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Orthotic
devices-choosing the right orthotic device
An orthotic or
orthopedic device is a specially designed shoe complement to treat or
adjust the various biomechanical foot disorders that are a cause of
severe foot and heel pain. The orthodic devices may be in the form of
cushioned heel cups, heel pads, shoe inserts or shoe insoles.
One of the main
functions of these orthotic devices is to align or support the foot or
the ankle. They can be used to prevent, correct or accommodate
deformities of the foot and thereby increase the comfort level of the
patient and provide relief.
For example, an
ankle foot brace can substantially reduce the pain of rheumatoid
arthritis in the heel or the ankle. Heel
pain, like pain in any other
part of the foot, can severely impair movement due to the discomfort
caused when even placing the heel on the ground. An increased heel
support or a flare can ease the ankle sprains. Heel cushions act as
shock absorbers against the impact of the thud while walking.
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It goes without
saying that you have to go by the advice of your podiatric specialist
regarding the kind of orthotic device that your foot needs. Once you
receive his prescription, you have two options for buying the orthotic
device. The simpler and inexpensive option, which works well for most
general cases of foot pain, is to buy an off-the-shelf device which is
generally available from the chemists' shops or at retail stores.
The other course is
to get the device custom made for your individual requirement. For
this, the manufacturer takes an impression of your foot, which is
called a cast. The impression in the cast duplicates the maladjustments
in the foot. Orthotic specialists then correct this misalignment with
compensation and stabilization techniques.
Knowledge, they
say, is power. As a well-informed person you must be aware of the
relationship of your body weight to your foot problem. You must,
therefore, ensure that the density, softness and thickness of the
padding used to cushion your foot should conform to your body weight.
The density of the padding can be low, medium, or high.
It is important to
understand the role of each orthotic device or its placement in the
shoe in alleviating the foot pain. For example a wedge installed into
the inner side of the sole can help a flat foot and reduce the risk of
tendonitis. Sometimes a simple alteration in the shoe does the trick
and you do not need any wedge at all.
The style of the
orthotic device must match the style, contours or the arch length of
the shoe. While a full length orthotic device is suitable for sport
shoes, ¾ length suits the regular shoes and thin orthotics
are good for high heeled fashion shoes. The orthotic device works
better if it is inserted in a sneaker.
Sometimes the
insertion of an orthotic under the heel or the rear side of the foot
may transfer the weight of the foot towards the toes, causing new
problems. For this the shoe front should be broad and spacious enough
to accommodate the weight transfer.
Before buying any
orthotic, walk around the shoe store for sometime to ensure that there
is no pinch, irritation or discomfort after the device has been
inserted.
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