Yes, what is that? Simply put, metatarsophalangeal joint inflammation is usually caused by excessive pressure on the toe and the pads of the fingers. Gel, memory foam, and other insoles worsen the inflammation that causes pain. These shoes are similar to deck shoes and do not place pressure between the toes and the ball of the foot. So no pain. I also like the looks and hope they hold up. I clean the suede so there is no dust.