Custom molded orthotics 3

    Custom Molded Orthotics 3

    What is so special about custom orthotics and what is done to them that make them work? Why are they so expensive. These are all great questions that you should ask. The first step in making custom orthotics is the evaluation of your foot. Your Podiatrist will evaluate your foot for a plethora of positional deformities such as pronation , supination, forefoot valgus, forefoot varus, heel varus and valgus. Also the flexibility of your numerous joints are taken into consideration regarding orthotic evaluation. A standing exam and a walking gait exam is performed. Remember there are 33 joints in your foot and the flexibility or rigidity of your joints play an important role. Once the doctor has an understanding of your foot type, he or she may decide an x ray is important. For example an x ray is the best way to tell if you have arthritis or a heel spur or plantar fasciitis, your local “expert” at the running store can not take an x ray and interpret one. Also an x ray will tell us if you have a stress fracture and the answer to your pain is not an orthotic but is a cast or boot. Once a proper diagnosis is made then the patient’s foot shape is captured.

    There are 2 different ways to capture the shape of ones foot. First is a plaster slipper cast mold ( today there are available fiberglass slipper socks that get great molds). The second method is a digital scan. i am not a big fan of the digital scan because i dont see how they convert it to the 3 dimensional shape that a foot is. I use the plaster technique it is the classic old tried and true method. Once the doctor captures the shape of the foot next comes deciding on the type of orthotic and the bio-mechanical modifications that will be made to them. Stay tuned for part 4 of this series.