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Custom Orthotics for Foot and Ankle Conditions

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Custom orthotics are designed for individualized support and to alleviate pain and discomfort caused by various foot conditions. Read this article to know more.

Written by

Dr. Vineetha. V

Medically reviewed by

Dr. Anuj Gupta

Published At March 15, 2023
Reviewed AtMarch 15, 2023

What Are Custom Orthotics?

Custom orthotics are medical devices prescribed for using inside shoes to address biomechanical foot issues related to gait, posture, and running. They are special inserts designed to fit the unique shape and structure of an individual's feet, offering support and correction for various foot and ankle conditions. They are made from durable materials (strong, long-lasting materials that can withstand pressure) and are tailored to fit perfectly inside a person's shoes, providing a comfortable and secure fit.

What Are the Different Types of Custom Orthotics?

Several different types of custom orthotics are available, each designed to address specific foot and ankle conditions. Some of the most common types include:

  • Accommodative Orthotics: It is also known as soft orthotics. These orthotics are designed to provide cushioning and support for individuals with conditions like diabetes, arthritis, and other medical conditions that cause pain in the feet.

  • Functional Orthotics: It is also known as rigid orthotics. These orthotics are designed to correct imbalances in the feet and provide support for conditions such as overpronation, flat feet, and plantar fasciitis. They are often used to improve athletic performance and reduce the risk of injury.

  • Rehabilitative Orthotics: These orthotics support and protect the feet during rehabilitation for conditions such as sprains and fractures. They help to reduce pain and promote healing.

  • Postural Orthotics: These orthotics are designed to improve posture by correcting imbalances in the feet and lower body. They are usually used to alleviate back, hip, and knee pain.

  • Sport-Specific Orthotics: These orthotics are designed to meet the specific needs of athletes and active individuals, providing support and reducing the risk of injury during physical activity.

  • Pediatric Orthotics: These orthotics are designed specifically for children and are used to support and correct foot and ankle conditions in growing feet.

Each type of custom orthotic is designed to address specific foot and ankle conditions. The recommended orthotic type will depend on the individual's specific needs and the treatment condition. Therefore, it is essential to consult a podiatrist to determine the best orthotic device suited to a particular foot condition.

What Are the Benefits of Custom Orthotics for Foot and Ankle Conditions?

Custom orthotics are special inserts designed to support and correct various foot and ankle conditions. They are made to fit the unique shape and structure of an individual's feet, offering numerous benefits for people suffering from foot and ankle problems.

  • Improves Foot Alignment: Custom orthotics help to realign the bones in the feet to their proper position, reducing stress and strain on the feet, ankles, and knees. In addition, orthotics can help to prevent and relieve pain and discomfort caused by conditions such as plantar fasciitis, flat feet, and overpronation.

  • Increases Comfort: Custom orthotics are designed to fit perfectly in a person's shoes, providing a comfortable and secure fit. They ensure weight is distributed evenly across the feet, thereby minimizing pressure on specific areas and preventing pain and discomfort.

  • Enhances Performance: For athletes and active individuals, custom orthotics can improve athletic performance by reducing the risk of injury and improving balance and stability. This can help to enhance overall performance and reduce the risk of injury during physical activity.

  • Improves Posture: Custom orthotics can help to improve posture by correcting foot alignment and reducing strain on the feet, ankles, and knees. This can help to alleviate pain in other areas of the body, such as the back and hips, and improve the overall quality of life.

  • Reduces Pain: Custom orthotics can help to reduce pain caused by foot and ankle conditions, such as plantar fasciitis, flat feet, and overpronation. By correcting foot alignment and distributing weight evenly, orthotics can help to alleviate pain and discomfort, allowing individuals to continue with their daily activities.

  • Altering Pressure Distribution: Orthotics redistribute weight across the foot to reduce pressure on specific areas and alleviate pain.

  • Absorbing Shock: Orthotics can also help absorb shock with every step, reducing stress on the foot, ankle, knee, and hip.

What Foot Conditions Can Be Treated With Custom Orthotics?

Several foot conditions can be treated with custom orthotics. They include.

  • Bunions: A bony bump (bone projection) appears on the joint positioned at the big toe’s base region. This condition is caused by the displacement of the big toe joint and can cause pain, swelling, and difficulty walking.

    • Recommended orthotic device: Shoes with wide toe box, seamless uppers, stretchy shoes, “bunion shield” type pad.

  • Corn and Calluses: Corn is a skin lesion that forms due to friction or pressure on the skin. It typically appears on the toes or fingers. Calluses are thicker and tougher areas of skin that form on the feet, hands, or other areas of the body subjected to friction or pressure.

    • Recommended orthotic device: Orthotics with cushions to separate their toes, foam or moleskin pads over corn-prone areas, and foam pads with holes in the center to relieve pressure around the corn.

  • Cavus Foot: It is a condition where the arch of the foot is abnormally high. This can cause pain and instability, as well as increase the risk of other foot problems such as calluses, hammertoes, and plantar fasciitis.

    • Recommended orthotic device: Soft orthotic cushions to redistribute pressure evenly in the foot.

  • Flat Foot: It is a condition where the foot's arch collapses and comes into full or near-full contact with the ground.

    • Recommended orthotic device: In adults, no device is required if there are no symptoms. A semirigid insert or long arch pad if there is pain.

  • Plantar Fasciitis: Inflammation of the plantar fascia (a band of tissue in the foot) that runs from heel to toe. It is the common cause of heel pain. Symptoms include sharp pain, especially with the first steps in the morning.

    • Recommended orthotic device: Prefabricated heel insert made of silicone or rubber.

  • Hammer Toes: Deformity of the toes in which they are bent at the middle joint and resemble a hammer. It can result from genetics, poor footwear, or other foot conditions. Symptoms include pain, difficulty walking, and difficulty fitting into shoes.

    • Recommended orthotic device: Shoe with a wide toe box.

  • Metatarsalgia: It is used to describe pain in the ball of the foot, often caused by overuse or injury to the metatarsal bones and surrounding soft tissue.

    • Recommended orthotic device: Wide shoes, pads, or bars under the forefoot bones.

  • Hallux Rigidus:This foot condition affects the big toe joint, causing stiffness and pain.

    • Recommended orthotic device: Prefabricated stiff insert, Rocker bottom sole.

Conclusion

Custom orthotics are designed to last long, offering a cost-effective solution for foot and ankle conditions. They are highly resistant materials that withstand regular wear and tear, ensuring consistent support and relief. Overall, orthotics improve the mechanics of the foot, reduce pain, and prevent injury, helping individuals walk and run more efficiently.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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