Do I Need Custom Orthotics?

So many of the big box stores have an entire wall devoted to shoe inserts. They all claim to help with a wide variety of ailments, from flat feet to sore feet to an aching back. In the end, you will probably get what you pay for. However, there are many of us who need some sort of insert in our shoe to provide pain relief or adjust how our foot falls. How can you possibly determine what is the best insert for you? When you feel completely lost, consult with your podiatrist to find the best option. If you are ready to dive into the search alone, below we will provide some information and advice to find the perfect for you!

While very few of us purchase completely custom shoes, we need to understand that off-the-shelf shoes are designed for the average person. The arch, shoe shape, and cushioning vary from shoe to shoe and likely do not match your needs. An insert will help solve these discrepancies.

When do I need orthotics?

Orthotics can treat a long list of ailments. Some of these ailments involve issues directly with the foot and others involve the whole body. Regardless of the ailment, a slight shift in your foot fall, posture, or arch can make an enormous difference in your life.

High Arches

For those born with high arches, they may also suffer from issues throughout their legs. The inappropriately high arch will add strain to your shins and knees. Most people with high arches walk on the outside of their foot, weakening their ankle and changing the line of their leg. Orthotics support your foot and will reduce the pain along your leg.

Flat Feet

On the other side of the arch spectrum are flat feet. Many people are born with flat feet or their feet have experienced significant trauma. The lack of an arch can do untold damage to your feet, ankle, knees, and back. An orthotic will support your foot into the arch shape you need and provide better foot positioning.

Back Pain

Our posture, spinal alignment, and weight distribution all start with our feet. If our feet our improperly supported, a litany of issues can occur. With poor positioning of your feet, your hips and knees can fall out of alignment. With this shift, your lower back will take on added strain and cause pain. Orthotics re-align your foot position to decrease the pressure currently on your back.

Arthritis

Arthritis is a condition developed over time that leads to stiff and painful joints. Also, your feet are affected by this disease. Custom orthotics can help relieve some of the pain associated with this disease.

Can I buy over-the-counter orthotics?

There are a few high-quality over-the-counter orthotics on the market today. They are certainly less expensive. It entirely depends on what symptoms you are addressing. If your only ailment is mild pain in your feet, an over-the-counter insert may be best for you. You can find one that fits your foot adequately and provides some extra cushioning or support to ease your pain. If you are struggling with more severe symptoms, an over-the-counter orthotic still may be a good place to start.

What makes a “good” orthotic?

Spotting a good orthotic on a shelf full of inserts, brands, and types can seem daunting. What you will need to look out for is an insert that holds its shape under your body weight. The arch should not fall as you step on it. That being said, the insert should be fairly rigid. After all, it is providing support to your feet! Our feet do move with fluidity, which is why you do not want a full rigid insert. It is best to move just as your foot moves.

What type of orthotic should I buy?

Orthotic inserts come in two lengths: partial and full length. The partial length insert reaches just past the arch to the ball of the foot. I recommend a full length insert because it provides full support and cushioning to your feet. However, sometimes the full length insert is not for you. Full length inserts take up more room in your shoe and can narrow the toe box to a point that your toes are uncomfortable. There are two solutions to address this issue. Either you can try a partial length orthotic which still provides ample support or you may need to purchase shoes in a bigger size. The issue with purchasing shoes in a bigger size is that the shoe may be too big at other parts of your foot, which will cause additional issues.

When do I need a prescription orthotic?

 If you have tried the over-the-counter options to no relief, it may be time to contact your podiatrist. A podiatrist will assess your feet and gait to determine the best insert for you. They will also measure your feet to ensure a perfect fit. This is definitely a more expensive option, but well worth the cost to be living with less pain and weakness. In today’s age, doctors can use digital mapping of your feet to ensure the best fit for your feet.

Your feet affect so much of your daily life. No one wants to live with sore feet, knees, or backs. Orthotics, whether over-the-counter or prescription, can provide amazing changes to your life. While supporting your feet to the proper position and with some added cushion, your aches and pains may be a thing of the past. It may be hard for you to know if orthotics can help with your ailments. If you are at a loss about what to do next, visit your podiatrist and tell them about your symptoms. Overall, almost everyone will benefit from the use of orthotics. Those with mild symptoms can easily get by with over-the-counter orthotics. However, if you suffer from more serious issues, a prescription orthotic may be the best choice for you.

Hope this helps!

XOXOXO

Dr. Eva