Ladydance, funny how a certain age seems SO old until you hit that yourself! I'm still trying to accept that number. Yes, I'm avoiding doctors because of our $9,000 deductible. Since my job change and hubby's "retirement" we pay for our own insurance. I'm already on prescription anti-inflammatories for a different issue. I can't imagine what this would feel like if I weren't! I've tried gel soles other dancers recommended, but then the shoes are too tight. I'm still trying those, hoping to get the right mix of shoe and insert.
I didn't realize orthotics work in a different manner. My sister's doctor recommended a toe-pad. Now that I wonder if it works like you're suggesting. Unfortunately, she's stubborn and waited too long for treatment and wouldn't stop wearing heels. Hence the surgery which was only moderately successful. Knowing that others have had good luck with something makes me a bit more optimistic. I'll check some over-the-counter orthotics. I know they may not work quite the same, but it's worth trying.