Metatarsal Head Cut-Outs
One of the features that makes the CMO unique is its ability to allow for precise control of forefoot problems. The forepart of this device is not simply a modified top-cover extension but, rather, an integral part of the orthosis for enhanced realignment, protection, or off-loading as needed.
When precise off-loading of painful or pre-ulcerative areas is necessary, such may be noted on the prescription by circling the metatarsal number/s and noting the area of concern on the diagram. Marking painful areas with a marking pen on the foot for transfer to the cast is also helpful to ensure optimal off-loading protection. Painful prominences or areas of discomfort may also be marked for protective accommodation such as shown for a prominent 5th metatarsal base.