Foot orthotics are frequently used to manage a variety of foot problems from overpronation and collapsed arches to plantar fasciitis and other causes of heel pain. The scientific evidence points too they are generally pretty good at fixing most of the problems as long as they are indicated for that condition, Foot orthoses frequently get used to support the foot, when support of the foot may have absolutely nothing to do with the problem that the individual could have. This might lead to them being misused and incorrectly blamed for treatment failures. Another issue is that there are many different types of foot orthotics and also within every type of foot orthotic, there is an nearly unlimited variation in the design features that can be included in them. If even one of those design features is not good for the individual, then the chances of that foot orthotic helping is probably reduced. That is why the choice of the different designs is actually dependant on the expertise and experience of the podiatrist.
The medical professional will determine the design features required for the individual and if the device needs to be customized for the person or if a pre-made more affordable foot orthotic may be used. With regards to custom made orthoses, the medical professional needs to take a plaster cast or laser scan of the foot held in specific positions for the foot orthotic to be made on. When it comes to the design of the device various elements are taken into account. For example, if the patient has posterior tibial tendon dysfunction, then something like a Cluffy Wedge type foot orthotic is necessary. The Cluffy wedge has specific modifications to handle the variety of problems that occur in that condition. If the problem is linked to a lack of impact absorption, then the orthotic must be designed to accommodate that. The range of choices is endless and is determined by the disorder present and the wishes of the treating podiatrist.
