Metatarsal Bars

Types and Applications.

The Metatarsal Bar

Metatarsal Bars are rubber, leather or synthetic bars applied transversely to the sole of the shoe with the apex immediately behind the metatarsal heads. Metatarsal bars must be constructed and placed carefully as they loose their effectiveness if applied to footwear that does not fit the foot properly. the first and fifth metatarsal heads are landmarks in positioning the various types of metatarsal bars. When applied, the metatarsal bars should not place any pressure on any individual head.

The Denver Bar is a type of metatarsal bar made of composition rubber, leather, or both. The posterior aspect of the bar can be raised or lowered depending on the degree of pressure needed.

It is important that the height of the posterior end of the Denver heel be higher then the breast of the heel, thus allowing the upward pressure to the proximal ends of the metatarsal shafts.

When applied properly the Mayo Crescent Bar is by far the most cosmetically accepted metatarsal bar. Its placement curves from the first to fifth metatarsal heads, giving relief to each.

This bar can be skived posteriorly to blend into the shank of the shoe so that it is undetectable by the casual observer.

A Jones bar is placed between the insole and outsole. preshaped it takes pressure off the metatarsal heads and is beveled in both an anterior and posterior manner. the bar should be placed 1/4 inch posterior to the heads.