Auteur: Podiatre Montreal
A number of recent studies have shown how orthotics should be made to better relieve pain in the sole of the foot. Unfortunately, many people with metatarsalgia, Morton’s neuroma, calluses, sesamoiditis or other causes of sole pain have received orthotics that do not work as well as they should. This page explains how orthotics for sole pain should be made so that you can get the best possible relief.
How should orthotics be made to relieve pain in the sole of the foot?
Studies show that the most important aspect of an orthosis is its level of adherence to the arch of the foot. By adhering strongly to the arch of the foot, it is able to reduce the pressure exerted on the sole of the foot. These are called “high-adhesion orthotics”. In addition, orthotics designed for pain in the sole of the foot should include a cushion under the sole of the foot.
Why don’t many orthotics work in the treatment of pain under the soles of the feet?
Several types of orthotics do not work well in relieving pain under the sole of the foot because they are not arching well enough and do not adhere well to the arch of the foot. When this happens, the orthosis is not able to effectively relieve the pressure on the sole of the foot.
The importance of high-grip orthotics has been demonstrated in several rigorous studies. In particular, a 2006 study at Dr. Washington University showed that strong adherence to the arch of the foot reduces pressure on the sole of the foot.
In addition, certain types of pads have been shown to be important in reducing force under the sole of the foot and help eliminate pain.
If you need orthotics to treat pain in the sole of your foot, you need to be absolutely certain that they are strong adherent and fit properly. If you are in the Montreal area, contact us to schedule an appointment for an orthopedic evaluation.
The essentials in the preparation of an orthosis for pain in the sole of the foot :
- The casting of your foot that is used to make the orthotics must be done using a no-load mold or laser scanning. If there is loading during the casting, the orthosis will be flattened and less effective in reducing pressure on the sole of the foot.
- The Podiatrist MUST put your foot in the right position when casting. Casting can be done with plaster or laser scanning. It is imperative that the Podiatrist himself or herself does the casting of your foot. A proper cast is essential and if a medical assistant takes the cast instead of the Podiatrist, you must go to a different Podiatrist. A proper cast is essential for a good result and takes a long time to learn how to do it properly.
- The Podiatrist must write a prescription for orthotics so that the orthotics laboratory can make the orthosis so that it will adhere to the foot in a virtually waterproof manner. If the prescription from your Podiatrist does not specifically state this, it is likely that the orthotic will not adhere properly and will not relieve the pressure on the soles of your feet.
- The Podiatrist must use a very high quality orthotics laboratory. The quality of orthotics varies greatly. Many orthotics are less hollow than they should be to avoid any possibility of the Patient complaining of irritation to the arch of the foot. Irritation of the arch sometimes occurs with strong adhesion orthotics, but a good Podiatrist will be able to correct this with a simple adjustment. If they can’t adjust them, you need a Podiatrist with more expertise in the orthopedic field.
Do all people with pain in the sole of the foot need orthotics?
Not at all. In fact, we often recommend starting treatment with over-the-counter foot supports. However, foot supports do not adhere as well to the arch of the foot as custom-made orthotics, so they will not reduce pressure on the soles of the feet as much. Like custom-made orthotics, prefabricated orthotics work best in relieving pain in the sole of the foot if they are more arched. We list the best prefabricated orthotics and other home treatments for plantar fasciitis here. The best type of over-the-counter plantar support for sole pain is medical grade plantar support. We recommend a firm, hollow support.
Why are so many orthotics for sole pain not made properly?
Unfortunately, orthopedic treatment is not regulated as it should be. Many podiatrists who provide orthotics are not as well trained in orthopedic therapy as they should be. At the same time, many of them are not aware of the latest research in the field of orthopaedic therapy.
If you are experiencing pain in the soles of your feet and would like to have them examined, make an appointment and come see us at our podiatric clinic in Montreal. If you already have orthotics, bring them with you so we can examine them.2021