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Orthotics and Footwear


Orthoses are devices which provide support, correct problems with muscles, joints, soft tissues, redistribute the pressure of the feet, improve biomechanics and functions in the gait.

Orthotics, also called orthoses, are devices that are worn to correct foot and ankle problems without surgery. Most people think of shoe inserts or "arch supports? when they hear the word orthotics, but they can include devices such as foot pads, shoe inserts, ankle braces and similar items. Treatment can often begin with less expensive off-the-shelf orthotics and progress to a custom orthotic if the diagnosis and symptoms require it.

Foot pads are the simplest devices. They can be placed on the bottom of the foot, or inside the shoe, but take up only a small area in the shoe. They are used to treat conditions that often cause pain at the front of the foot. Many styles, shapes and sizes can be found. Common examples include circle or "doughnut? pads to cushion a callus or corn.

Shoe inserts, also called inlays, insoles, foot beds and arch supports, are placed into the shoe. These are used to treat

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A custom full-length semi-rigid orthotic insert with multiple layers of material for cushioning and support

a wide variety of problems, including foot arthritis and flat feet. There are many different kinds of inserts, from ones that are soft to ones that are very firm. Some come ready off the shelf in different sizes or shapes. Others need to be shaped to an individual?s foot. The purpose of these inserts is to create a solid foundation for the body.

Custom foot inserts are custom-molded to the foot. They may support, correct or prevent foot abnormalities or deformities. Varied practitioners, including prosthetists, orthotists and certified pedorthists, can make custom orthoses.

A period of adjustment is required for any new shoe inserts. The shoe inserts and the shoes are considered as a unit because the inserts occupy volume inside the shoe. This leaves less room for the foot. An appropriate period of "breaking in? should be allowed for a new insert. If it causes pain or pressure to the foot, the practitioner can make adjustments to improve the fit. Adjustment and proper fitting of the orthosis is typically included in the service provided.

Ankle braces are devices that the patient must put on before fitting into a shoe. They are used to treat a large variety of diseases like ankle arthritis, foot drop and tendinitis. Depending on the type, severity, and location of the condition, some braces need to be custom made for the patient.

Shoes are important. They can improve the success of foot and ankle orthoses. The practitioner making the orthosis will ask that the shoes be brought to the office for planning and fitting. Not all shoe types will work properly with orthoses. This should be discussed with the practitioner before purchasing shoes.

Do orthotics work?

It depends on the problem. Orthotics can be of benefit in changing the pressure on certain parts of the foot and thus relieving symptoms. This is especially true in diabetics and other individuals who are at risk for skin breakdown. Certain ankle braces are good at controlling motion and can help to unload an arthritic joint. The result can be pain relief for patients who are unable or unwilling to undergo surgical correction.

How much do they cost?

The Price for Pre-fabricated Orthotics

Break-down of Items

Break-down of Price ($)

Initial Consultation

90

Biomechanical assessment and Visual gait Appraisal

80

Pre-fabricated Orthotics

70

Total (Include 1-year Follow-up)

240


The Price for Custom Foot Orthotics

Break-down of Items

Break-down of Price ($)

Initial Consultation

90

Bio-mechanical Assessment and Visual Gait Appraisal

80

Casting and Prescription

80

Custom Foot Orthotics

320

Shoe-fitting Consultation

60

Total (Include 1-year Follow-up)

630



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