Orthotics can be made of a variety of materials and are available either through a prescription from a chiropractor or chiropodist, or can be purchased without a prescription from many retailers, depending on the patient’s requirements and the reason for their use. Orthotics are designed to correct posture, and to alleviate foot, knee, or back pain due to deficiencies in the shape of the foot, because of weight issues, or due to an existing medical condition.

It is best to have custom orthotics made which are designed from the shape of your own foot, but ready-made orthotics can be purchased when the cost of custom versions is prohibitive. Patients should check with their insurance providers to see whether some or all of the cost of having custom orthotics made can be covered through their extended health insurance.

When selecting shoes, patients should look for types which can accommodate the orthotics all or nearly all of the time. There are many companies that now design their shoes with removable insoles so that orthotics can be comfortably inserted if so desired. It is important to remember that orthotics can only be helpful if they are being worn regularly, so finding shoes that comfortably accommodate them is a must. It is also suggested that shoes should have a firm sole; styles like ballet flats, flip flops, or slip ons should be worn only rarely, or avoided entirely, because they do not have sufficient form to support the orthotic and, as such, fail to provide any benefit to the wearer.

Patients may notice soreness in their feet, ankles, knees or hips during the first few weeks of wearing their new orthotics. This is normal; it is an indication that the body is re-learning the proper posture and gait and that the orthotics are correcting the problem. In order to minimize the amount of pain experienced, patients should start by wearing the orthotics for only two hours a day for a few days, and then increase the time spent wearing them by two hours per day; this will allow the body to adapt to the changes with a minimum of stress.

We suggest the use of orthotics for spine painsports and overuse injuriesmultiple sclerosis (MS)CRPS (RSD, causalgia)diabetic peripheral neuropathyosteoarthritis, lumbago, bursitis, radiculopathy – cervical, thoracic and lumbar, spinal stenosis, piriformis syndrome, sacroiliac joint dysfunction, tendonitis, calcaneal spurs and plantar fasciitis, Morton’s neuroma, meniscal tears, Baker’s cysts, and failed back syndrome.





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