Orthotics.
What Are Orthotic Devices Or Orthoses?
Orthoses or orthotics devices are medical devices/inserts that are used to reduce pressure/stress/shear on or within the foot.
We would usually use orthoses in conjunction with a rehabilitation program e.g. exercises
Over the Counter Orthoses
They can be over-the-counter devices e.g. we have a stock of various pre-bought devices that we can adapt (if required) to meet your needs. These are lower cost than our bespoke range and can be expected to last on average 6 months to 2 years, although this does vary from brand to brand. Your podiatrist will be able to advise.
Bespoke Casted Orthoses
We also bespoke custom orthoses, which are custom made to the shape of your foot, we will work with you to decide what device best suits your need e.g. would you like a softer or firm device, what shoes do you orthoses need to fit in?
What conditions might orthoses be useful for?
Arthritis
Bunions and calluses
Bursitis
Corns
Diabetic foot ulcers
Flat feet or high arches
Plantar fasciitis or heel spurs
Tendinitis
Under- or overpronation
Sports injuries
Post-surgical recovery
It is helpful if you bring the shoes you would most like to wear your orthoses in and also let the Podiatrist know your favoured activities be it running, squash, golf etc. This helps us with our selection of material for your orthoses.
How do orthotics work?
Ground Reaction Forces
Orthoses alter pressure coming from the ground to the foot (ground reaction force) when we move. If we can alter the forces, we can achieve better foot function and reduce excessive forces that are causing the foot or ankle pain/ injury.
Neurofeedback
It is thought that sometimes orthotics work by neurofeedback, where the sensory feedback to the brain encourages the brain to alter the foots' movement during walking/running thereby improving the way the foot/limb functions, thereby reducing pain and minimising the risk of injury/enhancing the speed of recovery.
Do you need to wear orthoses forever?
Orthoses are a bit like glasses, some people find they love the support of orthoses and would find it hard to go back to life without orthoses, but some people only need orthoses as part of their rehabilitation program and once their pain has subsided they are able to discard the orthoses.
