Some individuals have pain in their lower backs, hips, knees, and feet related to complex foot dysfunctions. These individuals can be athletes, competitive or recreational runners, or even normal individuals. They may not be able to appropriately absorb forces throughout their body, and will need orthotics to alleviate the pain. Our physical therapists are highly-trained and experienced in custom foot orthotics.
Custom foot orthotics are devices that are placed directly into shoes that help attenuate shock or that control abnormal motion of the foot and ankle during the gait cycle. The goal of orthotics is to reduce stress on the ankle, lower leg, and lumbar spine.
We assess movement dysfunctions that can cause compensations and pain. You can expect a complete biomechanical examination of your lower extremity, pelvis, and lower back coupled with a custom casting of the your foot to develop the best orthotic for you.
The answer to that question is NO. Upon having a comprehensive biomechanical evaluation of your feet, orthotics are recommended if you have a shock attenuation problem (either too much motion, or not enough motion at the foot/ankle). Just because you have flat feet and are told that you over pronate, it does not mean you need orthotics.
Over-the-Counter Inserts can be found in the health & wellness area in stores, as well as online. They take a more “one-size-fits-all” approach, and help with generalized pain.
Custom orthotics are unique to your foot structure, and they should provide the necessary support and comfort to your feet. Custom foot orthotics should conform extremely close to your arch of the foot. These orthotics are referred to as Total-Contact Foot Orthotics (TCFO’s).
Custom orthotics should only be prescribed after a thorough biomechanical examination by someone that knows foot mechanics — how they relate to the lower leg, and how it will influence the anatomical segments up the chain. Our physical therapists are highly-trained and experienced in custom foot orthotics.