To Orthotic, or Not to Orthotic?

There are many options out there in the world of orthotics: off the shelf, custom made, custom-moulded.

There are also many questions: which option is better for my needs? Do I actually need them? And, um, what are they, really?

How do orthotics work?

Orthotics are a tool to manage how stress falls through the bones and tissues, primarily in the feet, and in so doing they impact how stress falls through the knees and, to some degree, the hips.

Similar to using a brace, it’s very common for people to notice immediate relief from foot and knee pain when they start to use orthotics.

However, and unfortunately, this doesn’t mean that the underlying problem is fixed.

Rather, it indicates that the irritable structures are being shielded. Sometimes this stress-shielding gives the tissues the rest they need to heal, in which case treatment with orthotics can be curative.

In other situations, one needs to wear the orthotics consistently on an ongoing basis to avoid symptoms.

While this solution works for some, many folks don’t like the idea of orthotic-dependency.

The way to side step wearing orthotics indefinitely is to perform some corrective exercises and movement training, which improve the function of the feet and lower extremities. Wearing orthotics while you go through this course of exercises and treatments will improve or fix the mechanics of your foot, so that you no longer need to wear them.

How do you make custom orthotics?

At Tall Tree, we are unerringly thorough when it comes to creating orthotics.

We start with a musculoskeletal assessment consisting of an analysis of movement during gate, standing, changing directions, etc. The assessment also includes orthopaedic testing of the joints, ligaments, muscles, and nervous system of the lower extremities and feet.

Following this assessment, we do a state of the art scan of your feet and generate a digital replica of how your foot contacts the ground while walking. This data gives us diagnostic info and the foundation design for the corrective orthotic: measuring your foot posture during the movement of walking provides more relevant information than measuring a foot at rest. 

Then, we are able to make adjustments, additions, and accommodations based on a physical exam of the foot. This covers all the bases in creating an optimal foot orthotic.

How do I know if I need them?

Just because we can make you an awesome pair of custom orthotics doesn’t mean you need them.

A good first step is to determine if your condition is one that would benefit from orthotics. An assessment with a physiotherapist, chiropractor, or family physician will give you direction.

Once you’ve determined that you would like to get orthotics, it’s often worth trying the off-the-shelf variety first. These are less expensive and you can find them most local pharmacies and running stores. Sometimes these are enough to adjust how load falls through the foot and decrease symptoms. If they don’t do the trick, custom orthotics may be your next step.

At Tall Tree you can meet all your orthotics needs under one roof - come and see one of our chiropractors or physiotherapists, then drop by the orthotics office for a consultation with our kinesiologist, Jeremy. We'll help you take the next step - with or without orthotics in your shoes.