How I can get a custom orthotic?
Typically, when you book an appointment with the therapist at our clinic, we request you to bring your formal, casual and sports shoe with you for the examination. Our therapist carries out a detailed examination of your foot structure, mobility and flexibility. The therapist observes your gait and posture. If further insight is needed, then we can do a Video Gait and Posture evaluation as well and provide detailed report next day. Based on the evaluation, pain complaint and your physical activity, the therapist prescribe and dispense custom made orthotic insoles to you. We advise the correct size and type of shoes as per your length, width and orientation of your feet.
What are these Orthotics made of?
A fully customised insole is made up of 4 layers: top Antibacterial Coated Surface, Supported by High Quality Rebounding Cushion, the third and the most important one is Patented Balance Plate, which on heating gets 100% moulded to foot, providing superior comfort and support. The bottom layer comprises of high strength OR3 sheet.
The prefabricated custom orthotics and ready-to-wear orthotic Flip flops are 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 stabilise the material to extend the wear factor. Other compounds used are PU (Polyethylene) and Sorbon™ (for shock absorption). The top cover is brushed nylon.
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 the return of your symptom(s).
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.
How are they cleaned?
Our orthotics covers are impregnated with antibacterial / antimicrobial compounds to eliminate odour. 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) Expose the orthotics to any external heat source / sun.
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.
How often or for how long should I wear them?
It is advised that you wear your corrective Orthotics (insoles in a closed shoe 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 and even high heels for the remaining 20-10% of the time.
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 must be with your insoles & footwear. For exercises which are non-weight bearing – like stretching, strengthening, etc. you can remove the footwear.
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.
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 feel uncomfortable. Medial arch intolerance is the number 1 complaint when the patient starts wearing the orthotics in general. Patient takes at least 3-4 days to 1 week to get adjusted to them before wearing all day becomes comfortable. 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.
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 them in pair.
How many types of Orthotics are available?
(A) Fully Customized Custom Orthotic
(B) Ready to wear Orthotic footwear
(C) Pre Fabricated ¾ insoles, Velcro fastened on top of open or close footwear
(D) Prefabricated custom moulded Orthotics – Full length or ¾ insoles only for close shoes
What happens if the feet are not well aligned?
3 out of 4 people experience serious foot problems in their lifetime. Your feet mirror your general health. If the foot is not aligned, it 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 serious medical problems.
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 all three planes to its neutral position, offering biomechanical correction of the entire lower extremity, in both static as well as dynamic conditions providing uniform weight distribution, correct gait and posture.
Are Medical Orthotics 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.