By condition · custom orthotics

Metatarsalgia Custom Orthotics

A metatarsal pad placed from your impression and a cushioned forefoot — designed to lift and spread the load off the ball of the foot.

First pair$189
Each additional pair — same order, different shoe$139
  • 180-day 100% guarantee
  • Free shipping both ways
  • FSA / HSA eligible
  • Pay in 4
Sizing

Your pair is shaped for one shoe type. Add a second pair below for another.

Dr. George Bolotin, MDDouble board-certified interventional radiologist · Founder of several medical devicesView credentials

Impression kit ships to you first. Under 10 business days from your impression, or a full refund. Counted in business days from the day your impression arrives at our workshop.Secure checkout by Stripe — Klarna · Affirm · Afterpay available.

Designed for

Who this pair is for

MetatarsalgiaMortons neuromaHigh archesEverydayStanding workWalking

For the ball of the foot that burns by afternoon

The metatarsal heads form the ball of the foot and carry your weight in the last part of every step. Hard floors, impact sport, tight or raised-heel shoes, a high arch or a toe that has drifted all push more load onto one or two of them, and they burn.

The fix is to spread and lift. This design builds a metatarsal pad into the shell just behind the heads — positioned from your impression, not guessed — so the bones are lifted apart and their heads unloaded. The forefoot is cushioned, and arch support means less weight tips forward in the first place.

Build

Medium shell with a softer forefoot section and an integrated metatarsal dome; full length; trims along the guide.

Built in

  • Metatarsal pad built into the shell just behind your metatarsal heads
  • Cushioned forefoot section under the ball of the foot
  • Arch support from your impression so less weight tips forward
  • Medium shell with a softer forefoot; full length
Shell
Medium — set from your impression and weight band
Profile
Full length — trims to your shoe
Workshop
Milled and finished by hand in our New York workshop, from domestic and imported materials
Delivery
Under 10 business days from your impression, or a full refund. Counted in business days from the day your impression arrives at our workshop.
Capture
at-home foam impression kit; free shipping both ways

From your kitchen table to our bench

Four steps. One trip to the mailbox.

Everything happens at home except the making. Milled and finished by hand in our New York workshop, from domestic and imported materials.

  1. 01

    Take the 50-second quiz

    Where it hurts, what you do all day, which shoes. We match one of 25 designs to you — no diagnosis, just a fit plan.

  2. 02

    Press into the kit at home

    A foam impression kit ships within 1 business day of your order. Press each foot into the foam, close the box and send it back. Five minutes, no appointment; shipping is free both ways.

  3. 03

    We make your pair in our own workshop

    Your impression is checked the day it lands — that is the day your delivery clock starts. A technician contours arch, heel and forefoot to your foot; the shell is milled to that contour, finished and checked against your impression.

  4. 04

    At your door — or a full refund

    Under 10 business days from the day we receive your impression, tracked the whole way. Counted in business days from the day your impression arrives at our workshop. Slide them in, lace up, walk. 180 days to decide.

The honest guarantee

180 days. 100% back. Nothing deducted.

Wear your pair for six months. If they are not right, we remake them. If they are still not right, we refund every dollar — the full price, not the price minus a restocking fee, a shipping fee, or a "deduction" buried in the terms.

Read the guarantee in full
  • 180 daysfrom the day your orthotics arrive
  • 100% refundno deductions of any kind
  • Free return shippingwe send the label
  • Remakes includedfit adjustments cost nothing

FAQ

Questions about the metatarsalgia pair

Still unsure? Write to care@evensteporthotics.com — a person answers.

Where does the pad sit?

Just behind the metatarsal heads — never under them. It lifts and spreads the long bones so their heads carry less pressure. Placing it from your impression is the difference between relief and a new sore spot.

Metatarsalgia or Morton's neuroma design?

Metatarsalgia for an ache or burn under the ball of the foot across two or three heads. Morton's neuroma for a sharper pain between the third and fourth toes with tingling into the toes. Both use a metatarsal pad; the neuroma design places it to spread those two bones specifically.

Can I use these in dress shoes?

Only if the shoe has a removable insole and some depth. For slim dress shoes, the three-quarter design with a metatarsal pad is the better fit — mention metatarsalgia in the order notes.

How do I know they will fit?

Your orthotics are shaped from an impression of your own feet, not a size chart, and the shell is set to your weight band. We confirm the length from the impression and trim the pair to the shoe type you told us about. If anything is off, a remake is free inside the 180-day guarantee.

What's different from a shelf insole?

A shelf insole is one of three or four shapes chosen to fit millions of feet; it cushions but it cannot hold a heel or contour an arch that isn't its own. A custom orthotic is shaped from an impression of your foot, so the heel cup, arch profile and forefoot relief are yours. If a shelf insole has already solved your problem, keep it — we say so in our guides.

Which shoes will these fit?

Full-length designs fit sneakers, walking and running shoes, work boots and most lace-ups; remove the shoe's own insole and slide ours in, trimming along the guide if needed. The three-quarter design is for dress shoes and flats where there is no room for a full insole. Each pair is shaped for one shoe type, which is why a second pair for a different shoe is $139.

Also consider

Other pairs to consider

A second pair for a different shoe is $139 in the same order. All by condition

Morton's Neuroma Custom Orthotics — EvenStep custom orthotic

Condition

Morton's neuroma

A precisely placed metatarsal dome to spread the third and fourth metatarsals — for the burning, tingling pain between the toes.

From $189View
High Arches Custom Orthotics — EvenStep custom orthotic

Condition

High arches

Contact along the whole arch and cushion under heel and forefoot — for the rigid, high foot that lands on two points.

From $189View
On My Feet All Day Custom Orthotics — Three-Quarter — EvenStep custom orthotic

Everyday

Three-quarter (dress shoes)

Heel and arch support that ends behind the ball of the foot — for dress shoes, flats and loafers with no room for a full insole.

From $189View

Not sure this is the one?

Take the quiz. We'll match the pair.

Take the 50-second quiz

First pair$189