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Anyone have any tips/tricks for the application of metdomes ? I find them hugely beneficial when metatarsal bones lie closely parallel to reduce forefoot swelling, -not only with mortons neuroma.

I do have issues sometimes when applying temporary ones.

Several times patients have returned as they have been pressing onto the painful area. Even though I get them to walk around for a couple of minutes before leaving.

I place them inbetween the metatarsal bones with the narrow tear shaped part facing distally.

Any tricks to getting it right?

Thanks

 

http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=3543

 

Jo Jo

I usually place them with the narrow end proximally. This seems to work for me.

 

Jo Jo:

We call them metatarsal pads here in the States, not "met domes".

The narrow aspect of the metatarsal pad should be proximal and the more broad aspect of the pad distal (see illustration below) From trial and error experimentation over the last quarter century, it seems most patients find that if the metatarsal pad is positioned with about 15 mm of the pad anteriorly hanging off the anterior edge of the orthosis plate, this is then the most comfortable/effective position for the metatarsal pad.

 

THanks all,
Very valuable information