Foot pain is big business...just take a look at late night infomercials, the foot-care aisle in the pharmacy, SkyMall on an airplane, or the retail stores that prey on those suffering with foot pain. Not all insoles are created equal, however.
Two elements of an "off the shelf" insole is needed to reduce pressure on a Morton's neuroma. The first is control of hyperpronation. The "rolling in" that is caused by pronation causes compression of the metatarsal bones. I have found the best insole for this purpose to be Powerstep insoles which we carry in our office.
The other element needed for control of a Morton's neuroma is metatarsal arch support. This is hard to find on an OTC insole. In the office, we add metatarsal support to the Powerstep insoles dispensed for a neuroma. There are few insoles that come "off the shelf" with this support effectively added.
A quality insole should cost in the range of $30-$60, whether it is purchased in a shoe store, online, or a Houston podiatrist office. Unfortunately, there are those who charge in excess of $200 for a generic insole. If you are asked to pay this amount, or to invest in several different pair of non-custom insoles, you should beware.
There are times when a non-custom insole is enough to alleviate pain from a Morton's neuroma. The foot and ankle specialists at Tanglewood Foot Specialists will be able to recommend the best insole, or custom orthotic, for you.