Custom Foot Orthoses Information
AKA: Orthotics / Insoles
Custom foot orthoses have been used in the medical profession for over 150 years for the treatment of various conditions of the foot and lower limb. They have evolved from leather and metal to moldable thermoplastics into the digital age of CAD/CAM methods such as milling and 3D printing.
“An in-shoe medical device which is designed to alter the magnitudes and temporal pattern of the reaction forces acting on the plantar aspect of the foot in order to allow more normal foot and lower extremity functioning and to decrease pathologic loading forces on the structural components of the foot and lower extremity during weight bearing activities.” (Kirby 2014)
There is a lot of research around orthoses with mixed results, often due to flawed methodology. There are numerous research studies that have provided solid validation of the therapeutic effectiveness of orthoses in both the athletic and non-athletic population. The success rate of treating various foot and lower limb injuries has been reported as being between 50-90%. Which means there is no guarantee that they may work.
Custom foot orthoses are used to treat
Plantar Fasciitis
Plantar Heel Pain
Neuromas
Metatarsalgia
Chronic Blisters
Shin Splints
Certain
corns & callus
Achilles Tendinopathy
Posterior Tibial
Tendon Dysfunction
Osteoarthritis
Rheumatoid
Arthritis
Falls Risk
Reduction
Bunions
Big Toe Joint Pain
Leg Length
Difference
After Foot Surgery
Stress Fractures
Diabetic Foot Ulcers
Discomfort associated with
FLAT FEET
Discomfort associated with
HIGH ARCH feet
Recurrent
Ankle Sprains
To name a few
At M Maddocks Inc Podiatrists
We design and manufacture digital CAD/CAM orthoses, although there may be some exceptions, depending on your specific needs. There are local and imported materials for us to choose from, as well as many different types of covers. All of which are chosen based on your specific needs.
We are starting to offer 3D printed options as well!
The shoes you wear them in
Most orthoses are dependent on footwear, which will be / has been discussed with you.
You may be required to change your footwear depending on your concern, your current shoes, and the design of the orthoses.
Fitting your new orthoses
Please note, that that we do a fitting and not an over the counter dispensal. It is an appointment to make sure they fit, make any immediate adjustments, sometimes complete them and explain the next steps.
It takes time to get the orthoses to fit perfectly in your shoes and adjustments may be necessary. There is a possibility that you may not go home with your orthoses on the first fitting.
Please ensure you bring the appropriate shoes to your fitting, as discussed in your consultation.
Getting used to your new orthoses
It may take time for you and your body to get used to the orthoses.
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