Orthoses / Orthotic Devices
Orthoses /Orthotics are devices which are
fitted into footwear. The aim is to
improve the mechanics of the foot, control the abnormal or excessive motion,
improve shock absorption, propulsion and proproception. Generally it is accepted that a person who is
excessively pronated or supinated and is suffering with foot of lower leg
injury will benefit from orthotic therapy.
Treatment becomes more difficult when people are excessively pronated or
supinated and who are not in any pain or discomfort. We use discretion and only treat with
orthotics those who are in pain and those that fall outside what is considered
normal. Orthotics are not corrective but
Every orthotic will sit slightly different in
most sports footwear. If your clients
change shoes it is worth a podiatrist checking their position ensuring they are
not over corrected.
The foot can sit happily and function within
normal limits being under corrected, however we do not want over correction as
this leads to more problems. Blocking
all the pronation leads to the same conditions common in over supination.
The down side of orthotic therapy is that it
can lead to muscle weakness. Provided
orthotics are used properly which includes using them when they are most
needed, and generally not 24/7 (unless they have very bad mechanics) then orthotics
are very successful in treating injury.
Advice for orthotic wearers
- wear in
- do not wear
24/7, only when needed (running or exercising)
- go barefoot on
natural terrain where ever possible
- stretch regularly
- strengthen feet
and lower legs