A generalized ache or soreness directly below the metatarsal heads, metatarsalgia results from atrophy of the plantar fat pad that supports the metatarsal heads. It may be accompanied by a plantar callus and, if untreated, may lead to anterior metatarsal bursitis or arthritis of the involved metatarsophalangeal joints.  The metatarsals support about 60 percent of a person's weight.  When the long arch of the foot falls due to overpronation, the transverse arch also collapses. The metatarsal heads now are closer to the ground and skin.
 related conditions: Metatarsal Phalangeal Capsulitis, Forefoot Splaying, Abnormal Calluses
A custom orthotic is made to correct the longitudinal and transverse arch thus realigning the metatarsal heads in their proper position.  A metatarsal pad will also be incorporated into the device to assure long term metatarsal support.