| The foot to me is like a "loose bag of
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| | pronation). Most prescription
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| bones." Tied together by the soft
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| | orthoses do this. In fact many non
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| tissues, each bone moves on one or more
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| | prescription supports do it too.
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| of the planes of motion and
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| | However, the closer the orthoses is to
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| moves as much as necessary in order to
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| | limiting the precise amount of
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| reduce incoming shock
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| | motion and yet, lets the foot move
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| An orthosis to my way of thinking is
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| | naturally and balanced across the
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| designed to "assist" the foot and
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| | floor, the more comfortable it will be
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| minimize this motion. It does this by
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| | to wear, and above all else
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| aligning the foot to the ground
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| | produce results.Foot orthoses
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| and tightening up the laxity of the foot
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| | unfortunately do not work like eye
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| motion making it more
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| | glasses. You do not
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| efficient in its course of action(s).
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| | get an instant resolution. Some people
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| What the SDO does so well, is allow each
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| | do respond amazingly quickly,
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| bone to move through its
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| | although this is the minority. Some
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| natural planes of motion in a fluid
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| | people are more complex for
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| manner (NO PUN INTENDED). It does
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| | whatever reason and they may take
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| not alter these motions and does not
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| | anywhere up to six months to begin
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| restrict them abruptly. It simply
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| | to respond favorably. The majority of
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| guides the structure through its course
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| | people feel a 40-60% minimum
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| of action, yet limits the
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| | average improvement in their symptoms
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| laxity. This is what makes the SDO so
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| | within 8 weeks, (this is not the
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| easy, accurate and comfortable to
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| | same as being cured). As time continues
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| wear.
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| | it is possible to feel like
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| A traditional support (rigid or
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| | progress has stopped or that the pain is
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| semi-rigid) on the other hand (in my
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| | coming back. As you wear the
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| opinion) holds the foot to a casted
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| | orthoses you begin to absorb the
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| position which is rigid to the
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| | prescription so you may start to feel
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| planes of motion. Granted, if the foot
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| | the residual inflammation and tension
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| structure feels comfortable to
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| | temporarily. If your orthoses are
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| this position and way of walking, and it
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| | comfortable and you are able to wear
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| works in its concept of
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| | them most of the time they are
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| healing, then that is the bottom line.
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| | working. The healing of biomechanical
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| To me, just because the foot is
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| | inflammation takes time.
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| custom casted to a biomechanical
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| | It can take 1-2 years for an orthoses to
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| position, does not mean it fits the way
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| | generate its maximum effective
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| that foot works (that's why I hear so
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| | range of healing. As your foot
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| many patients say it is very
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| | flexibility increases, the optimal
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| uncomfortable even if it helps).
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| | position of alignment will change (due
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| Especially during an injury where the
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| | to increase in health from
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| muscles are under tension and spasm and
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| | reduction in tension and inflammation).
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| therefore tight and restricted
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| | Then regardless of your
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| to the correct biomechanical position.
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| | symptoms you need to get another
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| This is why in my experience
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| | prescription in order to keep your
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| working with traditional orthotics for
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| | feet and body working to their best
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| 15 years, I found so many
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| | efficiency. If your orthoses work
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| failures. And I could do very little to
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| | correctly you can expect 2-3 changes in
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| adjust that device to make it
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| | your lifetime. Most of these
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| that much more acceptable to the
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| | changes should occur in the first to the
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| patient.
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| | second year. The next change
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| The SDO can be adjusted to anyone (as
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| | should be very gradual over the next 4-6
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| long as that individual is willing
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| | years. After that changes may
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| to work with you and understands that
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| | or may not occur. If they do it will
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| just because the orthotic fits
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| | take a long time.So to clarify the last
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| does not mean that resolution is going
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| | question, "Is there an orthoses so ideal
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| to be quick), because the
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| | as to
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| intrinsic muscles of the foot determine
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| | prevent foot problems?" Depends on what
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| that the fit in that position
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| | problems we are looking to
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| is acceptable to them. We also know that
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| | prevent. If we are looking to prevent
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| if an orthotic does work, we
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| | injuries from inadequate
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| will need to adjust the alignment
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| | training, excessive distances,
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| position in 1-2 years to compensate
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| | increasing mileage too quickly,
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| for that shift in fit vs biomechanical
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| | anatomical or functional abnormalities,
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| position.
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| | accidental sprains or strains ,
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| Does The Ideal Foot Orthotic Exist?
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| | uneven surfaces, and aging, probably
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|
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| | not. But if there are biomechanical
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| The ideal foot orthotic: "Is there such
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| | reasons for something to eventually
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| a thing?" Perhaps not. Can one
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| | happen e.g. structural (like a
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| orthoses meet the needs of all people?
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| | bunion or heel spur), then it is
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| Of course not. Is there an
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| | possible to at least slow down the
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| orthoses so ideal that can prevent or
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| | process and possibly prevent this from
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| slow down foot problems? Possibly
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| | occurring enough to not let it
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| so, but this needs clarification.The
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| | be a problem in your lifetime.Copyright
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| purpose of a foot orthoses is to
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| | 2006 Dennis Kiper, all rights reserved.
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| limit the total range of motion
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| | Dennis N. Kiper, D.P.M., specializes in
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| (overpronation) available to the foot
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| | Podiatric Sports Medicine.
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| as it coils to the ground (called
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|
