Written by: Larry Huppin, DPM
12/28/2009 9:31 AM

In Orthoses for Soccer Cleats Part 1, we provided a general orthotic prescription for soccer cleats. Using this prescription as a foundation, detailed below are our recommendations for modifying the basic soccer cleat orthotic prescription for specific pathologies. Detailed information on our reasoning for these modifications, including evidence in the literature, can be found by using the links to the Pathology Specific Orthosis for each pathology. Because we are using forefoot extensions,all of the following require a cover.

• Hallux Limitus: Minimum fill, reverse Morton’s extension. (Hallux Limitus PSO)
• Plantar Fasciitis: Minimum fill, valgus wedge (Plantar Fasciitis PSO)
• Metatarsalgia: Minimum fill, Poron 3mm forefoot extension, Poron metatarsal bar. Glue cover posterior only (Metatarsalgia PSO)
• Lateral Ankle Instability: Standard fill, valgus extension (Lateral ankle instability PSO)
• Peroneal tendonitis: Standard fill, valgus extension (Peroneal tendonitis PSO)
• Calcaneal Apophysitis: Minimum fill, heel pad  (Calcaneal Apophysitis PSO)

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