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How a Podiatrist Can Help with Custom Orthotics and Footwear

How a Podiatrist Can Help with Custom Orthotics and Footwear

A podiatrist specializes in the diagnosis and management of conditions affecting the foot, ankle, and lower extremities. A key function of their practice involves addressing mechanical and structural issues through the use of custom orthotics and appropriate footwear. Here is more information on the specific role a podiatrist plays in this process:

Understanding the Assessment Process

A podiatrist begins by conducting a thorough evaluation to understand an individual’s foot structure and mechanics. This assessment includes a review of the patient’s medical history. It will also include a discussion of any symptoms or discomfort they are experiencing. The podiatrist then performs a physical examination of the feet and lower limbs, observing their structure, alignment, and range of motion.

A significant part of the evaluation is a biomechanical analysis. This involves observing the patient’s gait, or walking pattern, to identify any abnormalities in foot function during movement. The podiatrist may use specialized equipment to gather precise data on how the feet absorb and distribute force. This detailed examination allows the podiatrist to identify underlying mechanical issues that may be contributing to pain or dysfunction.

Creating Custom Orthotics

Following the assessment, a podiatrist may determine that custom orthotics are a suitable intervention. Orthotics are medical devices placed inside shoes to correct biomechanical foot issues. Custom orthotics are crafted specifically for an individual’s feet based on a precise mold or digital scan. This mold is then sent to a laboratory where the orthotic is fabricated from materials selected by the podiatrist based on the patient’s needs. There are different types of orthotics, including:

  • Rigid Orthotics: These are often made from semi-rigid materials like plastic or graphite. They are designed to control abnormal motion and provide stability.
  • Accommodative Orthotics: These are typically softer and provide cushioning and support to relieve pressure from painful or sensitive areas of the foot.

By realigning the foot and ankle, custom orthotics can improve foot function, redistribute pressure, and reduce strain on the body’s structures.

Guiding Footwear Selection

In conjunction with custom orthotics, a podiatrist provides guidance on selecting appropriate footwear. The effectiveness of an orthotic is directly related to the shoe in which it is placed. A podiatrist will recommend shoes with specific features that complement the orthotic and support the foot. These features often include a firm heel counter for stability, adequate depth to accommodate the orthotic without crowding the foot, and a supportive sole.

The podiatrist will educate the patient on what to look for when purchasing shoes, such as proper fit, width, and construction. They may suggest specific brands or styles that are known to work well with orthotics and provide the necessary support for certain foot types or conditions. This comprehensive approach, which combines custom orthotics with suitable footwear, helps to create an integrated system for managing foot mechanics.

Find a Podiatrist

A podiatrist performs a detailed assessment to diagnose mechanical issues of the foot and lower limb. This evaluation includes a physical examination and a biomechanical analysis of the patient’s gait. The podiatrist can design and prescribe custom orthotics tailored to the individual’s specific needs to improve foot function. This combined strategy addresses underlying structural problems and supports overall foot health. If you need help with footwear selection, consult with a podiatrist. 

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