The best orthotics for the sole of the foot

    Auteur: Podiatre Montreal

    A number of recent studies have shown how orthotics should be made to better relieve pain in the tiptoe. Unfortunately, many people with metatarsalgia, Morton’s neuroma, calluses, sesamoiditis or other causes of tiptoe pain have received orthotics that do not work as well as they should. This page explains how orthotics for tiptoe pain should be made so that you can get the best possible relief.

    How should orthotics be made to relieve toe pain?

    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 tip of the foot. These are called “high-adhesion orthoses”. In addition, orthotics designed for toe pain should include a cushion under the toe.

    Why don’t many orthotics work in the treatment of pain under the toes?

    Several types of orthotics do not work well in relieving pain under the toe 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 toe.

    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 toe.

    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. There are orthotics with a pad under the sole of the foot and an additional pad on top of the orthosis that is used to reduce pressure on the ball of the foot.

    If you need orthotics to treat tiptoe pain, you need to be absolutely certain that they have strong adhesion and are made correctly. 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 tiptoe :

    1. 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 casting, the orthosis will be flattened and less effective in reducing pressure on the toe of the foot.
    2. The doctor 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 doctor, 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.
    3. 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 your doctor’s prescription does not specifically state this, it is likely that the orthotic will not adhere properly and will not relieve the pressure on your toes.
    4. The doctor 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 tiptoe pain need orthotics? Not at all. In fact, we often recommend starting treatment with over-the-counter foot supports. However, foot supports don’t adhere as well to the arch of the foot as custom-made orthotics, so they won’t reduce pressure on the toes as much. Like custom-made orthotics, prefabricated orthotics work best in relieving toe pain if they are more arched. The best over-the-counter foot support for tiptoe pain is medical grade. We recommend a firm, hollow support.

    Why are so many orthotics for toe pain not made properly?

    Unfortunately, orthopedic treatment is not regulated as it should be. Many physicians who provide orthotics are not as well trained in orthopaedic 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 tiptoes 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.

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      Podiatre Montréal
      1826 Sherbrooke O,
      Montreal, QC H3H 1E4