Did you know that the average person walks 5,000 to 7,000 steps a day? Over the course
of a lifetime that translates to 100,000 miles, or between three to four times the earth’s
circumference. Certainly, that is a lot to ask of our feet. It is no wonder then with all that
wear and tear that our feet may start to ache every once in a while.
Although, there can be several reasons for your feet to start hurting, many common foot
complaints like heel pain, arch pain, and ball of foot pain can be attributed to faulty foot
mechanics. What this means is that even a tiny flaw in the complex arrangement of 26
bones, 33 joints, and intricate framework of muscles, tendons, and ligaments that makes
up each of your feet can result in abnormal walking, foot instability, and abnormal pressure
areas. With activity and time this can lead to foot pain or increased dysfunction including
problems such as plantar fasciitis, heel spurs, Achilles tendon problems and flat feet. It is
also important to keep in mind that the discomfort caused by faulty foot mechanics may not just be confined to your feet. Due to foot problems, you can develop symptoms in other parts of the body including your knees, hips and back.
As a specialist in treatment of issues affected the foot, ankle and related structures of the
leg, your podiatrist is best suited to treat all problems associated with these areas and
should be consulted if you are experiencing any problems related to faulty foot mechanics.
Many foot problems of this nature can be treated with specially fabricated shoe inserts
called orthotics. These custom made medical devices are designed to correct an abnormal
or irregular walking pattern, provide your foot with the proper support, correct or prevent
worsening foot deformity, relieve areas of pressure, and help reduce discomfort. Promoting
the proper alignment of the structures in your feet, and working like shock absorbers,
orthotics can improve your foot function, restore balance, enhance sports performance while
alleviating foot pain as well as knee, hip and back discomfort.
Your podiatrist will thoroughly evaluate all issues and concerns related to your foot problem.
In addition to a careful review of medical history and all contributing factors, like the level
and type of your activities, your foot anatomy, and associated orthopedic problems, the
podiatrist may conduct a gait analysis to further clarify any biomechanical issues. If your
podiatrist determines that an orthotic is needed, a cast, foam, or 3-d scanned impression
will be taken to fabricate your custom orthotic.
Custom orthotics can be constructed of various materials and may be made to fit any type
of shoe. Orthotics that help to improve foot function are typically made from a firm material
like plastic or carbon fiber. Softer and more compressible materials, on the other hand, are
most often indicated for orthotic devices whose main purposes are to absorb shock,
improve balance, and alleviate pressure on areas with uncomfortable sore spots.
It is important not to confuse over-the-counter shoe inserts with custom orthotics. Shoe
inserts, and other foot support devices that are advertised as “custom-made” and are
available for order online and in retail stores may be helpful in a few situations, but can not
effectively address biomechanical issues or chronic foot discomfort.
The best way to restore function and comfort is by having custom made orthotics
designed to precisely fit your foot and address your specific needs by your podiatrist.
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