ADDITIONS & ACCOMMODATIONS
Heel Cushion
Material / Characteristics
- 3mm Poron®
Location
- Entire surface of heel cup, extending distally to level of anterior calcaneus
Indications
- Heel pain
- Heel spur
- Reduced fibro-fatty pad
Heel Raise
Material / Characteristics
- Firm EVA
Location
- Adhered to Plantar surface of extrinsic rearfoot post
Indications
- Leg length discrepancies (unilaterally)
- Archilles tendinitis (use bilaterally)
Heel Aperture with Poron® Fill
Material / Characteristics
- Firm EVA
Location
- Adhered to Plantar surface of extrinsic rearfoot post
Indications
- Leg length discrepancies (unilaterally)
- Archilles tendinitis (use bilaterally)
Rigid Shaft Extension
Material / Characteristics
- Extension of shell material sub 1st Metatarsal- Phalangeal joint
- Polypropylene only
Location
- Continuation of shell material to end of 1st digit
Indications
- Halux Limitus / Rigidus
- Short 1st Metatarsl with Hallux Limitus or pain on dorsiflexion
- Turf toe
Contraindications
- Normal 1st MPJ ROM (will act as a splint / facilitate low gear toe-off)
Met Bar
Material / Characteristics
- Prefabricated Poron® pad (small, med, large sizes - based on foot size)
Location
- Centred on 2-4 Metatarsals extending 3-4mm beyond distal edge of device
Indications
- Metatarsalgia
- Forefoot callusing
Met Dome
Material / Characteristics
- Prefabricated Poron® pad, tear-drop shaped (small, med, large sizes - based on foot size)
Location
- Centred on 3rd Metatarsal, extending 3-4mm beyond distal edge of device
Indications
- Metatarsalgia
- Dropped lesser Metatarsal
- Forefoot callusing
- Interdigital neuroma
- Intermetatarsal-phalangeal bursitis
Contraindications
- Rigid / immobile forefoot
Reverse Mortons Extension
Material / Characteristics
- 3mm Cushion Cork
Location
- Applied to distal / dorsal aspect of shell to level of sulcus 2-5 MPJ (no cork sub 1st MPJ)
Indications
- Plantar-flexed 1st ray
- Low gear push off
- Forefoot Valgus
Contraindications
- Hallux Limitus / Rigidus
- O/A with Osteophytic Lipping
- 3mm Poron®
Functional Hallux Limitus
Material / Characteristics
- 3mm EVA
Location
- Applied from distal / plantar aspect of shell to sulcus, square-shaped cut out to 1st MPJ (*1st Met cut out in shell automatically performed with this addition)
Indications
- Functional Hallus Limitus
Contraindications
- Anatomical Hallux Rigidus / Limitus 1st MPJ O/A with osteophytic lipping
Mortons Extension
Material / Characteristics
- 3mm Cushion Cork
Location
- Sub 1st Metatarsal - phalangeal joint extended from distal end of shell to sulcus
Indications
- Short 1st Metatarsal in relation to length of 4th / 5th Metatarsals
- Dorsiflexed 1st Ray
- Hallux Limitus (mild)
Contraindications
- Long 2nd Metatarsal in relation to Metatarsal
Forefoot / MPJ Lesion
Material / Characteristics
- 3mm Cushion Cork extension (or Poron®)
Location
- Forefoot extension tapered onto distaldorsal aspect of shell extending to level of sulcus (1-5) with cut out to lesion site (as marked on negative cast)
Indications
- Persistant / painful corn, callus or plantar warts / ulceration
- Dropped Metatarsal-phalangeal joint
- MTPS Capsulitis
Contraindications
- Will add extra thickness in forefoot area, therefore not recommended unless footwear can accommodate adequately
Dancer’s Pad
Material / Characteristics
- 3mm Cushion Cork extension to sulcus
Location
- Forefoot extension started at the base of the Metatarsal, extending to level of sulcus with a cut out to the 1st MPJ (*1st Met cut out in shell automatically performed with this addition)
Indications
- Rigid, severely plantarflexed 1st ray
- Sesamoiditis
- Fractured Sesamoiditis
- Contused Sesamoiditis
Contraindications
- Hallux Limitus / Rigidus
- 1st MPJ O/A