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Orthotics
are custom molded shoe inserts that are typically called prescription
arch supports. They can be made of leather or a type of plastic.
There are other materials as well for special purposes to achieve
specific desired goals.
Procedure: Your feet are casted with plaster
of paris splints that are typically used in below knee casts when
legs or ankles are broken. The feet are held in a specific
position known as "neutral position." The cast is
then taken off. After discussing the foot problem, when it occurs
during the day, and taking measurements, the cast is sent to an orthotics
manufacturing lab that makes the device to the cast and our specifications
to help your foot function better.
It takes the lab 2 to 3 weeks to manufacture the devices. They
are then fitted again to the patient to ensure there has been no mix
up. The patient is asked to walk back and forth in the office
to determine if fit and function are good enough to begin the process
of getting used to them. Minor adjustments can be made in the
office. Major repairs or adjustments need to be done at the
lab.
Orthotics fit in most men's shoes and sneakers. There are different
kinds of orthotics to fit different shoes, but, changing the orthotic
too much removes its ability to correct the problem they are intended
for. Sometimes a change in shoe gear is needed until the pain
is eliminated. It can be more difficult to fit some women's
shoes. It is best to take your orthotics to the shoe store whenever
contemplating the purchase of new shoes. Be sure your shoes
together with your orthotics are comfortable for you.
Orthotics are used to prevent bunion pain, heel pain, arch pain, shin
splints, at times hip and back pain and a lot of other conditions.
They are a necessary and important step to prevent surgical intervention
of bunions, heel spurs, tendon transfers, and other conditions.
They are also a necessary adjunct after surgery as they prevent reoccurrence
of what has been corrected by maintaining the foot in proper alignment
when walking or running.
If orthotics have been recommended to you, it is important to consider
cost. Unfortunately, they are not covered by most insurance
plans and you will want to discuss the fee with our office manager.
Most devices last for 7 to 10 years if properly cared for, and when
you consider pain relief, the device becomes a worthwhile investment
in your future comfort.
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