Metatarsal Pad (Correct Placement)

In this video I demonstrate how to place a metatarsal pad on an orthotic to help treat metatarsalgia (ball of the foot pain). When I am not using a custom orthotic, I use the Tread Labs (alnk.to/gVLoPTc) and purchase the additional metatarsal pads. Here are some important pointers...
✅ First, find the 2nd, 3rd and 4th distal metatarsal joints.
✅ Choose an appropriately sized metatarsal pad for your foot.
✅ Place the metatarsal pad just behind the metatarsal head where the pain is. NOT on the sore spot!!
✅ I prefer to place the pad under the orthotic as to provide a more gradual bump/drop off for the bottom of the foot.
✅ Having new orthotic and metatarsal pads can be a little uncomfortable at first, so it's not uncommon to take a few days to break them in.
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[@vanman724]

Excellent video, thanks Paul.

[@karinyoungsrensen3509]

Thank you for your easy to understand instructive video. I have been told to buy the arches but not been told where exactly to place them in my shoes. I have used them for a little over a year, but I can s❤we from your video why they haven’t had full effect. Thank you.

[@timw491]

That was a very helpful video. Thank-you for making this. No nothing about orthotics, where to buy them, how to size them or who can provide that service. Any additional information on that would also be helpful.

[@bschilling531]

You explained this very well. Thank you so much! My podiatrist didn't even tell me about the pads. I learned about them by researching the problem online. Tight calf muscles seem to make the problem worse. I wish that I could get my calves to relax. The flexor hallucis longus (going to big toe) is tight as a guitar string.

[@carpediem4413]

What a great video - thanks so much for this!!!

[@aarondimock7855]

Well explained. I’m placing mine and wondering how it should feel when placed correctly

[@OrthoEvalPal]

Actually, it shouldn't feel like much when placed correctly. Just behind the metatarsal heads

[@jonirwin6682]

First thank you for providing some very helpful information. I'm wondering if you have videos/advice on PT rehab for a plantar plate tear. I have some idea based on reviewing all the videos but didn't know if you had any additional or specific ones for exercise and massage.

[@carolhartzell5003]

Thank you

[@OrthoEvalPal]

You're welcome!

[@jessiguignard2240]

Where can I find the video on how to stretch the calf for pre dislocation capsulitis ?

[@therealdjway]

Thanks for this video Doc. This looks like an intelligent approach. May I ask your recommendation for how to properly fit and select these orthotic? I wear size 9.5 / 10

[@cz5836]

I wear two insoles two metatarsal gel pads and sometimes even put cardboard in my shoes. How bad is my problem?

[@Wiscwin1]

no clue what I have.. my small toe down about inch kills from the side of foot to bottom of foot the distance of the toe next to small one. been wearing extra wide new balance maybe need to switch to a rocker type?

[@takitam2521]

Is it good idea to use adhesive metatarsal pad on flat insoles if i dont have completely collapsed longitudal arch? I have custom orthotics (in odler technologies), buty they dont fit into lighter shoes so I was wondering if this would be bad idea to jus use those adhesive pads.

[@babettealtman1551]

I just found out of have Morton’s Neuroma under 2nd -3 3-4. I also have a thinning heel pad and need an orthopedic that has a deep cup and cushion on bottom of heel. Would that be something for custom orthotics. I don’t know anyone to make them . Like to try Trend labs - looks like hard bottom. Going nuts trying to resolve. Hope you can help

[@phalangeish]

Try living with it for 33 years... In both feet. Had mine removed at age 19. Instant relief. No pain for over ten yeas. SOLUTION! Today's doctors? No one will remove them. They want their TREATMENT money to never end. $$$$$

[@juliavaara3502]

Also fold down the insole so that it’s possible to see how far up on the foot you are placing the pad

[@daisymay247]

How would you treat metatarsalgia with a hammer toe? Thanks

[@OrthoEvalPal]

This is what I would do for both.

[@mbarb54]

You provide some useful information about metatarsalgia. Your placement instructions are only useful if one uses the Treadlabs inserts. There are lots of other metatarsal pads out in the marketplace and other useful KZbin videos that show how and where to place the pads if they are NOT Treadlabs. Maybe you are a sponsor for Treadlabs?

[@pamsearles]

I place metatarsal pads on top of orthotic insole. Why do u put it on the bottom of insole?

[@OrthoEvalPal]

Great question Pam! You can do it either way. I like to do it from underneath as to make the "bump" or pad more of a gradual support. 95% of the time, underneath.

[@hisfeet5723]

wow very nice foot

[@marensirine6464]

Is there a good solution for barefoot dancers? In pain in Hawaii!

[@OrthoEvalPal]

Keep the calves flexible. Use an orthotic with a met pad when not dancing to decrease constant irritation and strengthen the intrinsic muscles of the foot.

[@pseudonamed]

That's much further toward the toes than most of the other demos I've seen. Now I'm confused.

[@Pete.Ty1]

👍👍👍.Thank you

[@OrthoEvalPal]

You are welcome!

[@phalangeish]

I wish you would have stuck the pad ON THE FOOT to show us where to place it.

[@ScribblyDoodle]

He does... Did you not make it to the 3 minute mark?

[@Rofflemywaffle]

Tik tok attention span, you and everyone who upvoted this silly comment

[@JannyBesmircher]

WIsht they had wide toebox insoles

[@bingobandit]

Don't do it if you've had an operation on your metatarsal, all they do it create more problems.

[@OrthoEvalPal]

Correct. You should not put a metatarsal pad over the surgical area.

[@bingobandit]

@@OrthoEvalPal I found out the hard way. only 5 weeks in. On top of that now I guess I have Cuboid syndrome.