Vasyli Howard Dananberg (VHD) Insoles are designed for patients with 1^st ray dysfunction (1^st metatarsal and great toe) that leads to hallux limitus. The Vasyli Howard Dananberg Orthotic allows the user to "tune" the function of the 1^st ray by modification of proximal and distal plugs (removable wedges) to raise or lower the 1st ray. Latex free.

• Removable wedges and 3-plane motion control
• Personalize range of motion to improve function and relieve pain
• Solid arch support and heel cupping shock absorption.
• Made of ethyl vinyl acetate (EVA), a microcellular foam. The top cover is brushed nylon.
• heat moldable and designed primarily to fit in athletic shoes or boots.

The Vasyli Howard Dananberg Orthotics are indicated for stage 1-3 hallux limitus. For stage 4 hallux limitus (hallux rigidus), we recommend the use of a turf toe plate. The difference between the Vasyli Howard Dananberg Orthotic and the turf toe plate boils down to flexibility vs. rigidity – the Vasyli Howard Dananberg Orthotic is used to increase the range of motion of the great toe joint, while the turf toe plate acts as a rigid splint to the joint, inhibiting motion. Be sure to consult our knowledge base article on hallux limitus for more information on staging of hallux limitus.

Five Sizes:

• XSmall (Women's 5-6)
• Small (Women's 7-8, Men's 6-7)
• Medium (Women's 9-10, Men's 8-9)
• Large (Women's 11-12, Men's 10-11)
• XLarge (Men's 12-13)

The VHD-Vasyli Howard Dananberg Orthotic is also a great choice for those with a high arch and plantarflexed first ray.

Indications: The VHD-Vasyli Howard Dananberg Orthotic is used in the treatment of hallux limitus, hallux rigidus, turf toe, sesamoiditis, and bunion pain.

Here's a link to our return policies and procedures.

SKU#: M963