An offloading and reduced-pressure treatment system includes an offloading and reduced-pressure treatment device, which has a plantar member formed from an offloading manifold material. The offloading and reduced-pressure treatment system further includes a reduced-pressure interface fluidly coupled to the pressure-transmitting layer of the plantar member, a reduced-pressure source, and a reduced-pressure delivery conduit fluidly coupled to the reduced-pressure source and to the offloading and reduced-pressure treatment device. The offloading manifold material includes a first barrier layer, a support layer, a pressure-transmitting layer and a second barrier layer. The offloading and reduced-pressure treatment device may also have a dorsal member and a bridge member. Methods are also presented.