A forefoot orthotic device has multiple regions configured so that impact, propulsive or standing forces experienced by the forefoot of the user are accelerated, decelerated, shifted, transferred, or lessened, so as to promote pain reduction or otherwise address or treat conditions of the forefoot. In one implementation, the device includes expanded areas adapted to underlie the first and fifth metatarsal heads and cushion or offload forces therefrom. In still other variations, the device includes a plateau and regions adjacent the plateau and sloping downwardly therefrom, so that the time during which painful regions of the forefoot experience force, such as during gait or standing, is lessened in favor of transferring such forces to adjacent regions which potentially are less in need of treatment or protection from such forces.