Where should a forefoot metatarsal rocker modification be placed on a shoe?

A forefoot metatarsal rocker modification is designed to help facilitate smoother movement during gait, particularly for individuals with conditions affecting the forefoot or metatarsal region. Placing the modification proximal to the metatarsal heads ensures that the rocker action occurs before the metatarsal heads make contact with the ground. This location allows for better weight distribution and can help alleviate pressure on the metatarsal heads themselves.

By placing the rocker at this position, the pivot point encourages a rolling motion of the foot that aids in forward propulsion, promoting a more natural gait and reducing discomfort during walking. This adjustment is critical in managing various foot conditions—especially in individuals with conditions like metatarsalgia, where pressure relief is essential.

To achieve the desired effect, proper placement is necessary, and positioning the rocker just at or anterior to the metatarsal heads would not provide the same benefits, as these locations could either place excessive stress on the metatarsals or fail to encourage the necessary motion. Placing it proximal to the interphalangeal joint would similarly miss the target of managing forefoot movement efficiently. Therefore, the most effective approach is to position the rocker modification proximal to the metatarsal heads for optimal