Principles of Orthotics

Foot pain, ankle pain, knee pain, and even back pain are all common problems that can often be significantly improved with orthotic intervention or sometimes more simply, through appropriate footwear. Plantar fasciitis, chronic patellofemoral pain, heel pain, foot and ankle tendonitis, and low back pain are just some of the diagnoses that can be helped with orthotic intervention.

What are the Best Athletic Shoes?

The answer actually depends on your foot type and of course, your sport. Feet fall into one of three main types:

Pronator – Those with a very low arch or flat foot.

Supinator – Those with a high arch and generally rigid foot.

Neutral – Those whose foot in within what is considered normal.

Pronators usually do better with a more supportive shoe with a medium arch for support. Supinators tend to do better with a cushioned shoe that does not try to correct the foot, but only accommodates it and helps it better absorb shock.  Runners need to be especially aware of their foot type and need to choose the appropriate brand, style, and fit based on their foot type.  Many running injuries could be prevented if the person had chosen the correct shoe to begin with.

The Stone Clinic recommends that people with osteoarthris and other knee problems wear a running shoe for day-to-day activity even if they never intend to run.  The clinicians at The Stone Clinic can help you decide what type of foot you have and which brand and style would be best for you.

Do You Need Orthotics?

Orthotics are used when it is necessary to influence the function of the foot to a greater extent than a shoe itself could do. The device is a small insert placed in the bed of your shoe that helps to make the foot more efficient and therefore, reduce stress through the foot and lower body. A thorough evaluation by a physical therapist trained in orthotic fabrication is the best way to find out if you need orthotics. If you have large or many calluses on your feet or bunions, or if you wear out your shoes in odd ways, you will most likely benefit from orthotics.   The therapists at The Stone Clinic will look at your feet, ankles, knees, hips, and low back to determine what type of intervention may be necessary for you.

Laura Keller, MPT