shoe Modification to Help with Sesamoiditis, Neuromas, Metatarsalgia, Metatarsal Stress Fractures

     This is a pictorial view of the process used when orthotic modifications have not been enough to take away pressure from a sore area at the bottom of the foot. In this case with Sidney, his right big toe joint is very sore and needs this softness placed into the midsole of the shoe to off-weight the area. Any weight bearing areas can be modified in an athletic shoe like this to take stress off the painful spot. The hole created is normally 1/2" to 1" in depth. The extra padding is as soft as the cobbler/pedorthist/podiatrist can find.

Here a scapel is used to carve out the initial square/rectangle area. Care is taken not to go all the way to the side of the shoe disrupting the stitches between the upper and midsole, and care is taken not to cut through the bottom of the shoe.
After the initial cuts, a flat screw driver is used to prey up the piece needing removal.
Here the section to be removed is demonstrated in a closer view.
Here the hole created is demonstrated and can be filled with a number of soft materials.
Here the soft material I will use is being measured against the piece removed. Depending on the thicknesses of material, you may need more than one piece of padding to completely fill the hole.
And the final product!! But not as beautiful as the Giants come from behind victory today against the Braves.

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.