If your orthopedic doctor informs you that you have an improper foot alignment or another kind of abnormality, he or she might recommend orthotics. Orthopedic doctors also recommend these devices for those who have low back pain, knee pain, plantar fasciitis, and shin pain. Custom-made orthotics are specially designed to correct your foot problems in order to restore proper function and alleviate discomfort. When you receive your orthotics, follow your orthopedic doctor’s advice carefully. Your orthotics may take a little getting used to.
We use Foot Management Orthotics in our clinic, they are fabricated using the highest quality material. The body or shell of the orthotics generally lasts 5 or more years depending on the patient's weight and activity. If orthotics need to be cleaned, this is best done by gently wiping the top surface with mild soap and water. Avoid immersing your orthotics. If they get wet, remove them from your shoes and let them air dry. If your orthotics need repair or the top cover replaced, please contact our office.
Due to the wide variety of footwear used and activities performed, and for convenience, you may want to have more than one pair of orthotics. Your scans will be saved for 5 years. If you are interested in a second pair please inquire with your insurance provider.
Your new orthotics have been custom fabricated to your unique foot with a digital laser scan and are designed to provide maximum comfort and appropriate biomechanical control to address your specific needs. Initially your body will need time to adjust to this new "foot posture". It is very important that you follow the recommended break-in program to prevent any unnecessary discomfort or injury. Overuse of the orthotics during the break-in period may result in foot/arch discomfort or blisters, as well as ankle, knee, hip or back pain. If these symptoms occur, reduce or suspend use as described in the break-in instructions. Be sure your shoes are in good condition and not broken down. Shoes that are excessively worn will significantly diminish the effectiveness of the device. It is recommended that new orthotics be installed in new shoes.
Full Length Designs: Remove any existing sock liners or shoe inserts from your shoes. Some shoes have sock liners that are glued in. These may need to be removed to provide enough space for your new orthotics. If they are too large to fit into your shoes this may cause wrinkling of the top cover. If this occurs, take the sock liners from your shoes and, after lining up the heels, carefully trace the toe box shape and trim your orthotics with scissors. Be careful not to cut too much off. The orthotics should lie flat on the bottom of the shoe with minimal "rocking". Place the orthotics in the shoes with the orthotics as far back into the heel cup as possible. When putting on the shoe, be sure the orthotic remains completely at the back of the heel counter. Once in the shoes, the orthotics should feel fairly natural to your feet. They should provide contact over the entire bottom of your feet. It is normal to feel the orthotics slightly more or differently in one foot than in the other for the first few weeks. Orthotics also have unique properties where you will feel different pressure points and may require additional break-in time in these areas, even if you have previously worn orthotics.
Your new orthotics will take some time to get used to. It is recommended that you wear them in only one pair of shoes during the break-in period. It is best to BREAK-IN ORTHOTICS with a new pair of shoes that have NOT been broken down or stretched out. Properly fitting footwear is essential for the orthotic to work correctly. Start by wearing them for no more than two hours the first day, and increase wear time by one hour each day after that. It may take from three to four weeks before you can wear them comfortably all day. Avoid running or other intense activities with the orthotics until your feet have had an opportunity to adjust to the new foot posture and you can wear them 8 hours a day. For runners, it is possible that some irritation may also develop in the arch, usually just behind the big toe. If you feel a "hotness" developing in this area take the orthotics out before a blister is formed. Lubricating this area may be helpful until the skin becomes toughened up. If you experience discomfort in your feet, ankles, knees or back while wearing your new orthotics, take them out of your shoes and reduce the wear time by one hour each day until the discomfort disappears. Resume the normal break-in procedure, increasing wear time by an hour per day. If after 3-4 weeks, you are still having difficulty adjusting to the orthotics, contact our office for instructions. Your orthotics may need to be adjusted. Do not attempt to adjust the orthotics yourself. Be patient, the results will be long lasting.
Nirschl Orthopaedic Center is a leader in sports medicine and general orthopedic services. Schedule an appointment with an orthopedic doctor today by calling our Arlington, VA location at (703) 525-2200. You could also visit our website to learn more about orthotics and other orthopedic services