Pressures on the foot in pointe shoes

This study was designed to determine the relative pressures on the first and second toes and first MTP joint when dancing en pointe, in addition to the variation of these pressures as a function of toe length, foot position, and padding. The first ray always bore the most pressure. Pressures on the second toe varied as a function of toe length and padding. Relevé in the everted position markedly increased first MTP joint pressures. Further research is required to determine whether properly designed padding and positioning of the foot en pointe could decrease the incidence of toe problems in the ballet dancer.