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Morton's Neuroma

Kilmartin and Wallace167 found that orthotic intervention did

not improve symptoms of Morton's neuroma.Twenty-three

individuals with pain of the third and fourth intermetatarsal

space, aggravated by exercise and relieved by rest, were randomly assigned to two groups, with no consideration of foot

type.Those in the supination group wore a Cobra orthosis

with a thicker medial heel and arch filler.Those in the pronation group wore a reverse Cobra orthosis with a thicker

lateral heel.

Morton's Neuroma

Kilmartin and Wallace167 found that orthotic intervention did

not improve symptoms of Morton's neuroma. Twenty-three

individuals with pain of the third and fourth intermetatarsal

space, aggravated by exercise and relieved by rest, were randomly assigned to two groups, with no consideration of foot

type. Those in the supination group wore a Cobra orthosis

with a thicker medial heel and arch filler. Those in the pronation group wore a reverse Cobra orthosis with a thicker

lateral heel. Pain was measured by a visual analog scale.

Sensory impairment and pain were objectively measured by

tests that elicit neuroma pain. Function was assessed with

the McMaster-Toronto Arthritis Patient Function Preference

Questionnaire patient-specific measure of maximal function. No differences in pain or function occurred between the

supination and pronation groups. Neither orthosis produced

additional symptoms in the lower extremity.

The authors suggested that prescribing a custom orthosis based on foot type would have provided greater relief of

symptoms.