Wear the gel toe separator and metatarsal pads together they not only protect the forefoot Made of high quality durable medical-grade silicone gel material supple and flexible. The widen and thicken area of metatarsal pads will help you reduce the discomfort pressure and inflammation caused by bunions. The metatarsal pads hole between big and second toe design for different hallux valgus symptoms. If there are any missing and quality problem with the toe separator metatarsal pad kits.