Question 1

PMP - Single Wing to 1st

Accepted Answer

This addition is designed to offload the 1st metatarsal head and hallux by supporting metatarsals 1-5 as well as metatarsal heads 2-5.  It is like a reverse mortons extension, however, it supports the 1st metatarsal (not head) as well.
Examples of use: Used for fractured sesamoids or wounds or callouses underneath the first metatarsal head.  
Most Common material: Poron or EVA
Most common thickness: 3mm EVA.  3.2mm or 6.4mm Poron
Default: 3mm Soft EVA

Question 2

PMP - Single Wing to 5th

Accepted Answer

This addition is designed to offload the 5th metatarsal head by supporting metatarsals 1-5 as well as metatarsal heads 1-4, creating a deflection under the 5th metatarsal head. 
Examples of use: Used for prominent 5th metatarsal heads, callouses or wounds to the 5th metatarsal head.
Most Common material: Poron or EVA
Most common thickness: 3mm EVA.  3.2mm or 6.4mm Poron
Default: 3mm Soft EVA

Question 3

PMP - Double Wing 1st & 5th

Accepted Answer

This addition is designed to offload the 1st and 5th metatarsal heads by supporting metatarsals 1-5 as well as metatarsal heads 2-4, creating a deflection under the 1st and 5th metatarsal head. 
Examples of use: Used for prominent 1st and 5th metatarsal heads, callouses and some cavus feet.
Most Common material: Poron or EVA
Most common thickness: 3mm EVA.  3.2mm or 6.4mm Poron
Default: 3mm Soft EVA

Question 4

PMP - Sulcus

Accepted Answer

This addition provides padding beneath all metatarsal heads and finishes at the sulcus. 
Examples of use: When all metatarsal heads require cushioning.   
Most Common material: Poron
Most common thickness: 3.2mm Poron

Question 5

PMP – F/L

Accepted Answer

This addition provides padding beneath all metatarsal heads and digits and finishes at the end of a full length orthotic. 
Examples of use: When all metatarsal heads and digits require cushioning.   
Most Common material: Poron
Most common thickness: 3.2mm Poron

Question 6

1-5 Step

Accepted Answer

This addition elevates metatarsals 1-5, but does not sit beneath the metatarsal heads.  It will round off or bullnose at the distal end of the shell. 
Examples of use: Used to offload pressure on all metatarsal heads.  Can be used instead of a metatarsal bar or metatarsal dome.
Most Common material: Poron
Most common thickness: 3.2mm or 6.4mm  Poron

Question 7

2-5 Step

Accepted Answer

This addition elevates metatarsals 2-5, but does not sit beneath the metatarsal heads.  It will round off or bullnose at the distal end of the shell. Similar to a 1-5 step, however, it allows for first ray function.
Examples of use: Used to offload pressure on all metatarsal heads.  Can be used instead of a metatarsal bar or metatarsal dome.
Most Common material: Poron
Most common thickness: 3.2mm or 6.4mm  Poron

Question 8

U shape cut out 2nd

Accepted Answer

This addition is the same shape as a PMP to Sulcus or a plantar pad, with a U shape cut out to the 2nd metatarsal head.
Examples of use: Used to offload pressure on a particular metatarsal head.  
Most Common material:  EVA
Most common thickness: 3mm

Question 9

U shape cut out 3rd

Accepted Answer

This addition is the same shape as a PMP to Sulcus or a plantar pad, with a U shape cut out to the 3rd metatarsal head.
Examples of use: Used to offload pressure on a particular metatarsal head.  
Most Common material:  EVA
Most common thickness: 3mm

Question 10

U shape cut out 4th

Accepted Answer

This addition is the same shape as a PMP to Sulcus or a plantar pad, with a U shape cut out to the 4th metatarsal head.
Examples of use: Used to offload pressure on a particular metatarsal head.  
Most Common material:  EVA
Most common thickness: 3mm

Question 11

Horseshoe Pad

Accepted Answer

This addition is the shape of a horseshoe beneath the heel.
Examples of use: Used to offload pressure on the central plantar heel by elevating it off the surface of the orthotic.    
Most Common material:  Poron
Most common thickness: 3mm

Question 12

EVA Out Toe Gait Plate

Accepted Answer

This addition is the same shape as a rigid out toe gait plate.
Examples of use: Used to correct in toe gait using EVA when a rigid material is not preferred. 
Most Common material:  EVA
Most common thickness: 3mm

Question 13

EVA In Toe Gait Plate

Accepted Answer

This addition is the same shape as a rigid In toe gait plate 
Examples of use: Used to correct Out toe gait using EVA when a rigid material is not preferred. 
Most Common material:  EVA
Most common thickness: 3mm

Question 14

Reverse Mortons Extension

Accepted Answer

This addition supports metatarsals and metatarsal heads 2-5 and finishes at sulcus
Examples of use: Used to promote first ray function or offload the 1st metatarsal and hallux.    
Most Common material:  EVA
Most common thickness: 2-4mm

Question 15

Reverse Mortons - F/L

Accepted Answer

This addition supports metatarsals and metatarsal heads 2-5 and finishes at the end of a full length device. 
Examples of use: Used to promote first ray function or offload the 1st metatarsal and hallux.    
Most Common material:  EVA
Most common thickness: 2-4mm

Question 16

FF Valgus - Sulcus

Accepted Answer

This addition supports a forefoot valgus and sits beneath metatarsals and metatarsal heads 2-5.  It is tapered from full thickness under the 5th metatarsal head down to nothing between the 1st and 2nd metatarsal heads and finished as sulcus.
Examples of use: Used to support a forefoot valgus or promote propulsion off the hallux for someone who laterally toes off (low gear loading).      
Most Common material:  EVA
Most common thickness: 2-8mm

Question 17

FF Valgus - F/L

Accepted Answer

This addition supports a forefoot valgus and sits beneath metatarsals and metatarsal heads 2-5.  It is tapered from full thickness under the 5th metatarsal head down to nothing between the 1st and 2nd metatarsal heads and finishes at the end of a full length device.   
Examples of use: Used to support a forefoot valgus or promote propulsion off the hallux for someone who laterally toes off (low gear loading).      
Most Common material:  EVA
Most common thickness: 2-8mm

Question 18

FF Varus - Sulcus

Accepted Answer

This addition supports a forefoot varus and sits beneath metatarsals and metatarsal heads 1-4.  It is tapered from full thickness under the 1st metatarsal head down to nothing between the 4th and 5th metatarsal heads and finished as sulcus.
Examples of use: Used to support a forefoot varus or in some cases a forefoot supinatus where warranted.       
Most Common material:  EVA
Most common thickness: 2-8mm

Question 19

FF Varus - F/L

Accepted Answer

This addition supports a forefoot varus and sits beneath metatarsals and metatarsal heads 1-4.  It is tapered from full thickness under the 1st metatarsal head down to nothing between the 4th and 5th metatarsal heads and finishes at the end of a full length device.   
Examples of use: Used to support a forefoot varus or in some cases a forefoot supinatus where warranted.             
Most Common material:  EVA
Most common thickness: 2-8mm

Question 20

FF Varus runners wedge

Accepted Answer

This addition is a low bulk forefoot varus support and sits beneath metatarsals and metatarsal heads 1-4.  It is tapered from full thickness under the 1st metatarsal head down to nothing between the 4th and 5th metatarsal heads and finishes in the shape of a in toe gait plate.   
Examples of use: Used as a low bulk alternative to support a forefoot varus or in some cases a forefoot supinatus where warranted.   Good for cycling shoes or running shoes with minimal room in the toe box.            
Most Common material:  EVA
Most common thickness: 2-8mm

Question 21

Cluffy Wedge

Accepted Answer

This addition sits under the hallux and distal to the 1st MPJ.  It is designed to dorsi flex the hullux, therefore, plantarflexing the 1st ray or metatarsal.
Examples of use: Used to promote 1st ray function or initiate it earlier in the gait cycle.
Most Common material:  EVA
Most common thickness: 2-4mm

Question 22

Cuboid notch pad

Accepted Answer

This addition is a soft cuboid support for when an in shell cuboid notch is too rigid.   
Examples of use: Used for a subluxed cuboid or cuboid syndrome.  Can be used for valgus support at the cuboid or on a wedge device.  
Most Common material:  Poron
Most common thickness: 3.2mm or 6.4mm

Question 23

Arch Cookie

Accepted Answer

This addition is a “D” Shaped arch pad that sits on top of the medial arch.
Examples of use: Used to increase the medial arch or add additional padding using a soft material.
Most Common material:  Poron
Most common thickness: 3.2mm or 6.4mm

Question 24

Poron heel Cushion

Accepted Answer

This addition adds poron between the shell and the cover, beneath the heel. 
Examples of use: Used to increase padding beneath the heel, often in patients with plantar heel pain.  Used to decrease the compression forces associated with plantar fasciitis.   
Most Common material:  Poron or Slow Release Poron
Most common thickness: 3.2mm or 6.4mm
Default: 3.2mm Poron

Question 25

J-Pad

Accepted Answer

This addition is a similar shape to a horseshoe pad, however, the medial and anterior corner of the horseshow is removed to decrease ground reaction forces on the medial calcaneus.  It then takes on the form of a “J” in shape.  
Examples of use: Used to offload pressure on the medial plantar heel by elevating it off the surface of the orthotic without irritating the medial planter calcaneus.    
Most Common material:  Poron
Most common thickness: 3mm

Question 26

J-Pad With Heel Spur

Accepted Answer

This addition is the same as a J-Pad, however, it incorporates a medial and anterior Heel Spur Accommodation. (Click here for Heel Spur Accommodation).
Examples of use: Used to offload medial plantar heel pain.      
Most Common material:  Poron
Most common thickness: 3mm

Question 27

RF Varus Wedge

Accepted Answer

This addition is a varus wedge that is added to the rearfoot post.  Keep in mind it will alter the rearfoot/forefoot balancing and the orthotic will rock unless you request a forefoot stabilizing post to balance the RF Varus Wedge.
Examples of use: Used to increase rearfoot varus control at the rearfoot when you want varus motion in the orthotic.      
Most Common material:  EVA
Most common thickness: 2-8mm

(Plantar View)

Question 28

RF Valgus Wedge

Accepted Answer

This addition is a valgus wedge that is added to the rearfoot post.  Keep in mind it will alter the rearfoot/forefoot balancing and the orthotic will rock unless you request a forefoot stabilizing post to balance the RF Valgus Wedge.
Examples of use: Used to increase rearfoot valgus control at the rearfoot when you want valgus motion in the orthotic.      
Most Common material:  EVA
Most common thickness: 2-8mm