Orthotics are custom-made shoe inserts that help correct foot and ankle problems usually caused by variation in foot mechanics. They are designed to provide support, improve alignment, and enhance overall foot function. Orthotics can be used to treat a variety of conditions such as plantar fasciitis, flat feet, and shin splints and are often prescribed by healthcare professionals such as podiatrists or orthopaedic specialists. They are tailored to the individual’s specific needs and can help alleviate pain and discomfort associated with various foot issues. They come in different shapes and sizes depending on the condition they are intended to address. In some cases, orthotics will be “made to measure” for an individual in order to optimise foot function.
Orthotics work by re-aligning the foot and ankle bones to their natural position, reducing excessive pronation or supination, and providing additional arch support. By supporting the arch of your feet, and correcting boney alignment, weight becomes more evenly distributed across the foot. This can help to reduce the demand being placed upon ligaments and tendons in the foot and ankle, subsequently lowering the risk of injury. When being used to correct excessive pronation or supination, it is important to ensure that thy orthotics do not “over correct” the posture, forcing the foot into an uncomfortable new position.
Orthotics have been a subject of debate for many years. Some claim that they are a miracle solution for various foot problems, while others argue that their effectiveness is exaggerated. Research has shown that orthotics can be beneficial for certain conditions, such as plantar fasciitis and flat feet. However, it’s essential to understand that they may not work for everyone or all types of foot issues. When evaluating the claims about orthotic effectiveness, it’s crucial to consider individual factors such as the specific condition being treated, the type of orthotic used, and the expertise of the healthcare professional prescribing them. If not properly fitted, or providing insufficient support, orthotics are unlikely to make any significant changes to the alignment of mechanics of the foot and ankle.
Podiatrists play a crucial role in advising patients on the appropriate use of orthotics for maximum benefit. They are experts in assessing foot conditions and prescribing orthotic devices tailored to individual needs. When considering the use of orthotics, consulting with a podiatrist will enable you to receive a professional evaluation. This will then help to determine if orthotics are necessary, recommend the most suitable type for specific foot issues, and provide guidance on proper usage. Sometimes over the counter orthotics can be suitable, but in other cases, such as when cases are complex, or orthotics are required for specialist sports or activities, bespoke items may need to be considered.
When considering the use of orthotics, it is important to take into consideration both medical evidence, and your personal needs. Orthotics can be beneficial for various foot conditions, but improvement isn’t guaranteed- they may help one person and not the other. A healthcare professional will be able to help you to decide whether orthotics may be suitable for your specific situation. Factors such as activity level, footwear preference, and budget should also be taken into account. Bespoke orthotics often come with a price, and if your go to shoe is a flip-flop, you are unlikely to find you benefit from the orthotics for the little time that you do use them. However, a runner, who wears trainers as their day to day footwear, is likely to find they have greater benefit from the use of orthotics.
Generally speaking, orthotics are likely to be beneficial in reducing pain and aiding healing when altered foot mechanics are believed to be the underlying cause. However it is important to consult with a healthcare professional to help fully understand your pain/injury, and to determine what orthotics are going to be most beneficial for your individual care.
This blog post is not designed to replace a full assessment from qualified healthcare professional, and aims to give a better understanding of how orthotics work and how they can help in the treatment of pain and injuries. If you have an injury that you would like to discuss, or to book an appointment, contact us.
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