Maximum Cushioning, Full Support with Built-in Met Pad. Pinnacle Plus Full Length Orthotic shoe inserts feature built-in metatarsal support to spread and cushion the metatarsal heads to help alleviate pain. Ideal for Morton’s neuroma and metatarsalgia, the Pinnacle Plus provides the perfect blend of foot control, flexibility and cushioning. The encapsulated design with a firm but flexible support shell, built-in arch support and heel cradle offers stability and motion control. Plush cushioning with VCT® Technology increases stability and comfort in casual, athletic and work shoes.