1. What is Medical Grade Orthotics?
The medical grade Orthotics is scientifically designed by Podiatrist (DPM – Doctor of Podiatry Medicine). It is a branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot, ankle and lower Limb. This science is widely practiced in the western world but new to India.

2. Are they same as medial arch support or valgus pads?
Ordinary shoe inserts like medial arch support or valgus pads or over the counter products may be comfortable to start with, as they provide some amount of cushioning effect but they don’t correct the biomechanics and the cause of your symptoms. The ordinary insoles do not take into account the correction of the entire feet – hind, mid & forefoot. Hence they offer a temporary comfort but not a correction.

3. How does the medical grade Orthotics perform?
Human foot is divided into 3 areas, i.e. hind-foot, mid-foot & fore-foot and moves in three planes.
The objective of medical grade Orthotics is to realign the foot taking into account of all three planes to its neutral position, offering biomechanical correction of the entire lower extremity while in static as well as dynamic conditions providing uniform weight distribution, correct gait and posture.

4. What happens if the feet are not well aligned?
3 out of 4 people experience serious foot problems in their life time. Your feet mirror your general health. If the foot is not aligned, you may hinder your performance or develop conditions which can show their initial symptoms in the feet – so foot ailments can be your first sign of more seriousmedical problems. Many complaints as listed below caused due to poor foot biomechanics:

– Heel Pain – Flat Feet – Ankle Pain – Achilles Tendonitis
– Tired Aching Legs – Bunions – Calluses & Corn – Ball of the foot pain
– Calf Pain – Shin Pain – Knee Pain – Hip & Back Pain
– Arthritis – Nerve & Circulatory disorder – Ankle Pain – Pediatric complaints


5. How many types of Orthotics are available?
(A) Ready to wear Orthotic footwear
(B) Pre Fabricated ¾ insoles, Velcro fastened on top of open or close footwear and
(C) Prefabricated custom moulded Orthotics – Full length or ¾ insoles only for close shoes

6. Do they have to be worn as pairs?
Yes. The orthotics balances the lower limbs and even if pain is felt in only one foot or limb – which is usually the case – always wear in a pair.

7. Will I feel discomfort or pain when I am using them? Is this a normal feeling?
Medical grade orthotics provides correction and not comfort therefore initially you are going to find uncomfortable. Medial arch intolerance is the number 1 complaint when the patient starts wearing the orthotics in general. Patient takes time at least 3-4 days to 1 week to get adjusted to them before wearing all day is comfortably achieved. Should any discomfort occur either in the
feet, knees or back, then remove for a few hours or for that day and return to use the next day repeating the process.
One should wear the correction to comfort before you start wearing them while running, exercising or performing in them. If the discomfort persists, please see your therapist for a review of the prescription.

8. In case of full length insoles, do they fit on top of my existing insoles of the shoes?
No, all insoles within the footwear being fitted with the orthotics should be removed. If the orthotic is fitted on top of existing insoles it will “negate” the effectiveness of the prescription. It can also cause pain & discomfort.

9. Do I need to exercise/perform Physical Therapy Exercises with the insoles & shoes on?
For most of the weight bearing exercises – like stair climbing training, balance exercises, etc you have to be with your insoles & footwear. For exercises which are non weights bearing – like stretching, strengthening, etc you can remove the footwear.

10. How often or for how long should I wear them?
It is advised that you wear your corrective Orthotics (insoles in a closed shoes and/or footwear) 80- 90 % of the time you are on load bearing i.e. standing, walking, etc. This will give you freedom to wear casual, semi formal, formal even high heels for the remaining 20-10% of the time.

11. Do I need to revisit my Therapist for a follow up?
You need to follow up regularly on a bi-monthly and / or monthly basis for 1st 6 months & thereafter every 6 months or as advised by the Physical Therapist.

12. How are they cleaned?
Vasyli orthotics covers are impregnated with “Footfresh”™ antibacterial / antimicrobial compounds to eliminate odor. It is advised that you remove the insole from the shoe at least once a week for general cleaning. If any wedges are added, then check the position of the wedges, which will be marked by your therapist for you.
For general cleaning, wipe over with a damp cloth using a mild soap solution, towel dry and air naturally. For effective use & durability, you need to remove the insoles from your shoes minimum once every week & keep them in room temperature over night to air.
DO NOT: (a) Wet the product(s), (b) Soak or machine wash and (c) Expos the orthotics to any external heat source / sun.

13. Can I wear these Orthotics during the rainy season?
Yes you can wear it, provided you take proper care of it. If you are wearing gum boots or rainy boots, it is less likely that the insoles would get wet. If the insoles get wet, then it is advised that you remove them & dry them under the fan 1st. If they are still wet, then use a hair dryer to dry them. Do not place the hair dryer too close to the insole.
You cannot keep the wet insole in your shoe, throughout the day & then dry them by the end of the day.

14. How long do the Orthotic insoles and footwear last?
It depends a lot upon your activity level, weight & how you handle them / care for it. Generally they should last 15 to 20 months. A general indicator for orthotic review is a return of your symptom(s).

15. What are these Orthotics made of?
Medical orthotics is made primarily of EVA (Ethyl Vinyl Acetate) micro cellular foam used extensively in the mid sole of most quality sports footwear. The EVA has polymer additions to stabilize the material to extend the wear factor. Other compounds used are PU (Poly Ethylene) and Sorbon™ (for shock absorption).The top cover is brushed nylon.

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Pallavi is a very good and well informed consultant .The vionic slippers suggested by her have really helped alleviate my heel pain  

Female, 39 Yrs, Housewife Ankle swelling - left - 3 weeks April 6, 2015