The way your feet connect with the ground can impact numerous aspects of your musculoskeletal makeup. For instance, wearing flip flops or high heels for long periods of time could result in stress on your joints and tendons, while throwing off your natural alignment.

If you’re experiencing lower back pain, and there is nothing wrong with your back, we’ll take a look at your gait and consider the types of shoes that you wear most often to determine whether you would be a good candidate for orthotics treatment.

There are a number of different types of orthotic inserts that you can wear in your shoes in order to provide additional support for your feet, provide extra shock absorption, and ensure that your ankle is supported throughout the day.

The most common reasons that we may recommend orthotic shoe inserts or custom shoes includes:

  • Preventing or correcting foot deformities while relieving the shock that walking can have on your lower back
  • Aligning the foot or ankle and providing additional support
  • Improving foot or ankle function
  • Plantar Fasciitis heel support

However, it’s not always your feet that may be the problem. If, as part of recovery from a serious injury such as a fracture, you require a device that limits movement, orthotics can slowly aid in the realignment of your joint. These orthotics treatments can also ensure that weight is distributed evenly to support a full recovery.
If you’re suffering from a condition that weakens your bone structures, or require a quick recovery, as nutritionists we can concoct a complete wellness plan that includes healthy foods that can support your recovery.

Diagnosis Chart

The chart below shows which orthotic devices are commonly recommended by the American Academy of Orthopedic Surgeons for various foot conditions. Consult with one of our doctors before buying or using an orthotic device on your own; if you select the wrong type of device, you could change the mechanics of your gait and cause problems instead of curing them.Orthotics Treatment

Common Conditions

  • Bunions and/or bunionettes

    Shoes with a wide toe box; soft, seamless uppers, stretchy shoes; “bunion shield” type pad.

  • Corns and calluses

    If located on or between the toes, a toe separator may be helpful.

  • Cavus foot (rigid high arch)

    Soft orthotic cushions to distribute pressures evenly

  • Flatfoot (adult)

    No device needed if there are no symptoms or pain. If there is pain or aching, a semirigid insert or long arch pad, inner heel wedge or extended heel counter may help.

  • Flatfoot (child)

    No special orthotic device or shoe treatment is indicated. Most infants have flatfeet, and 97 percent will grow out of it.

  • Stiff big toe (hallux rigidus)

    Full-length prefabricated stiff insert, Morton extension inlay, or rocker bottom sole

  • Hammer toe or claw toe

    Shoes with a wide or deep toe box to accommodate the deformity; toe crest

  • Forefoot pain (metatarsalgia)

    Wide shoes, pads or bars under the bones of the forefoot (metatarsals)

  • Limb length deformity

    Custom-made full-contact orthosis

  • Morton neuroma

    Shoes with a wide toe box, metatarsal pad positioned over the neuroma

  • Neuropathic ulceration (such as with diabetes)

    Full-contact cushioned orthosis, extra-deep or custom shoes, rocker bottom sole to reduce pressure on foot

  • Plantar fasciitis (heel pain or heel spur)

    Prefabricated heel insert made of silicone, rubber or felt

  • Runner's painful knee

    Full-length, soft, prefabricated sport orthotic inlay to reduce stress and turning inward of the foot (pronation; flatfoot)


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