Metatarsal Pad
A small, dome-shaped padding element placed proximal to the metatarsal heads within a shoe or orthosis to redistribute forefoot pressure and relieve discomfort.
Full Definition
A metatarsal pad is an orthotic component used to offload the metatarsal heads by transferring plantar pressure proximally onto the metatarsal shafts. It is indicated for conditions such as metatarsalgia, Morton's neuroma, and forefoot callosity. In clinical documentation, the pad's position must be stated precisely, as misplacement distal to the metatarsal heads can exacerbate symptoms. Editors should distinguish metatarsal pads from metatarsal bars (an external shoe modification) and from metatarsal domes, which are a subtype of pad with a more pronounced apex.
Usage
Usage note: 'Met pad' is acceptable in clinical notes but should be expanded to 'metatarsal pad' in formal reports and publications. Do not conflate with a metatarsal bar, which is applied externally to the shoe sole.
In Context
- "A metatarsal pad was incorporated into the orthosis proximal to the second and third metatarsal heads to alleviate metatarsalgia." — Orthotic prescription record
- "Authors should clarify whether the intervention was a metatarsal pad (intrinsic) or a metatarsal bar (extrinsic shoe modification), as these are distinct interventions." — Systematic review editorial note