For this customer here, I am going to do a hybrid metatarsal pad by combining the standard with a T-form for a little extra longitudinal arch support. I am doing this for accommodation. I could go with a traditional T-form, but I'm not necessarily looking for that full metatarsal bar approach. I would advise people to stick with standard metatarsal pads because so many people are wearing rocker bottom shoes like Hoka. Combining a metatarsal bar with a rocker bottom shoe can be overkill.

I also feel that a lot of metatarsal pads are put in the wrong spot. A lot of companies really don't understand the idea that metatarsal pad placement is very important. Placement of a metatarsal pad is essential for proper functioning and mechanics.

I am looking to add a little extra pressure behind the the second, third and fourth knuckles of her feet. The longitudinal arch support is going more into that middle section accompanying the cuneiform bones and a little bit of of the cuboid. So for this customer, it's always nice to get a little wear and tear on a new custom orthotic, so I can see exactly where I need to go.

I am going to use a 3 millimeter sponge rubber material commonly used in heel lifts. It's a porous rubber that is soft and spongy, but it's still firm enough to make a difference. Now that the hybrid metatarsal pads are glued on in the correct spot, I am going to take it to the grinder to do a little extra tapering. By adding a little extra pressure down in the middle section of her feet, this should work out and solve this customer's problems.