Physical Therapy

Orthotics and Postings​

Anecdotal evidence suggests that there are certain generalizations that work well for most footwear such as matching severe overpronators and heavier individuals with motion control shoes or light, efficient individuals with neutral shoes.  But according to the biomechanics research, humans do not respond in a systematic way to footwear features and since gait patterns are highly unique, it is not always possible to predict how someone will interact with a given shoe.  So instead of recommending shoes, the AAPSM advises that individuals become familiar with the structural features that work well for them and then seek out those features when replacing shoes.  The process of discovering what structural features work for you can be one of trial and error. We at Myodurham will help you figure out what works best for you based on a thorough biomechanical analysis and when necessary create custom postings using EVA materials to support or facilitate your foot mechanics. 

Problems with your feet can be caused by several conditions directly related to the feet. General ailments and diseases that affect the body as a whole can also lead to foot pain. The following are several examples of conditions or diseases that can be the cause of foot pain. These conditions can all be treated with physical therapy.

  • Plantar Fasciitis – This is a painful condition along the sole of the foot; and in particular, the area that connects the heel bone to the toes. This is due to thick tissues along the bottom of the feet becoming tightened or inflamed. Pain can occur in the heel or the arch of the foot. It can be caused by obesity, age, and standing for long periods of time on your feet.

  • Heel Spurs – This is a bony protrusion on the heel that is usually made of some sort of calcium build-up. While the actual spurs are not painful they can poke the tissues in the heel and potentially cause severe pain. Many of the same risk factors that cause plantar fasciitis can also cause heel spurs.

  • Diabetes – Diabetes can lead to foot problems because of restricted blood flow and nerve damage. When nerves are damaged through diabetes this is referred to as neuropathy. When the muscles in the foot no longer function together properly this can cause unequal pressure on the foot. Unequal pressure can result in sores, infections, and even amputation in extreme cases. Proper footwear can help prevent foot problems related to diabetes.

  • Arthritis – Arthritis is a debilitating joint disease that can affect the joints throughout the foot. Stiffness and swelling in the joints can eventually lead to permanent damage. This can affect the way you stand or walk.

  • Metatarsalgia – This is a painful disorder that affects the joints and bones along the ball of the foot. This condition is often caused by ill-fitting footwear or restrictive footwear. Orthotics are usually recommended to help reduce pain caused by metatarsalgia.

 

Other potentially treatable conditions include patellofemoral knee pain, shin splints, achilles tendonitis, and bunions, as well as numerous systemic pathologies that (like diabetes) affect the function of the lower limbs. Physical therapy services can provide treatment to relieve pain and improve whatever condition you’re suffering from.

What are Custom Orthotics?

Custom orthotics are devices that are individually created to uniquely fit your feet. They resemble insoles but are specifically crafted and made of materials that will last longer than prefabricated orthotics. They are sometimes referred to as prescription glasses for each of your feet. There are generally three types of custom orthotics:

  • Therapeutic – If the shape of your feet is irregular, these types of orthotics can assist heel support, forward movement, and general stability.

  • Accommodative – These are created to help you relieve the stress on joints that is often caused by conditions such as arthritis.

  • Functional – These will help your feet to move in a more desirable way or bear weight in a way that will help you move and walk better.

 

Although custom orthotics are more expensive than off-the-shelf devices, they last much longer and provide more support or correction. Orthotic inserts will improve how your feet and lower legs feel and function. Quality orthotics can alleviate pressure, eliminate pain, and promote stability. It’s important to receive custom orthotics that are created to fit the exact shape of your foot in order to receive the maximum benefits.

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