
Orthotic Modifications for bunions and Hallux Limitus to the MPJ
The most relief I have gotten for my bunion is when my podiatrist made a first met cutout in my orthotic (the same cut out seen in figure A). I was reading this article above about the different types of cutout that can be made for the first mpj and ray. It got me thinking about which cutout works best for individuals with bunions and hallux limitus. In other words, in what situation is modification A better than B, is B better than A, is C, better than B, is D better than C? To try and phrase another way, what specific situation is does each of these cutout benefit the most? Is there no specific situation, and it is just a trial and error sort of situation. To add one more thing of note, I have tried Morton’s extensions as well and they made my bunion and hallux limitus worse. It was the first mpj cutout that really made a difference and allowed me to offload the joint by letting it plantarflex. My last question related to this is if you feel joint needs to plantarflex slightly more, can you raise the area next to the cutout with some padding to slightly raise it or would this cause more issues?
Here is the link to the article I read above: