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Arch support: Whether you have flat feet or high arches, make sure that your insoles properly support your arches. Though a perfect fit (i.e., when the insole arch lines up with your foot's arch) is never guaranteed with over-the-counter orthotic insoles, your insoles should ultimately feel both supportive and comfortable while being worn.
Superthotics - The ultimate pain relieving shoe inserts Superthotics - The ultimate pain relieving shoe inserts
A few years ago I had a phone call from a company that was trying to sell me a franchise to sell and fit orthotics. Apparently I could make very good money doing this. I’m a massage therapist and I think I have a better-than-average knowledge of feet and gait, but I do not consider myself qualified to fit and sell orthotics. No fear, the company representative said they would send someone to train me — for half a day! The sales person seemed to be astonished that I turned down this wonderful opportunity. I prefer to refer my clients to a person who is qualified to do this work. Get PainSci updates in your inbox, mostly small, 0–3/week depending on coffee dosage. More info. Related Reading Foot scanners are a staple of foot clinics of all kinds, around the world, but their actual utility is extremely low. Smoke & literalmirrors. Alas, even podiatrists (foot doctors) don’t necessarily provide good orthotics We train for many years and we take our jobs very seriously. It’s great to see support for pedorthists, and recognition of the difference between podiatrists and pedorthists. I have a problem with a professional who is allowed to diagnose, prescribe, and dispense within a 15-minute appointment. Prescribers are not providers for a reason!Superthotics® is available WITHOUT a doctor’s visit, but provides the benefits of a doctor-designed custom orthotic, and is the only one on the market like it today. While biomechanics may be a factor, the main problem with most repetitive strain injuries is, strangely enough, repetitive strain — that is, your body parts would likely be feeling the strain even if you were biomechanically flawless. Eight updates have been logged for this article since publication (2002). All PainScience.com updates are logged to show a long term commitment to quality, accuracy, and currency. more
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Hespanhol Junior LC, De Carvalho ACA, Costa LOP, Lopes AD. Lower limb alignment characteristics are not associated with running injuries in runners: Prospective cohort study. Eur J Sport Sci. 2016 Jun:1–8. PubMed27312709❐ In a double-blind placebo-controlled clinical study in which participants were diagnosed with plantar fasciitis, in 30 days, they experienced significant:A good quality controlled test of customized orthotics for Achilles tendinitis, compared to a sham of off-the-shelf orthotics. This is a solid, straightforward design, and it has plenty of statistical power, with 140 subjects in two groups. The report on it was even refreshingly well-written. So this is a rare case of a study that actually produced a persuasive answer, instead of just more low quality evidence that has to be taken with a huge grain of salt. plantar fasciitis, a common painful inflammation of the sole of the foot, most easily recognized by its tendency to cause pain first thing in the morning And yet it’s impossible to tell the difference between temporary and lasting discomfort with new orthotics or footwear. The only way to find out if it’s just a matter of getting used to it is to try. Feeling worse for a while is fine if it pays off, but a terrible outcome if it does not. Do runners with anatomical quirks get more injuries than symmetrical and aligned runners? This study was another attempt to settle an old question that just won’t die. T.Moffitt,C.Ped.(c) CertifiedPedorthist,Edmonton,Canada Caveat emptor! Many orthotics are poorly made and for the wrong reasons
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This is the kind of conclusion that orthotics makers really do not want anyone to know about. Achilles tendinitis is exactly the kind of condition that custom orthotics can supposedly treat, and failing this test so completely is really damning for that industry. Unsurprisingly, the researchers were harshly criticized, and they responded at length — and I don’t think any of the criticisms hold up. A little: “Currently, there is gold level evidence for painful pes cavus and silver level evidence for foot pain in juvenile idiopathic arthritis, rheumatoid arthritis, plantar fasciitis, hallux valgus.” But silver-level evidence is really not great, and I find that terminology annoying because it invariably makes evidence sound better than it is. For plantar fasciitis, the authors also comment that it is “unclear if custom-made foot orthoses were effective.” No, not as far as I’ve ever been able to tell: my own IT band syndrome was always quite symmetrical, never much better or worse on either side, with or without orthotics. And after years of being recovered, I’ve never had a recurrence of IT band syndrome, on either side.Superthotics have been shown to relieve painful problems like bunions, stress fractures, hammer toes, shin splints, tendonitis and so much more.
Superthotics - The ultimate pain relieving shoe inserts
Yes! Dr. Sutera recommends removing the insole that comes with the shoe and fully replacing it with the orthotic insole. Putting the insoles on top of each other can make the shoes ill-fitting, uncomfortable and possibly even more painful than before. Certified Pedorthists ( C.Ped(c)) and Certified Orthotists ( CO(c)) are the professionals that I recommend. Unfortunately, many people have never heard of them and don’t know why they are the best choices, or where to find them … and other professionals won’t refer, because they want to sell you orthotics themselves. It was the right kind of study (prospective), but perhaps a bit underpowered with only 89 subjects and just 12 weeks of monitoring for new injuries. I wish I could see the same data for a couple hundred runners over six months. Subtle vulnerabilities might take quite a while to crop up, particularly in runners who have already gotten through at least six months without any injury. Still, 24 of these runners did get injured in those twelve weeks — which is a lot! — and “we did not find significant associations between lower limb length discrepancy, Q-angle, subtalar angle and plantar arch index and injury occurrence.”
Most consumers assume a foot doctor is a good source of orthotics. Unfortunately, this is far from guaranteed. Many podiatrists are qualified for it, but probably most are not, as suggested by this rather chilling story from Dr. Michael “America’s Podiatrist” Nirenberg:
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