As a biomechanical specialist that has made endurance sports my life, I&#;m often asked the question by my clients, &#;Do I need orthotics?&#;
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Let me disclose that I personally use custom orthotics, and have found them to be one of the BEST ways to rid myself of chronic shin and foot pain. I&#;ll explain why later in the post. To help you decide if orthotics are right for you, here are five questions to answer and discuss with your practitioner/orthotics fitter:
1. Are orthotics something you plan to use to improve performance?
Some people don&#;t have pain, but have poor foot foundation, causing their balance and proprioception to suffer. Perhaps you have diabetes or a heart condition that limits the amount of blood flow reaching your feet. Poor sensation can lead to poor balance and faulty mechanics. This population can benefit immensely from using custom orthotics regularly, in all of their footwear, to improve balance and reduce the risk of falling.Athletes can benefit from orthotics, too, by correcting faulty loading mechanics at the foot, ankle, knee, and pelvis. These mechanical deficits are oftentimes the result of improper foot positioning, and thus shock absorption, when the foots hits the ground.So what&#;s causing an improper foot position? The answer is feet that are too rigid, or too soft.Orthotics can help your feet achieve a more beneficial platform, allowing your body to disperse forces more evenly to the neighboring muscle and joint systems.
2. Do you have pain?
Consider this: Where is your pain? How long have you had it? Does anything make it better or worse?For example, do you feel that every time you buy a fresh pair of running shoes the pain decreases? This may be an indicator that your foot craves more stability and needs assistance from an orthotic.If your pain has only recently started, then I&#;d recommend getting more bodywork (massage), and being seen by a specialist that can assess your biomechanics, flexibility, strength, and tissue &#;feel&#; to determine if your pain can be reduced without an orthotic.If your pain is chronic and you&#;ve already tried seeing a specialist with no improvement in symptoms, then it&#;s possible a custom orthotic can be used to decrease your pain. That said, the orthotic should be prescribed ONLY after watching your mechanics and assessing your foot properly. This ensures you get the correct style of orthotic, as well as a good prescription for bodywork that will help correct any imbalances within your muscle structure.
3. What type of foot do you have in non-weight bearing, and weight bearing positions?
If you have extremely flat feet, but no pain, then I wouldn&#;t recommend an orthotic unless you&#;re involved in a high-risk sport like soccer that has a ton of cutting, and you can&#;t control how far your knee dives in or out.If you have regular arches while sitting (you can see a crescent shape in the arch) but they drop largely with full weight bearing, then you might have a high amount of pronation and require assistance with controlling the speed of collapse.If you have high arches in both seated and standing positions, then you might have a high degree of supination that limits your success with dispersing forces in the ankle, knee, and ultimately the hip and spine.Again, having a qualified practitioner that understands how to measure and assess these different foot types will be necessary. I&#;ve seen plenty of over-pronators and over-supinators for whom I didn&#;t recommend getting custom orthotics because they have effectively compensated for their foot structure. It&#;s the people with poor foot structure, plus recurring injuries or pain that often need custom orthotics.
4. Are you willing to perform exercises most days of the week to improve your foot structure?
If you&#;re one of the unlucky people that have poor foot mechanics, pain, and hobbies/work that involve heavy impact, you still may not have to get custom orthotics. However, in order to avoid them, you&#;ll need to put in the work to make your foot both strong and/or flexible.Perhaps you&#;ve been labeled an &#;over-pronator&#; and you rushed out to buy the &#;Born to Run&#; book along with a pair of the Vibram 5-Toed minimalist shoes with the intention of gaining strength. Well, the disclaimer that must be included is this: it doesn&#;t happen overnight, and you have to be very diligent with your strengthening as well as with your foot recovery techniques to regain an arch, and get rid of pain.On the other hand, if you&#;re one of those rigid-foot-supinators that needs mobility, you&#;ll have to commit time to regaining flexibility in the ankle, toes, and hips. Increased motion at these joints allows for the foot and arch to collapse in a manner necessary for absorbing shock in the ankle and leg muscles, without stressing bones.So, if you&#;re willing to put in the effort, you might be able to save yourself some money, though, I&#;ve seen most people struggle to do so, and end up purchasing a pair after a few months of non-compliance. Rest assured, I don&#;t blame them. After all, I&#;m in the same situation, not making the time to change my feet.
5. What are your job, or daily life demands?
If you have poor foot structure, but work at a desk and don&#;t find yourself walking or spending long amounts of time on your feet, then you might not require custom orthotics. Perhaps you only walk casually, and on fairly stable surfaces. People that have this style of living often just require supportive shoes for their daily walks that have more rigid lasts built into the sole of the shoe to decrease shock. There&#;s even a maximalist movement by shoe companies now to thicken the soft cushioning in a shoe (although keeping the material extremely light) in an effort to create decreased impact forces in the leg, and a larger sweet spot with landings.However, if you have poor feet and a job that demands a lot of standing, or hobbies with high amounts of impact, you might find a custom orthotic to be your saving grace. In my experience, it&#;s not a matter of if pain will eventually creep into your legs, but when it will force you to be sidelined in some manner.I&#;ve seen the arthritic build-up in knees, hips, and spines developed from years of overdoing on poor foot structure. These patients show up in the clinic with back pain resulting from years of bad mechanics that could&#;ve been prevented. While I don&#;t prescribe them orthotics on the first day, I do have a conversation with them about the compensations their body has undergone to adapt to the stresses that ultimately begin in their feet. These stresses, when discovered at a younger age, can ultimately be reduced, allowing for less degeneration, but early identification is the key. Most of these people will end up in some form of custom orthotics once pain has set in, which will hopefully prevent surgical repair to worn out areas!
The most important thing to consider when deciding on orthotics is: what type is necessary? There are a myriad of choices out there ranging from $25-50 on the cheap side to $200-800 on the expensive side. While the cheaper orthotics can serve as a nice temporary support for your foot, they use weaker materials and base their design off a common posting angle that may not benefit your particular foot mechanical problem. On the other hand, the custom-molded, more expensive orthotic may not be the right choice for you either. The actual making of the custom orthotic relies heavily on having the correct expert assess your foot both statically and dynamically under different loads, or ground reaction forces. Without an expert that understands how to assess your foot under different stressful situations, it&#;s nearly impossible to get the correct orthotic prescribed.
In the end, a custom orthotic is a big investment and shouldn&#;t be taken lightly by the practitioner responsible for getting you properly fit. I&#;ve seen way too many patients limp into my clinic carrying a bag of orthotics they have been &#;prescribed&#; through weight bearing scans, crush boxes, and treadmill video recordings. You can imagine the disgust they feel when I show them the reasons their $+ investment in foot care is really just a scam that has been played over and over to them by some of the best sales teams in the industry. I&#;m forced to try to use foam padding and tape to post and position their foot better with the orthotic they bring in, but this never serves as a long-term solution. They&#;re just a number to these sales teams, and no attention has been paid to their individual foot needs based off of their hobbies and work demands.
That&#;s why at Catalyst we&#;re expanding our foot care department to provide the best orthotic prescription in San Diego. We&#;ve partnered with Northwest Podiatric Laboratory and Smartcast Systems to get rid of the outdated plaster casting. This allows us to use 3d technology in printing and scanning in our orthotic prescriptions. We can now scan a patient&#;s foot to get an exact 3-D replica model. Taking it one step further, we use a foot positioning system at Catalyst that includes a laser alignment device to ensure each foot is positioned optimally when scanning and prescribing the perfect orthotic. With no time wasted, our patients will be back in action with the proper fit in a little over a week and their feet will send us &#;Thank You&#; cards.
Discover how Orthotics can Transform your Life and Empower your Movement
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Today I want to share with you a game-changing solution that has helped countless individuals overcome knee, foot, and ankle pain. Prepare to be amazed by the remarkable powers of orthotics, those seemingly ordinary devices that can revolutionise the way you walk, run, and live your life. So, join me, as we delve into the astounding benefits of orthotics in this informative blog post.
Unravelling the Mystery of Orthotics
Orthotics, are custom-made inserts designed to fit snugly inside your shoes. These specialised devices work wonders by providing support, stability, and alignment to the intricate structures of your feet and lower limbs. By correcting biomechanical imbalances, orthotics can alleviate pain, reduce stress on joints, and enhance overall performance. They are truly a marvel of modern medicine.
Tackling Knee Pain Head-On
Let us first shine the spotlight on knee pain, a common affliction that can hamper even the simplest of tasks. Orthotics offer a beacon of hope for those grappling with this debilitating condition. By redistributing forces and aligning the knee joint, these magical inserts can provide relief from conditions such as patellofemoral pain syndrome, runner&#;s knee, and osteoarthritis. With orthotics in your shoes, you&#;ll be back on your feet, striding confidently towards a pain-free future.
Transforming Foot Pain into a Distant Memory
Ah, the feet, the foundation of our movement. When they suffer, our entire body suffers. Thankfully, orthotics are here to rescue us from the clutches of foot pain. Plantar fasciitis, bunions, and metatarsalgia are no match for the power of orthotics. By providing arch support, cushioning, and proper alignment, these incredible inserts can banish foot pain and restore the spring in your step. Walk with pride, as orthotics guide your feet towards a brighter, pain-free horizon.
Ankle Pain No More &#; The Rise of Orthotics
Now, let us turn our attention to the often-neglected realm of ankle pain. Sprained ankles, Achilles tendonitis, and flat feet can be incredibly distressing, leaving you hobbling through life. Fear not, for orthotics are here to bolster your ankles and propel you towards pain-free mobility. By enhancing stability and promoting optimal foot and ankle alignment, these champions of support ensure that ankle pain becomes a distant memory. Reclaim your freedom, with orthotics by your side.
The Power of Personalisation
One of the true wonders of orthotics lies in their personalisation. Unlike generic shoe inserts, orthotics are custom-made to suit the unique contours of your feet. A thorough assessment by a skilled therapist or podiatrist will ensure that your orthotics are tailored precisely to your needs. This individualised approach guarantees optimal support and comfort, maximizing the benefits you reap from these ingenious devices.
As we bring this journey to a close, remember that orthotics have the potential to transform your life. By addressing knee, foot, and ankle pain at their root causes, these remarkable inserts can alleviate discomfort and restore your ability to move with freedom and confidence. Embrace the power of orthotics and unleash a world of pain-free possibilities. Take that first step towards a brighter, more vibrant future &#; one where knee, foot, and ankle pain are but distant memories. Trust in orthotics and let them guide you towards a life of limitless movement.
If you have any questions about orthotics, then please do not hesitate to contact us to find further information.We find that some people are often scared to ask about our orthotics. They are afraid to take the step to finding something that ultimately will help with their problem. These orthotics can help with your mobility and often help runners to get back out there running.
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