A variety of clincians work with foot orthotics to treat a lot of different types of foot problems. Generally there are a number of possible choices with foot orthotics which they can use to make this happen and the decisions can come down to the experience of the health, the requirements of the client and what the published scientific evidence indicates. There are also a large amount of viewpoints and concepts with regards to foot orthotics and also foot biomechanics which also should be taken into account when considering clinical decisions about foot orthotics.
Foot orthotics have to be distinct with regard to different problems and different feet and these are generally much more than a simple arch support that you can buy in a retail outlet. They could be useful to alter foot biomechanics should there be a biomechanical concern which may be resulting in pain. This can be, for instance, a problem such as overpronation resulting in such things as plantar fasciitis and knee in athletes. Foot orthotics can be used to get the stress away from a painful location anywhere on the bottom of the foot. This can be especially important for those who have diabetes that are at high risk of a pressure spot becoming sore.
Foot orthotics begin as a simple shell that is meant to be the shape of the feet. A clinician is able to use a mass-produced premade device that may be close to the shape of the foot. The other choice is to take a or optical scan of the feet which can be used to produce a customized device which is the precise shape of the feet. There are a variety of choices within this process as well as the material that gets utilized as well as how soft the foot orthotic will be. The ultimate choice is going to be based on a variety of things like body weight, types of activities along with what clinical affects the clinician is advising that be achieved.
There are many customizations that a clinician could make to this basic shape of the foot orthotic to achieve the required clinical outcome. As an example, if the achilles tendon is restricted, then a heel raise can be added (and also stretches may also be recommended). If there are any kind of prominent bone or soft tissues under the foot a groove or cavity can be incorporated in the foot orthotic. When the big toe joint isn't moving the way it must, then something such as what is called a Cluffy Wedge or a Kinetic Wedge is likely to be used. The Cluffy Wedge is an extension coupled to the front edge of the foot orthotic and keeps the big toe in a slightly dorsiflexed position. It has demonstrated an ability for helping the big toe joint to flex more efficiently. Foot orthotics may well also be covered in various different materials based on exactly what is needed. For instance, a much softer padding material may be used if more shock absorption is needed. An absorbing material or natural leather could be used when there is a problem with excessive sweating. When someone has a pressure location or a callus underneath the front foot, then there's likely to be a cavity made in the foot orthotic to help reduce pressure on that location.