Some patients suffer from forefoot problems such as Metatarsalgia, Interdigital Neuritis or Neuromas etc, although some of these problems are controllable with the use of foot devices, occasionally the metatarsal area needs extra lift to further support the structure. The metatarsal raise is placed on top of the device and its front lip fits flush on the end of the orthotic, it is usually placed in the centre of the device, to lift the middle 3 metatarsals, but can be shifted slightly to the lateral or medial side of the device midline for extra support of the 4th Metatarsal or 2nd metatarsal.