PEDORTHIC Exam Questions and
Answers-Management
Metatarsalgia - 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 - Answer--reduce and redistribute forefoot pressure, reduce painful joint
motion, and correct any forefoot malalignment
Metatarsalgia foot orthotic - 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 - 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 - 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 - 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 - 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 - 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 - 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 - Answer-Congenital short first met, a hypermobile first met, and calluses under the 2nd
and 3rd met.
Answers-Management
Metatarsalgia - 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 - Answer--reduce and redistribute forefoot pressure, reduce painful joint
motion, and correct any forefoot malalignment
Metatarsalgia foot orthotic - 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 - 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 - 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 - 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 - 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 - 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 - 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 - Answer-Congenital short first met, a hypermobile first met, and calluses under the 2nd
and 3rd met.
