SDN Members don't see this ad. (About Ads) In your opinion what is the typical orthotic treatment of a sesamoid fx? In my mind there are two options: morton's extension vs. dancer pads After the pt is dx with the fx, the doc usually seems to put them in a CAM walker (limit flexion) f/u for FOs. So, a Morton's extension would seem like the next best option, except after I think about it, you really aren't offloading the site, just keep the ray extended. If you do a dancer pad, you are putting the toe in slight flexion, relieving the first MPJ but the patient is still flexing the foot during toe off. Stiff-soled shoes perhaps? Then I've thought about M.E. + dancer pad. Aren't these contradictory though? M.E. is providing extension while the pad is creating flexion. Thoughts? Note: I am not a MD, DPM, or pod student.