Internal Modifications

Metatarsal Pad

• placed just behind the problem met head

• metatarsalgia or localized callosities on the ball of the foot.

• Relieves pressure under metatarsals

• great comfort for dress shoes

Metatarsal Bar

• wider metatarsal pad

• corns and calluses across the metatarsal arch

• evenly distributes pressure across entire met arch

• by reducing pressure corn and callus will reduce

• hammer toes & plantar flexed mets

Scaphoid Pad/Long Arch Pad

• placed from behind 1ST mpj to anterior of the heel

• additional medial arch support

• help pronation

• plantar fasciitis

• acts as a shock absorber

• 1ST met & 1ST mpj disorders

Sesamoid Pad/Dancers Pad

• place on top of met heads w/ big toe in the pocket

• turf toe & sesamoiditis

• irritations under the big toe

• relieve calluses and blisters under the big toe

• common use by dancers

Morton’s Extension

• Added under first met head & extends to 1ST ipj, or end of hallux

• 1/18– 3/16’’ thickness

• Increase load under 1ST met head

• Use in orthotics or shoe insert

• Hallux limitus, use flexible material to help increase 1ST mpj range of motion

• Hallux rigidus, use rigid material to limit joint motion

• for rigid design use with met rocker

Neuroma Pad

• pad placed between metatarsal shafts to relief nerve pain

• more commonly between 3RD and 4TH met shafts

• pad 1/8 to 1/4” high use with wider shoe to achieve relief

• use in orthotics or shoe insert

Excavations:

insole excavation include filters with silicone gel, ppt, or poron top cover.

• heel

• midfoot

• forefoot

  • heel spur excavations

  • reduces impact pressure in painful area

  • work great for bony prominences

  • filled with memory foam

  • concave (horseshoe, donut)

 

Internal Shoe Adjustments

• heel grips

• tongue pads

• felt half insoles

• halters

• felt heel pads

• horseshoe correction

Eneslow’s Dress Comfort Combination
PPTCut Out At The Ball; Forefoot Rocker; Arch Support With Leather Cover

• excavation of the forefoot

• filled with soft foam or liquid ppt

• arch support covered with upper matched leather

• optional metatarsal pad for pressure relief

• optional heel wedge for more correction

• inside of the shoe covered with leather insole

• 1/4’’ forefoot rocker

This is eneslow’s unique modification, making walking in high heel shoes unbelievably comfortable. You can stand and walk longer without foot pain.