shoe recommendations post 2nd MT fracture

Had a runner with this and after experimentation for her found the Nike Structure 24 to solve the problem. No issues since, but it is a very stable slightly heavy shoe.

Over the past 15 years I've had a few MTP joint issues including distal metatarsal fractures of the 2nd Met.

Problems that involve this part of the foot relate to the foot anatomy and shoe design. Having a Morton's Toe whereby the 2nd toe is longer than the 1st predisposes one injuries to the 2nd Met.

In my experience, shoes that are very flexible in the forefoot while also employing non-supercritical EVA midsoles invite injury of the MTP joint for those predisposed to them. Orthotics can also contribute to the MTP loading problem by shifting it to the other lateral Mets. In my own experiments I ended up causing excessive edema in my lateral Mets through the use of aftermarket Orthotic insoles. I'm in agreement with the consensus view among foot and ankle orthopedic specialists that current clinical research has shown little or contradictory evidence that either stability shoes and orthotics prevent injuries in runners.

My MTP issues are now in the past. But if I was dealing with an inflammatory issue or coming back from an injury I would use shoes such as the HOKA Mach or the Asics GlideRide for their protective benefits.

Thank you. I will look into those shoes. Long story short - after being initially released from the fracture healing and resuming training, I developed pain and subsequent edema in MT3, which led to the diagnosis of the malunion (MT2 is angled slightly dorsal and now is shorter than it was). The orthotic is made by my orthopedist to help off load MT3 since MT2 isn't really bearing weight. After more time off to let MT3 settle down, I've tried the Clifton and so far things are going well, so I would think the Mach should be a good addition. If you have any other advice since you've dealt with this I"d appreciate it!

I have had a nasty case of metatarsalgia and have been experimenting with a lot of different shoes. So far the Hoka Clifton have been the best (I got them in 2E because they run narrow). I thought maybe a beefy cushion shoe like the Asics Cumulus would work, but the rocker on the Clifton makes a huge difference taking pressure of the forefoot.

I am not doing any speedwork now, but the Asics Evoride 3 worked surprisingly well, again I think it was the rocker.

It sounds like you have the orthotics under control, but for my walking shoes, the Powerstep Pinnacle Plus have been a huge help.

Thanks for the suggestion. Also on the power step insert. I def would be interested in something a bit cheaper than the one from the orthopedist for shoes to just run errands in.

Hoka Mach 5