What is the metatarsal area?
The metatarsal heads form the prominent joints across the ball of the foot, just behind the toes.
This region carries substantial load during standing and especially during push-off in walking.
What does a metatarsal pad do?
A pad provides a soft raised area that supports the tissues just behind the metatarsal heads and can help spread pressure over a larger area.
Where should it sit?
A traditional metatarsal pad is generally positioned behind the metatarsal heads rather than directly under the sorest joint.
If placed too far forwards, it can feel like a hard lump beneath the ball of the foot.
How can you tell if it is too far forwards?
Symptoms may become more concentrated directly beneath the metatarsal heads, or the pad may feel intrusive during push-off.
How can you tell if it is too far back?
The pad may provide little useful contact or may press into the arch rather than supporting the forefoot.
Why do some pads use a toe loop?
A toe loop helps keep a small gel pad aligned beneath the forefoot without adhesive.
The loop should not constrict the toe.
Can metatarsal pads help every type of forefoot pain?
No. Forefoot pain can arise from joint problems, nerve irritation, stress injury, arthritis, callus or footwear pressure.
A pad is most appropriate when the aim is to cushion or redistribute load rather than diagnose the cause.
What footwear works best?
A broad, stable shoe with adequate forefoot depth helps prevent the pad from being squeezed against the foot.
Important: If there is burning, electric-shock pain, persistent numbness or unexplained swelling, seek assessment rather than repeatedly repositioning a pad.
