Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist

Board Certified Podiatrists

Expert Foot & Ankle Care

Ball of the Foot Pain

Predislocation Syndrome Treatment [Causes & Best Home Treatment]

Predislocation Syndrome Treatment: Top causes are #1) Hammer Toes, #2) Bunions and #3) Crossover toes. These can lead to plantar plate rupture, STOP IT!

Look:

  • 2nd toe joint pain can be improved with a few simple treatment changes.
  • We are foot doctors & we see this problem get better almost every day.
  • The goal is to solve this problem without medication or surgery if at all possible.

So, let’s GO!

Ball of the Foot Pain Pictures & Photo Gallery

So, click on the photo gallery to see the specific causes of your ball of the foot pain!

Sore spot on the ball of the foot causes, symptoms treatment
Feel free to share on social media!
« of 27 »

Causes of Pre-dislocation syndrome:

  • Most commonly a bunion forms and causes upward dislocation of the 2nd toe.
  • This can frequently be due to shoe pressure.
  • A shoe cause a bunion to form and cause the 2nd toe to move upward.
2nd toe predislocation syndrome and 2nd toe dislocation plantar plate rupture
This is an example of a plantar plate rupture of the second third toes. This started out as second toe capsulitis and plantar plate pain, but eventually it led to a full plantar plate rupture. This can cause hammer toes, toe dislocation, and crossover toes. If these toes were stabilized with taping, this could have prevented this dislocation.

 

Anatomy of Pre-dislocation Syndrome:

  • The ligament that holds the 2nd toe down is called the plantar plate.
  • As time goes on this ligament can simply elongate ad rupture.
2nd toe pain (second toe) capsulitis home treatment
Second toe pain capsulitis is caused by irritation to the flexor tendons and the plantar plate to the second toe. This can also be known as pre-dislocation syndrome. As this gets worse, the ligaments holding the toe together to the foot can tear and this can cause hammer toes and crossover toes.

 

Conservative  Pre-dislocation Syndrome Treatment:

  • Stabilize the joint with tape- perform a figure eight loop around the top of the base of the toe that looks like one of those support the troops ribbons(do this with tape). Use half inch cloth tape, or even duct tape works (just split it down the middle).
  • You can also get yourself an over the counter hammertoe splint to brace the toe properly.
  • Cut out some felt in a U shape around the bottom of the big toe to offload the metatarsal phalangeal joint. Any cutout in felt that offloads the peak pressure area will work in reducing further pain and inflammation and give the plantar plate a chance to heal.
  • Perform icing, elevation and take a two week course of anti-inflammatory medication to start too cool down the swelling in the digit. These treatments are not just to control to the pain, but to reduce the swelling which will lead to faster healing times.
  • Calf, plantar fascia and ankle stretching is essential to the healing process.

 

 

Shoe gear for Pre-dislocation Syndrome

  • This is essential! Your footwear is very heavily tied into why you developed the problem in the first place. If poor or not perfect footwear choices are not the cause, then they are at least heavily contributing to the problem.
  • Avoid walking in poorly supported shoes like sandals, moccasins or flats. It is also a good idea to get rid of high heels if you are a lady (I know, I know- I tried!)
  • Get yourself some stiff soled shoes- running shoes work best in this case. Make sure you use a Brannock device to measure the foot width, foot length and arch length of your shoe. Get some help from your Podiatrist in measuring your shoe gear. 
    severe bunion hallux valgus
    This is a severe bunion to the point of dislocation. This can lead to crossover toe and 2nd toe predislocation syndrome.

 

Predislocation Syndrome Surgery:

  • This line of conservative therapy should be attempted for at least a good two to six months to give the plantar plate a chance to heal. If it does not – then you should move onto injection therapy to attempt to resolve the inflammation in the joint.
  • The danger with a cortisone shot is that while it will remove the pain initially and start decreasing the inflammation which is essential to healing, it will on the other hand weaken the already damaged ligaments and tendons in the area.
  • The injection of cortisone and dexamethasone phosphate should be injected from the plantar aspect (this is where the plantar plate tear is located). Injecting into the MTPJ will likely not be effective as this is not the primary site of inflammation. It is essential that the patient keep the toe well protected with tape, padding, orthotics, shoe wear, icing and stretching. The tendon will be susceptible to further damage at this point. There is a real chance of rupture of the plantar plate occurring so this should not be taken lightly.
  • -Injection therapy is the last choice before surgery must be considered.

For more on Pre-dislocation Syndrome Treatment:

Tailor's bunion pain bunionette
If there is a pre-dislocation of the fifth metatarsal phalangeal joint. This is called the Tailor’s bunion AKA a bunionette.

 

Ball of the Foot Home Treatment

Massage & Ice Products

Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Most Cost Effective Massage Roller.
Cost Effective Freezable Massage Roller.
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
TheraFlow Compact Foot Roller for Plantar Fasciitis Relief | Relaxing Gifts for Mom and Dad - Portable, Small Tool for Deep Tissue Massage and Neuropathy | Travel Size Feet Massager for Relaxation
THERABAND Foot Roller for Foot Relief, Massage Ball Roller for Arch Discomfort, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
Price not available
Price not available
Price not available
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Amazing Price, Great Reviews – Non-Freezable Massage Rolling Stick
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Great reviews – near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
More expensive than some of the other options, but near perfect reviews.
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Start with socks at first, especially if you have peripheral neuropathy => don’t freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Best Premium Massage Roller
Recoup Fitness Cryosphere Cold Massage Roller - 6 Hours Cold Relief - Ice Cup - Myofascial Release- Great for Recovery - Free Rolling Removable Ball - Deep Tissue Massage - Pain Relief - Ice Pack
Price:
Price not available
Overview:
Premium freezable metal ball that stays cold for up to 6 hours. Great for plantar fascia, neck, shoulders and calf muscles.
Pros:
Great reviews – near 5 star. Stays cold for a long time with deep penetrating plantar fascia massage. Used by professional athletes. Stays cold for HOURS!
Cons:
More expensive than some of the other options, but near perfect reviews.
Important Tips:
Use it with a sock to start (could be too cold). Massaging and icing definitely loosens you up and makes you feel better, but you still have to prevent the pain in the first place. You still need stretching, orthotics and good shoes to prevent the initial damage.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Most Cost Effective Massage Roller.
TheraFlow Compact Foot Roller for Plantar Fasciitis Relief | Relaxing Gifts for Mom and Dad - Portable, Small Tool for Deep Tissue Massage and Neuropathy | Travel Size Feet Massager for Relaxation
Price:
Price not available
Overview:
Amazing Price, Great Reviews – Non-Freezable Massage Rolling Stick
Pros:
Great for what it does. You roll it back and forth along your plantar fascia massaging the swelling and irritation out. Decreases pain. Thousands of 5 star reviews on Amazon.
Cons:
Is not freezable like the other two options. Massaging a sore muscle without the cold sensation can be very painful and render it useless to you if really sore.
Important Tips:
Two things: Without the freezing component, it may be really painful for a very sore arch (So make sure to use ICE also). Also this only reduces pain, it does not stop the cause! You still need good orthotics, shoes and stretching to stop the pain in the first place!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Manual Massage Devices:
Cost Effective Freezable Massage Roller.
THERABAND Foot Roller for Foot Relief, Massage Ball Roller for Arch Discomfort, Plantar Fasciitis Treatment, Heel Spurs Reliever, Tired Feet, Best Foot Massager with Ridges for Self Myofascial Release
Price:
Price not available
Overview:
Great price and it is freezable. Budget friendly freezable massage roller.
Pros:
Excellent reviews. It massages and ices, so it is a step up over the massage rollers. Near 5 star reviews with >500 reviews.
Cons:
It does a great job doing what it is supposed to do. Main downside is that it does not stay cold as long as the premium metal ball.
Important Tips:
Start with socks at first, especially if you have peripheral neuropathy => don’t freeze your foot! Remember that you still need good orthotics, good shoes and inserts as well as temporary activity reduction.
Affiliate Link (Buying through these links will connect you to Amazon):

Menthol Based Gels

Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Roll On Version of Biofreeze Gel.
A giant container of value size biofreeze.
Biofreeze Gel Pain Relief, Knee & Lower Back Pain Relief, Arthritis Pain Reliever, Sore Muscle Relief, Neck Pain Relief, Cooling Joint Pain Relief, Green Menthol Gel 4 Fl Oz (Pack of 3)
Biofreeze-13533 Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
Price:
Price not available
Price not available
Price not available
Overview:
The Proven and Scientifically Published Menthol Based Gel
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
Cons:
Don’t put this on open sores or mucous membranes, it will burn! It can run out quick and doesn’t prevent pain, just helps it.
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Best & Proven Pain Relieving Gel.
Biofreeze Gel Pain Relief, Knee & Lower Back Pain Relief, Arthritis Pain Reliever, Sore Muscle Relief, Neck Pain Relief, Cooling Joint Pain Relief, Green Menthol Gel 4 Fl Oz (Pack of 3)
Price:
Price not available
Overview:
The Proven and Scientifically Published Menthol Based Gel
Pros:
Scientifically proven to loosen up and relief pain up to 2x longer than Ice. Less effort than ice and great reviews. 900+ 5 star reviews on Amazon.
Cons:
Don’t put this on open sores or mucous membranes, it will burn! It can run out quick and doesn’t prevent pain, just helps it.
Important Tips:
Menthol is the active ingredient in this and other hemp based creams. It works similar to ice, but once you apply it you can just move on rather than waiting 20 minutes. **Works great to get your through the night if you have pain sleeping**
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
Roll On Version of Biofreeze Gel.
Biofreeze-13533 Pain Relief Roll-On, 3 oz. Roll-On, Fast Acting, Long Lasting, & Powerful Topical Pain Reliever, Pack of 3 (Packaging May Vary)
Price:
Price not available
Overview:
Same as biofreeze gel, but the roll-on is prefered by some people for their feet, less messy.
Pros:
The roll-on application of this biofreeze can be easier to apply. Less overall mess.
Cons:
Not as easy to spread in other areas, main difference is the roll on applicator, same solution.
Important Tips:
Roll-on method is best for the bottom of the feet. No other real advantage. Most patients like it prior to bed for easy sleeping without foot pain.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot & Ankle Muscle/Ligament Pain Relief Products
A giant container of value size biofreeze.
Biofreeze Menthol Pain Relieving Gel 1 Gallon Bottle With Pump Topical Pain Relief For Sore Muscles, Arthritis, Backache, And Joint Pain, Original Green Formula, (Packaging May Vary)
Price:
Price not available
Overview:
8.1 lbs(3.67 kg) of Value Sized Biofreeze!
Pros:
If you know you already love it and trust the reviews. This is a great value that lasts a long time.
Cons:
A gigantic bottle that could fall over and injure you! Seriously this could be too big in some situations.
Important Tips:
If you know you love it, this stuff works all over the sore areas in your body not just your foot. I have had many people get me to order this for them in the past and LOVED IT!
Affiliate Link (Buying through these links will connect you to Amazon):

Massage Sticks

Leg & Calf Muscle Massage Roller Sticks:
Best Overall Muscle Massage Stick
Best Cost Effective Massage Roller.
Tiger Tail 18in Massage Stick Portable Roller, Handheld, Deep Tissue Foam Roller, Body Massage and Myofascial Release Tool for Legs, Neck, Calves, Thighs, Shins & Back, The Original 18, Made in USA
Top Rated Muscle Roller Massage Stick: A Sports Body Massager Tool-Release Myofascial Trigger Points, Reduce Muscle Soreness, Tightness and Leg Cramps, Rub Muscle for Relief and Recovery
Price:
Price not available
Price not available
Overview:
This is a great option because hair or skin never gets pinched between the wheels. Softer interface.
Great option for an amazing cost. Not as sturdy and comfortable as the tiger tail.
Pros:
Best reviews. Hair and skin cannot get pinched. Almost instantly makes you less tender and more flexible. This is a professional grade massage roller.
Amazing reviews for the price point. It essentially does the same job. Muscles feel great afterward. Same overall benefit.
Cons:
If truly injured (break or tear) this won’t fix your pain. But no real downsides as far as what a massage roller does. Reviews are near perfect.
Wheels and handles can come loose. As a result it can gap and pinch skin and leg hairs. Not as durable as the other roller recommended here.
Important Tips:
Studies show how effective massage rollers are: Use for 30-60 seconds to loosen up tight muscles, and then you can stretch further short term(1-2 hrs). Great for calf, hamstring, thight and IT band muscle stretching.
Same as for the more expensive one. Studies show the real benefits appear in 30-60 seconds per muscle => less sore and more flexible. That is the time to take advantage and play sports/stay loose. Very proven results.
Affiliate Link (Buying through these links will connect you to Amazon):
Leg & Calf Muscle Massage Roller Sticks:
Best Overall Muscle Massage Stick
Tiger Tail 18in Massage Stick Portable Roller, Handheld, Deep Tissue Foam Roller, Body Massage and Myofascial Release Tool for Legs, Neck, Calves, Thighs, Shins & Back, The Original 18, Made in USA
Price:
Price not available
Overview:
This is a great option because hair or skin never gets pinched between the wheels. Softer interface.
Pros:
Best reviews. Hair and skin cannot get pinched. Almost instantly makes you less tender and more flexible. This is a professional grade massage roller.
Cons:
If truly injured (break or tear) this won’t fix your pain. But no real downsides as far as what a massage roller does. Reviews are near perfect.
Important Tips:
Studies show how effective massage rollers are: Use for 30-60 seconds to loosen up tight muscles, and then you can stretch further short term(1-2 hrs). Great for calf, hamstring, thight and IT band muscle stretching.
Affiliate Link (Buying through these links will connect you to Amazon):
Leg & Calf Muscle Massage Roller Sticks:
Best Cost Effective Massage Roller.
Top Rated Muscle Roller Massage Stick: A Sports Body Massager Tool-Release Myofascial Trigger Points, Reduce Muscle Soreness, Tightness and Leg Cramps, Rub Muscle for Relief and Recovery
Price:
Price not available
Overview:
Great option for an amazing cost. Not as sturdy and comfortable as the tiger tail.
Pros:
Amazing reviews for the price point. It essentially does the same job. Muscles feel great afterward. Same overall benefit.
Cons:
Wheels and handles can come loose. As a result it can gap and pinch skin and leg hairs. Not as durable as the other roller recommended here.
Important Tips:
Same as for the more expensive one. Studies show the real benefits appear in 30-60 seconds per muscle => less sore and more flexible. That is the time to take advantage and play sports/stay loose. Very proven results.
Affiliate Link (Buying through these links will connect you to Amazon):

Ball of the Foot Stress Relief

Best Metatarsalgia Shoes

Best Ball of the Foot Insoles

Best Full-Length Orthotics

Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Best Heavy Duty Orthotic (Thickest Fit)
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Best Women’s Orthotics
PowerStep Original Insoles, Arch Pain Relief Orthotics, Tight Shoes, Foot Support for Plantar Fasciitis, Mild Pronation, Foot & Arch Support Inserts, Shoe Inserts, Made in the USA (M 8-8.5, F 10-10.5)
PowerStep Pinnacle Maxx Orthotic Insoles, Maximum Stability & Comfort, Firm & Flexible Angled Heel, Flat Feet & Overpronation, Heavy Duty Shoe Inserts for Men & Women, Made in USA (M 10-10.5, W 12)
220+ lbs Plantar Fasciitis High Arch Support Insoles Men Women - Flat Feet Orthotic Inserts Standing All Day - Work Boot Shoe Insoles - Shoe Sole Flat Foot Heavy Men
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
Price not available
Price not available
Price not available
Price not available
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.
Great Support & Better Fit
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Sleek, supportive and have a better fit than the orthotics above.
Cons:
Do not wear these in cute or dress shoes!
Bigger and bulkier than all the other ones. You will be disappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.
Great to start with, but don’t correct long term as much as the other ones.
A little bit more expensive.
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
PowerStep Original Insoles, Arch Pain Relief Orthotics, Tight Shoes, Foot Support for Plantar Fasciitis, Mild Pronation, Foot & Arch Support Inserts, Shoe Inserts, Made in the USA (M 8-8.5, F 10-10.5)
Price:
Price not available
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
Cons:
Do not wear these in cute or dress shoes!
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
PowerStep Pinnacle Maxx Orthotic Insoles, Maximum Stability & Comfort, Firm & Flexible Angled Heel, Flat Feet & Overpronation, Heavy Duty Shoe Inserts for Men & Women, Made in USA (M 10-10.5, W 12)
Price:
Price not available
Overview:
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
Pros:
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
Cons:
Bigger and bulkier than all the other ones. You will be disappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.
Crucial Tips:
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
220+ lbs Plantar Fasciitis High Arch Support Insoles Men Women - Flat Feet Orthotic Inserts Standing All Day - Work Boot Shoe Insoles - Shoe Sole Flat Foot Heavy Men
Price:
Price not available
Overview:
These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Great to start with, but don’t correct long term as much as the other ones.
Crucial Tips:
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Women’s Orthotics
Superfeet All-Purpose Women's High Impact Support Insoles (Berry) - Trim-To-Fit Orthotic Arch Support Inserts for Women's Running Shoes - Professional Grade - Size 8.5-10 Women
Price:
Price not available
Overview:
Great Support & Better Fit
Pros:
Sleek, supportive and have a better fit than the orthotics above.
Cons:
A little bit more expensive.
Crucial Tips:
These will have a harder time fitting in flats and pointed shoes.
Affiliate Link (Buying through these links will connect you to Amazon):

Best Dress Shoe Orthotics

Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4″)
Best Full Length Dress Orthotic.
Great Heavy Duty Insole for Men
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Powerstep Signature Dress Full Shoe Accessory
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
Price not available
Price not available
Price not available
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Best option if you can fit a full length orthotic. This does give you most control.
Great price and heavy duty insole for Oxford shoes.
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.
These fit in most shoes and have really good predictable results
Cons:
Less correction than full length and heavy duty orthotics.
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
They are not full length and thus do not provide as much support
Crucial Tips:
If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.
Get these for Oxford and pointed shoes. This will provide best results.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4″)
Powerstep Signature Dress 3/4-Length Insoles – Dress Shoe Insoles for Men and Women
Price:
Price not available
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.
Cons:
Less correction than full length and heavy duty orthotics.
Crucial Tips:
If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Best Full Length Dress Orthotic.
Powerstep Signature Dress Full Shoe Accessory
Price:
Price not available
Overview:
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.
Cons:
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Dress Shoe Orthotics:
Great Heavy Duty Insole for Men
Superfeet Casual Men's Easyfit Insoles - Comfort Shoe Inserts for Men - Anti-Fatigue Orthotic Insoles for Dress Shoes - Professional Grade - Size 7.5-9 Men
Price:
Price not available
Overview:
Great price and heavy duty insole for Oxford shoes.
Pros:
These fit in most shoes and have really good predictable results
Cons:
They are not full length and thus do not provide as much support
Crucial Tips:
Get these for Oxford and pointed shoes. This will provide best results.
Affiliate Link (Buying through these links will connect you to Amazon):

Best 3/4 Length Orthotics

Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
Price not available
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women’s Shoes or High Heels..
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
Price not available
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Affiliate Link (Buying through these links will connect you to Amazon):

Get A Great Dynamic Stretch

Best Standing Foot & Ankle Stretching Devices:
Best Premium Plantar Fascia Stretching Device.
Best Budget Plantar Fascia Stretching Stretch Device.
Best Stationary Calf Stretching Device.
Best Hamstring Stretching Device
Rolling With It Premium Calf Stretcher and Foot Rocker for Plantar Fasciitis Relief, Achilles Tendonitis, Increase Mobility and Flexibility, Improve Range of Motion With our Foot Stretcher
North American Healthcare Foot Rocker Blue -Optimal Foot Position for Flexibility, Plantar Fasciitis, Achilles tendonitis, and other Chronic Conditions
Professional Wooden Slant Board, Adjustable Incline Calf Stretch Slantboard with Full Non-Slip Surface, 16 inches x 12.5 inches, 5 Positions (350 LB Capacity) (Edition 1)
IdealStretch - Original Patented – Hamstring Stretcher, Lower Back Stretcher, Hip Stretcher, & Calf Stretcher - Knee Extension & Pain Relief
Price:
Price not available
Price not available
Price not available
Price not available
Overview:
Great Stretching Device While Standing. (4.9 Amazon Rating)
Plastic and Lighter Plantar Fascia & Achilles Stretching Device.
Premium Best Rated Wood Ankle Stretch Device.
Uses gravity to stretch your hamstring for you. Great reviews and track record.
Pros:
Very sturdy and durable. Great bottom grip and weight so it won’t slide on you. Perfect 5 star review on Amazon.
Amazing cost, still works and 1,300+ 5 star reviews. Works great overall and gives you the same stretch.
Near perfect 4.8 star review on Amazon. Great sturdy device that stretches your calf and hamstring. All you have to do is lean forward. Can be very effective.
Reviews on Amazon are >4.5 overall with hundreds of reviews. It uses gravity to stretch for you, allows you to also use your hips. Gets great results.
Cons:
More expensive and built like a tank = more weight. If you can’t balance well or support yourself it could be dangerous.
The plastic and less bulk/grip makes it more dangerous to slip. Less premium feel to it.
Nothing wrong with the product, as the reviews suggest, but at the end of the day you can do this stuff yourself (just a little bit harder).
These are stretches that you realistically can do on your own. If budget is tight, this is not worth it. If you need help with hamstring stretching, it can make all the difference.
Important Tips:
Make sure you can balance yourself well against a counter/railing. Do only one foot at a time to prevent falling. Uses your body weight to stretch for you.
Even more important to balance yourself well with this device, make sure you don’t injure yourself with this thing! Still gives you a great stretch to the area.
Make sure you balance yourself on a counter/railing. You need to keep up with this daily at least 15-30 second x 3 or so per morning. It doesn’t stretch for you!
Need to do 3-5 stretches per day 15-30 seconds. You should notice a massive difference to knee and hamstring tightness. You can massage roll ahead to time for better results for 30-60 seconds.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Standing Foot & Ankle Stretching Devices:
Best Premium Plantar Fascia Stretching Device.
Rolling With It Premium Calf Stretcher and Foot Rocker for Plantar Fasciitis Relief, Achilles Tendonitis, Increase Mobility and Flexibility, Improve Range of Motion With our Foot Stretcher
Price:
Price not available
Overview:
Great Stretching Device While Standing. (4.9 Amazon Rating)
Pros:
Very sturdy and durable. Great bottom grip and weight so it won’t slide on you. Perfect 5 star review on Amazon.
Cons:
More expensive and built like a tank = more weight. If you can’t balance well or support yourself it could be dangerous.
Important Tips:
Make sure you can balance yourself well against a counter/railing. Do only one foot at a time to prevent falling. Uses your body weight to stretch for you.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Standing Foot & Ankle Stretching Devices:
Best Budget Plantar Fascia Stretching Stretch Device.
North American Healthcare Foot Rocker Blue -Optimal Foot Position for Flexibility, Plantar Fasciitis, Achilles tendonitis, and other Chronic Conditions
Price:
Price not available
Overview:
Plastic and Lighter Plantar Fascia & Achilles Stretching Device.
Pros:
Amazing cost, still works and 1,300+ 5 star reviews. Works great overall and gives you the same stretch.
Cons:
The plastic and less bulk/grip makes it more dangerous to slip. Less premium feel to it.
Important Tips:
Even more important to balance yourself well with this device, make sure you don’t injure yourself with this thing! Still gives you a great stretch to the area.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Standing Foot & Ankle Stretching Devices:
Best Stationary Calf Stretching Device.
Professional Wooden Slant Board, Adjustable Incline Calf Stretch Slantboard with Full Non-Slip Surface, 16 inches x 12.5 inches, 5 Positions (350 LB Capacity) (Edition 1)
Price:
Price not available
Overview:
Premium Best Rated Wood Ankle Stretch Device.
Pros:
Near perfect 4.8 star review on Amazon. Great sturdy device that stretches your calf and hamstring. All you have to do is lean forward. Can be very effective.
Cons:
Nothing wrong with the product, as the reviews suggest, but at the end of the day you can do this stuff yourself (just a little bit harder).
Important Tips:
Make sure you balance yourself on a counter/railing. You need to keep up with this daily at least 15-30 second x 3 or so per morning. It doesn’t stretch for you!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Standing Foot & Ankle Stretching Devices:
Best Hamstring Stretching Device
IdealStretch - Original Patented – Hamstring Stretcher, Lower Back Stretcher, Hip Stretcher, & Calf Stretcher - Knee Extension & Pain Relief
Price:
Price not available
Overview:
Uses gravity to stretch your hamstring for you. Great reviews and track record.
Pros:
Reviews on Amazon are >4.5 overall with hundreds of reviews. It uses gravity to stretch for you, allows you to also use your hips. Gets great results.
Cons:
These are stretches that you realistically can do on your own. If budget is tight, this is not worth it. If you need help with hamstring stretching, it can make all the difference.
Important Tips:
Need to do 3-5 stretches per day 15-30 seconds. You should notice a massive difference to knee and hamstring tightness. You can massage roll ahead to time for better results for 30-60 seconds.
Affiliate Link (Buying through these links will connect you to Amazon):

Ball of the Foot Pain

First Steps Out of Bed Shouldn't Feel
Like Stepping on Glass.

If you're wincing with your first few steps every morning, or dreading a night out because you know your feet won't cooperate — you already know how much foot pain quietly steals from you.

🌅

The Morning Dread

You brace yourself before your feet hit the floor. The sharp heel pain that greets you every single morning.

👟

The Shoe Problem

Nothing fits comfortably anymore. You've given up heels, your favorite sneakers, and any shoe that looks professional.

😔

The Cancelled Plans

The trip you said no to. The walk you cut short. The grandkids you can't keep up with anymore.

💊

The Painkiller Cycle

Ibuprofen at breakfast. Ice packs at night. Temporary relief — but the pain is always back by morning.

The Life You're Putting on Hold
Is Getting Further Away Every Day.

Chronic foot pain doesn't just hurt — it quietly erodes the experiences that make life worth living. Here's what our patients tell us they've given up:

  • "I used to play 18 holes on Sundays. Now I can't make it past the 3rd hole."
  • 🏃"I signed up for a 5K with my daughter. I had to drop out before race day."
  • 💃"I haven't danced at a family event in three years. The pain just isn't worth it."
  • 🧸"I can't chase my grandkids around the yard. They don't understand why grandma always has to sit."
  • 🧳"We cancelled our trip to Europe. I knew I couldn't walk cobblestones for a week."
  • 💼"I'm on my feet all day for work. By noon, I'm counting the hours until I can sit down."

"If any of this sounds familiar — you don't have to keep living this way."

Advanced Treatment That Actually
Addresses the Root Cause.

At Balance Foot & Ankle, we don't just mask the pain. We diagnose exactly what's driving it — then use the most modern, minimally invasive treatments available to fix it, permanently.

🔴

MLS Laser Therapy

FDA-cleared dual-wavelength laser that penetrates deep tissue to reduce inflammation and accelerate healing at the cellular level. No surgery, no downtime. Patients often feel relief after the very first session.

Learn how it works →

EPAT Shockwave Therapy

Non-invasive acoustic wave technology that triggers your body's own healing response — breaking up scar tissue and stimulating collagen production. 80%+ success rate for chronic plantar fasciitis.

See patient results →
🔬

Minimally Invasive Surgery

When conservative treatments aren't enough, our MIS techniques use pencil-thin instruments through micro-incisions. Faster recovery, less scarring, and back on your feet in days — not months.

Explore procedures →
👟

Custom Orthotics

3D-scanned to your exact foot anatomy. Not the generic insoles from the drugstore — precision-engineered supports that correct the biomechanical issues causing your pain from the ground up.

How orthotics help →
💉

Regenerative Injections

PRP (Platelet-Rich Plasma) therapy uses your body's own growth factors to heal damaged tendons and ligaments from the inside out. A powerful alternative to cortisone that promotes lasting recovery.

About regenerative care →
🦷

Toenail & Skin Conditions

Laser toenail fungus treatment, ingrown nail correction, wart removal, corn and callus care — all handled in our comfortable clinic setting with same-day appointments available.

View all conditions →

Getting Back on Your Feet Is Simpler Than You Think.

We know starting with a new doctor can feel overwhelming. So we've made the path from pain to recovery as clear as three steps.

1

Book Your Appointment

Online in 60 seconds, or call us. Same-day slots are available in Howell and Bloomfield Hills.

2

We Diagnose the Real Problem

Digital X-rays, gait analysis, and Dr. Tom's 15+ years of expertise — we find exactly what's causing your pain.

3

You Get Your Life Back

A personalised treatment plan that works around your schedule and goals — not a generic protocol.

Why Over 1 Million People Trust Dr. Tom

Dr. Tom doesn't just treat patients in the clinic — he's Michigan's most-watched podiatrist online, with a YouTube channel that has helped over a million people understand their foot health. That depth of knowledge comes to every appointment.

1M+
YouTube Views Educating Patients Worldwide
15+
Years of Board-Certified Podiatric Practice
4.9★
Average Google Review Rating (400+ Reviews)
2
Convenient Locations — Howell & Bloomfield Hills

Real Patients. Real Recoveries.

★★★★★
"After years of plantar fasciitis, Dr. Tom had me pain-free in three laser sessions. I genuinely cried when I walked to my mailbox without limping for the first time. Cannot recommend enough."
— Sarah K., Bloomfield Hills
★★★★★
"I was terrified of foot surgery. Dr. Tom explained the minimally invasive procedure step by step. Six weeks later, I walked my daughter down the aisle. Best decision I ever made."
— Robert M., Howell
★★★★★
"Same-day appointment, thorough diagnosis, and a treatment plan that actually worked. I'd been to two other podiatrists before. Wish I'd found Dr. Tom first. Already back on the golf course."
— Jim P., West Bloomfield

You've Waited Long Enough.
Same-Day Appointments Are Available.

Don't let another morning start with that sharp, grinding pain. Our team is ready to see you — often today.

Book My Appointment Now →

Or call us directly: (810) 206-1402