Will 3D custom foot orthotics help you?

Orthotics are devices that are placed in the shoe to put the foot in a neutral position, or provide cushioning depending on the type of orthotic.  Orthotics devices are used in foot conditions such as, flat foot, pes cavus (high arched feet), equinus (muscular imbalance limiting upward motion of foot), hammertoes, limb length difference, diabetes, bunions and many other conditions.  Orthotics can be custom made or bought over the counter.  A 3-dimensional scan of the foot is used to send to a lab that makes custom made orthotics, and the orthotics lab can add correction specific to the patients’ needs based on specific instructions in the form of a prescription from our offices.

Orthotics fall into two different categories: functional and accommodative:  

Functional orthotic devices are used to correct biomechanical deformities in the frontal plane, and reduce impact while running or walking.  Functional correction is used to reduce abnormal pronation by providing support of the arch, while accommodative orthotics are a soft supportive device used to provide cushioning, and distribute weight bearing pressures evenly across the bottom of the foot.  When making orthotics it is important to compensate for limb length differences because even a small difference can cause pathology, and affect gait.  Symptomatic differences in limb length usually occur when there is a 4cm or greater difference.  Functional orthotics devices are made of semi-rigid material to provide stability, such as graphite or plastic.  

Accommodative orthotic devices are usually made of softer materials, such as leather or foam to provide comfort.  Accommodative orthotics devices are used in conditions such as diabetes and rheumatoid arthritis to help relieve pressure and apply gentle offloading forces away from prominent structures of the foot. 

This is just a brief overview of the various uses and types of orthotics, and is not complete by any means.  For some people, orthotics devices are a way to treat foot pain conservatively and avoid surgery.  Orthotics devices are sometimes recommended post-operatively to prevent recurrence of various deformities.  However, some patients use orthotics devices to provide stability and support to the foot, and prevent injuries.  

Here, we have a 3-dimensional scanner which can allow us extremely accurate impressions of the feet in order to achieve both optimal comfort and control with our custom molded devices. 

Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular, walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotic are available and may help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are not custom made to fit an individual's unique foot structure.

Orthotic devices come in many shapes, sizes, and materials and fall into three main categories: those designed to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.
Rigid Orthotics
Rigid orthotic devices are designed to control function and are used primarily for walking or dress shoes. They are often composed of a firm material, such as plastic or carbon fiber. Rigid orthotics are made from a 3-dimensional scan of the foot or feet. Rigid orthotics control motion in the two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.

Soft Orthotics
Soft orthotics are generally used to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are usually effective for diabetic, arthritic, and deformed feet. Soft orthotics are typically made up of soft, cushioned materials so that they can be worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Like rigid orthotics, soft orthotics are also made from a 3-dimensional scan of the foot.
Semi-Rigid Orthotics
Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials. Semi-rigid orthotics are often prescribed for children to treat flatfoot and in-toeing or out-toeing disorders. These orthotics are also used to help athletes mitigate pain while they train and compete.

If there is any question whether these sorts of devices may help you, most likely than can, because if you are questioning if you need them most likely your feet have some symptomatic concern which does require an evaluation.

Brian Timm, DPM, FACFAS

Board Certified by the American Board of Podiatric Surgery