Custom Orthotics in Brisbane

How do orthotics work?
Orthotics modify the pressure exerted from the ground onto the foot (known as ground reaction force) during standing, walking, or running. By adjusting these forces, we can enhance foot functionality and mitigate excessive pressures that may result in foot injuries.

The basic purpose of shoe inserts is to change the pressure distribution across the foot and relieve overall pain. A secondary consideration is balance since somatosensory information from the ankle and feet is important in the postural control.

How are custom orthotics made?
Making custom orthotics is a multi-step process that first begins with a comprehensive assessment conducted by one of our podiatrists. During this consultation, the podiatrist will inquire about your symptoms, medical history, and lifestyle factors relevant to foot health. They may also conduct a physical examination, including a visual gait analysis to observe how you walk and stand. In some cases, additional diagnostic imaging such as X-rays or ultrasound may be required to assess underlying foot pathology or structural issues. These imaging modalities provide valuable insights for designing orthotics tailored to your specific condition.

Based on the findings from the assessment and examination, your podiatrist will design a custom orthotic prescription to address your individual needs. This prescription takes into account factors such as foot shape, arch type, gait mechanics, and the intended use of the orthotics (e.g., sports performance, daily wear, or specific medical conditions). Your prescription is then sent to a state-of-the-art orthotic laboratory where it’s hand made by highly skilled technicians.

The basic purpose of shoe inserts is to change the pressure distribution across the foot and relieve overall pain.

Benefits of Custom Orthotics

Depending on pathology and where your foot pain is located, a custom orthotics can help change location, magnitude and timing of force acting within the foot. By wearing orthotics, we can help send back sensory feedback to your brain to prompt it to change its movement during gait. With these signals, your brain can send corrective movements to the foot and improve function, avoid pain and prevent injury.

Some of the benefits of customised orthotics include:

  • Support your feet and legs whenever weight bearing to increase confidence and sports performance.
  • Reduction in pain.
  • Treatment of medical conditions such as diabetes.
  • Improve chronic and acute sports injuries.
  • Improve weight distribution and posture.
  • Optimise shoe fit and comfort and absorb shock.

References:
Barton CJ, Menz HB, Crossley KM: The immediate effects of foot orthoses on functional performance in individuals with patellofemoral pain syndrome. Br J Sports Med, 45:193-197, 2011.
Bus SA, Ulbrecht JS, Cavanagh PR. Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity. Clin Biomech.2004;19(6):629-638.
Crossley K et al: Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial. Br J Sports Med 43:169-171, 2009.
Eng JJ, Pierrynowski MR: The effect of foot orthotics on three-dimensional lower-limb kinematics during walking and running. Phys. Ther., 74:836-844, 1994.
Gross MT et al: The impact of custom semi-rigid foot orthotics on pain and disability for individuals with plantar fasciitis. J Ortho Sp Phys Ther, 32:149-157, 2002
Kilmartin TE, Wallace WA: The scientific basis for the use of biomechanical foot orthoses in the treatment of lower limb sports injuries-a review of the literature. Br. J. Sports Med., 28:180-184, 1994.
Petrofsky, J., Khowailed, I. A., Burtnett, B. N., Korkar, M. R., & Kinney, B. M. (2014). Balance and pressure distribution under the foot during standing and walking with no orthotics compared to custom and off the shelf orthotics, a pilot study. Clin Res Foot Ankle, 3(161), 2.
Wrobel JS, Fleischer AE, Crews RT, Jarrett B, Najafi B. A randomized controlled trial of custom foot orthoses for the treatment of plantar heel pain. J Am Podiatr Med Assoc. 2015;105(4):281-294.
Yick KI, Lo WT, Ng SP, et al. Analysis of insole geometry and deformity by using a three-dimensional image processing technique: A preliminary study. J Am Podiatr Med Assoc.2019;109(2):98-107.

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