I probably depends on the orthotic. If there is a rearfoot post, then it might be enough, but there are times I will add a temporary heel lift to an orthotic to see if it helps.
Posted By Vivian Abrams DPM on December 19, 2004 at 00:17:42:
The proprietary gel also provides extra protective padding to help comfort the pain caused by metatarsal soreness. May be used for relieving the burning sensation under the metatarsal heads, calluses and tarsal fat pads.