ANSWERS 2026/2027 || PEDORTHIC PRACTICE & CLINICAL
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68 QUESTIONS AND ANSWERS
Metatarsalgia - CORRECT ANSWER - -Generic term for pain in the
forefoot/ball from repetitive stress, associated with a drop or collapse of the
metatarsal arch causing the soft tissue to be pinched or trapped between the bones
Metatarsalgia treatment - CORRECT ANSWER - -reduce and redistribute
forefoot pressure, reduce painful joint motion, and correct any forefoot
malalignment
Metatarsalgia foot orthotic - CORRECT ANSWER - -Total contact to transfer
forefoot pressure into the longitudinal and metatarsal arches
-Post adjacent metatarsals heads as necessary
-Shock absorbent materials under metatarsal heads and toes
Metatarsalgia shoewear - CORRECT ANSWER - -Lower heel to reduce
forefoot and metatarsal head pressure
-Utilize shock absorbent soling
-Utilize longer and wider shoe to reduce medial-lateral circumference pressures
,Metatarsalgia shoe modification - CORRECT ANSWER - Rocker bottom sole
to reduce forefoot motion and pressures
-metatarsal bar to shoe to shift pressure proximally
-negative heel modification
-excavation under painful metatarsal
Morton's Interdigital Neuroma - CORRECT ANSWER - Perineural fibrosis-
type of nerve compression syndrome which involves the common digital nerves of
the lesser toes (often 3rd, 2nd)
-reduce forefoot pressure, reduce metatarsal compression to relieve interdigital
nerve entrapment and limit friction or shear inside of shoe
Morton's Interdigital Neuroma foot orthotic - CORRECT ANSWER - -total
contact orthosis with a metatarsal pad to transfer pressure to the longitudinal and
metatarsal arches
-shock absorbent material under metatarsal heads (viscoelastic polymers or
silicones)
Morton's Interdigital Neuroma shoewear - CORRECT ANSWER - -utilize
longer or wider shoe to reduce ML and circumferential or radial pressures
-lower heel to reduce metatarsal head pressure
-long medial counter to support long arch
, Morton's Interdigital Neuroma shoe modifications - CORRECT ANSWER - -
Rocker sole to shoe to reduce FF motion and pressures
-Carefully placed metatarsal pad to elevate and separate metatarsals
-Metatarsal bar to shift pressures proximally
Morton's Toe - CORRECT ANSWER - Congenital short first met, a
hypermobile first met, and calluses under the 2nd and 3rd met.
-reduce forefoot pressure, reduce 2nd MTPJ pressure, and limit friction or shear
inside of shoe
Morton's Toe foot orthotics - CORRECT ANSWER - -total contact with a
metatarsal pad and 1st toe extension to transfer pressure to the longitudinal and
metatarsal arches
-shock absorbent material under metatarsal heads
Morton's Toe shoewear - CORRECT ANSWER - -shock attenuating vibram
sole to reduce plantar pressures
-lower heel to reduce metatarsal head pressure
-long medial counter to support long arch
Morton's Toe shoe modification - CORRECT ANSWER - -rocker sole to shoe
to reduce FF motion and pressures
- carefully placed met pad to elevate and separate mets