| Diagnosis | Description | Treatment |
|
Metatarsalgia |
Plantar forefoot pain aggravated By loading (especially on hard surfaces). |
Unload and cushion MT heads. |
|
|
|
|
|
Claw Toes / Hammer Toes |
Dorsal toe (PIP) irritation +/- top tip pain. |
Accommodate with depth shoes or stretching, cushion toes-toe pads, toe crest |
|
|
|
|
|
Pes Cavus Supination |
Lateral ankle pain and instability, lateral foot overload-pain and calluses; metatarsalgia.
|
Lateral heel flair +/- wedge, orthosis with lateral forefoot post and MT head relief. |
|
|
|
|
|
Pes Planus Pronation |
Fatigue/ Arche in arch. Pain in arch |
Semi-rigid orthotic; shoes with extended heel counters; medial heel wedges. |
|
|
|
|
|
Rheumatoid Arthritis |
Severe hallux valgus; marked plantar MT head prominence, claw toes, bunionette. Severe hallux valgus; marked plantar MT head prominence, claw toes, bunionette. |
Accommodate extreme deformity-depth or custom Shoe. Unload and cushion MT heads.
|
|
|
|
|
|
Heel Pain / Plantar Fasciitis |
Central heel pain +/- arch pain. |
Initial- pre-made heel cup support or orthosis. Resistant cases- custom orthosis with rigid heel rim and central cushioning. |
|
|
|
|
|
Bunion / Bunionette |
Pain over medial or lateral forefoot prominences. Pain over medial or lateral forefoot prominences. |
Wide toe box shoes; Longitudinal arch support; shoe stretching. |
|
|
|
|
|
Tib Post Tendonitis / Rupture |
Medial ankle and arch pain; lateral ankle impingement pain. |
Semi-rigid arch supporting orthosis, shoe with extended medial counter or medial stabilizer. Semi-rigid arch supporting orthosis, shoe with extended medial counter or medial stabilizer. |
|
|
|
|
|
Plantar Ulceration |
Diabetic Neuropathy |
Full contact orthosis unloading high pressure areas; rocker sole, depth or custom shoes. |
|
|
|
|
|
Interdigital Neuroma |
Burning, tingling, aching pain radiating into two adjacent toes. |
Metatarsal elevations (pad) shoes with a wider toe box and lower heel. |
|
|
|
|