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SQUARE FOREFOOT

A square forefoot is one that does not have the normal flex point from the 1^st metatarsal head (big toe) to the 5^th metatarsal head (little toe).  Normally the 5^th met head is 10 degrees lower than the 1^st.

All other foot dynamics suffer when this 10% angle is missing.  Proper shoe fitting and shoe availability also is problematic for those with a square forefoot.

Other names or similar foot conditions:

• Oblique foot

Symptoms:

• Calluses on forefoot
• Corns from ill fitting shoes
• Metatarsal and/or toe pain

Signs to look for:

• Calluses on forefoot
• Corns from ill fitting shoes

Possible Causes:

• Heredity

Goals:

• Reduce pressure on forefoot
• Improve gait
• Control foot motion
• Reduce and eliminate callusing
• Shoe with adequate forefoot room
• Heel height that won’t put more pressure on the forefoot

Solutions:

Arch Supports:

• Bio-Orthotics Winstep or Sundance exercising support with metatarsal lift

• Lower and thinner arch support with longitudinal and metatarsal support, such as the Bio-Orthotics Journey or Silhouette, for use when shoes cannot accommodate the Winstep or Sundance exercising support

• Extra depth shoe with firm heel counter, oblique toe box and low heel

• MBT physiological footwear with straight last

• Wear heels and pumps only as long as absolutely necessary

Other: 

• Toe cushioning and straightening devices, such as toe separators, toe straighteners, toe gel caps, toe crests, etc.

• Spot stretching of shoe

• Regular callus filing with pumice device (leave the cutting of calluses to a physician only)

• Regular skin care program to include exfoliating and moisturizing

This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care.  The information has been compiled from sources available to the general public and referenced below.  Copyright 2005 Carole Romig

Sources  Image: PFA, Professional Shoe Fitting  Text: Meanwell, CPed, PFA, Professional Shoe Fitting