Custom Orthotics
What is an Orthotic?
An orthotic is a prescription device used to correct
biomechanical abnormalities, treat foot pathology, alleviate pain
and improve gait. There are many commercially-made devices, such as
cushioned heel cups or prefabricated insoles for shoes sold over
the counter in drug stores or other retail establishments that are
simple comfort devices and not technically orthotics.
Prescription orthotics are created using a plaster of paris cast
in a non-weight bearing attitude either supine or prone to capture
the foot in a neutral position as well as the anatomy of the foot.
To date, this method is still the most effective. These plaster of
paris casts are shipped to an orthotic laboratory where an orthotic
is created that balances out deformities and corrects misalignments
according to a doctor's prescription.
The orthotics are then sized into the patient's shoe to support
the foot and correct abnormal foot biomechanics by keeping the foot
in its proper position. Orthotics are available in a variety of
styles to fit various shoes, with a number of added options to suit
each individual need.
Types of Orthotics
Generally, orthotics are grouped into the following
categories:
Functional Orthotics
Functional orthotics are devices that support or correct
musculoskeletal deformities and/or abnormalities in the human body.
When appropriately prescribed, these orthoses can decrease pain and
increase stability in an unstable joint, along with preventing
potential progression or development of a deformity. They are
designed to support a wide variety of abnormal foot biomechanics by
preventing pronation (flattening of the arch) and reducing impact
while running or walking. They support the rear and midfoot joints
utilizing a semi-rigid or rigid shell, helping to prevent
repetitive overuse injuries. Functional orthotics are used to
correct many foot deformities.
Accomodative Orthotics
Accomodative orthotics are intended to support the foot and
provide shock absorption and cushioning to the feet. These devices
are generally indicated for diabetic, rheumatoid arthritis or
elderly people that do not require or cannot tolerate corrective
devices and only need to support and cushion their feet. They are
most often used to relieve mild foot pain and correct minor foot
problems.
Who Should Use an Orthotic?
Almost anyone can benefit from orthotics. Orthotics can
alleviate many common foot problems that radiate upward causing
pain and discomfort in other parts of the body.
What signs might indicate the need for orthotics?
• Uneven shoe wear
• Bunions
• Knee, Leg, or lower back pain
• Flatfeet or Pronation
• Shin splints
• Foot pain
• Malalignment syndromes
• Children's problems including in-toe, out-toe and flat
feet
• Neuroma
• Sports injuries
• Arthritis