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Orthopaedic

If the Shoe Fits…

Orthotics, customised shoe inserts designed to correct foot problems, can help with common
conditions such as plantar fasciitis, bursitis and arthritis. Here’s a quick lowdown.

ORTHOTICS VS. INSERTS
Orthotics are prescription medical devices that are customised for your foot, while shoe inserts are over-the-counter purchases. Both provide extra cushioning and/or support for the foot. While inserts can certainly help some people, those with more serious biomechanical problems stand to gain greater benefits with orthotics.

If you are experiencing foot, leg or back pain, you should consult a podiatrist to see whether orthotics could help. If you decide to try them, your podiatrist will study your gait and take 3D images and a detailed mould of your foot or feet, which will form the blueprint for your orthotics.

RIGID VS. SOFT ORTHOTICS
Orthotics fall into two main types – rigid and soft. In addition, ankle foot orthotics extend beyond the foot and up the leg to assist with stability and mobility.

Rigid orthotics

  • also known as functional orthotics
  • made from hard materials like plastic or carbon fibre that provide support
  • work best in shoes with closed toes and low heels
  • ease foot aches and strains, and sometimes associated leg and back pain

Soft orthotics

  • also known as accommodative orthotics
  • made from soft compression materials that provide cushioning
  • may need to be worn with prescription footwear to accommodate their bulk
  • relieve pressure from sore and painful spots from conditions like plantar fasciitis or diabetic foot ulcers

Ankle foot orthotics

  • shoe inserts with a portion that extends from the heel upwards and around the calf
  • worn with a smooth long sock to prevent skin irritation
  • improve walking patterns by limiting movement and supporting weak muscles
  • often prescribed for children with cerebral palsy and patients with gait abnormalities

Orthotics Can Help with…

  • Arthritis
  • Back pain
  • Bunions
  • Bursitis
  • Cerebral palsy
  • Diabetes
  • Flatfeet
  • Hammer toes
  • Heel spurs
  • High arches
  • Plantar fasciitis

      • SKILL, SCRIPT, FIT AND FREQUENCY
      The success rate of wearing orthotics depends on:

      • the skill of the orthotist, the professional technician who makes them
      • the accuracy of the prescription
      • the fit of the shoe that is worn with them
      • the frequency with which they are worn

      The message is clear. If you have been prescribed orthotics, make sure they fit well, wear them regularly, and your foot, leg and back problems should be eased if not solved.

      REFERENCES
      https://www.webmd.com/pain-management/what-are-shoe-orthotics#1
      https://www.healthline.com/health/bone-health/orthotics

      This article is taken from our My Alvernia Magazine Issue #42/43. Click here to read the issue on our website or on Magzter.

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