I have a long standing and progressive condition affecting my right foot. I pronate so over the years I lost both the longitudinal and transverse arches. I also had a hyper extension injury to the metatarsal phalangeal joint. I have the evidence of a moderate bunion. I wear orthotics. Over the past year I ve developed a sharp pain in my 4th toe. It makes me walk with an altered foot position. I can hardly find shoes that I can wear. The pain is present in a weight bearing position. Bending the joint sends a shooting pain from my 4th metatarsal-phalangeal joint to the tip of my toe. Creating a transverse arch seems to give some relief. Help!