How can I do rectangular offload, for example, to do a slight elevation down the first and fifth metatarsal with an offload in the medial heads? A How can I do rectangular offload, for example, to do a slight elevation down the first and fifth metatarsal with an offload in the medial heads? It is possible to create any type of element and save it, so you can use it again as an element of the pre-existing list.