A shoe or footwear with an insole or base configured for relieving pressure on the metatarsal region of the foot and help relieve the effects of metatarsalgia. The insole comprises a cavity or cut out in the area of the metatarsal region of the foot and is configured to receive at least a portion of the metatarsal region and alleviate or eliminate direct pressure from the insole against the metatarsal region.
