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Posts for tag: custom orthotics

By Dr. Howard Schaengold
September 14, 2018
Category: Orthotics
Tags: Foot Pain   custom orthotics  

Custom orthotics are removable shoe inserts that provide greater arch support and stability to the feet and ankles. There are different types of orthotics available depending on the issue and level of support that is needed. Basic orthotics are sold over the counter, but a custom pair designed specifically for your foot will provide optimal support and comfort.

When are Custom Orthotics Necessary?

Podiatrists typically recommend custom orthotics for people with flat feet, or very high arches. One of the most common signs that you may benefit from a pair of orthotics is heel pain (although you may also experience pain and swelling in other parts of the foot). You may also experience pain and swelling after normal and relatively low impact activities like standing or walking.

A good way to figure out if you are having pronation issues is to examine the soles of your shoes and sneakers. If the soles and insoles tend to become visibly more worn on one side, it may be a sign that your alignment is off and you are over or under pronating. A podiatrist may ask you to walk in your bare feet to observe your stride and gait (known as a gait analysis). If you experience persistent pain, swelling, or stiffness, especially after exercise or after long periods of rest, schedule an appointment with a podiatrist.

Types of Custom Orthotics

There are a few different types of custom orthotics designs available depending on your needs.

Functional (also known as rigid) orthotics are made of harder materials and are usually prescribed for pronation problems or joint issues like arthritis.

Accommodative orthotics are designed to provide more cushioning and support and are typically prescribed for problems like plantar fasciitis and bunions.

In addition to improving your gait and foot and ankle alignment, custom orthotics can help to prevent related strains and injuries and relieve back, joint, and knee pain if it is caused by issues with your arches and pronation.

By Dr. Howard Schaengold
February 13, 2014
Category: Heel Pain

X-raySports are big in the Sammamish area, from basketball at Skyline or East Lake High School to the local Boys and Girls Club leagues. Your child can benefit from the exercise and team building that results from participation in organized sports. Conditions like tarsal coalition in athletes (fusing of tarsal bones), though, can put a damper on their enthusiasm. You can help your child through the disappointment and pain of a sports injury by understanding it and choosing to make the right decisions about treatment.

With tarsal coalition, two or more bones in the back part of the foot are joined. The rigidity can cause the foot to have problems performing as it should and make it more prone to injury. Tarsal coalition is a hereditary trait, but it may not show up until the child is 10 – 16 years of age--sometimes even later. Your first indication of a problem may be when your child sustains an injury like a sprained ankle and the fusion shows up on the X-rays.

It is very important that your son or daughter stop the activity that caused the injury right away. This is a hard choice for a child in the middle of a season, but the sooner treatment is begun, the better the foot will heal—and the fewer problems they will have down the road. Start the RICE treatment immediately (Rest, Icing, Compression, Elevation), and get them to The Plateau Foot & Ankle Clinic so we can examine and diagnose the problem. The important thing is to keep weight off as long as there is any pain. Treatment may involve use of crutches or custom orthotics, taping or bracing, or even a cast or cast boot. We may also prescribe anti-inflammatory medication to reduce swelling and pain.

Dr. Howard Schaengold specializes in sports injuries and wants to keep your child’s feet healthy for all their activities. Call (425) 868-3338 today for expert foot care in Sammamish, Issaquah, Redmond, and Bellevue, WA.

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