Orthotics Canada | Frequently Asked QuestionsCommon TermsOrthotic – a single deviceOrthoses – plural of orthotic or “a pair of orthoses”Orthotics – common plural form of orthoticFoot Care Professionals – Pedorthitist, Orthotist, Podiatrist, ChiropodistAren’t All Orthotics Basically the Same?I wish that were the case but it’s not.There are huge differences in the quality of workmanship, research, casting techniques andproviders who dispense foot orthoses.It’s as frustrating for legitimate orthotics providers as it is for the public that the regulationssurrounding foot orthoses are so loose.Please refer to my article “7 Secrets of the Orthotic Industry” if you want all of the details onthe foot orthotic industry.Nope. There is no such thing as an “orthotic shoe”.Somewhere along the line, through creative marketing, an orthotics company started tobundle prefabricated shoe inserts with footwear and relabeled the package as “orthoticshoes” but that was just a deception to fool consumers and insurance companies.The fact is that an orthotic is one thing and a shoe another. Simply putting an orthotic into ashoe does not make them become one.Let me answer this with the example of a more common “device”.
If you have a visual problem that is corrected by wearing glasses, do you wear the glassesor avoid them because you become dependent on them?If you have a biomechanical problem of the feet, wearing orthoses is like wearing glasses.They correct the problem while they’re in your footwear and the problem still exists whenyou remove them.So are you dependent or just using a corrective device?It depends. Not usually until the age of 8 and even then the condition would need to besignificant. If the child has a congenital problem and they are symptomatic, I may decide touse orthoses, otherwise I monitor the child until teenage hood and decide then.There are no hard and fast rules about when foot orthoses need to be replaced. No twopeople wear out their shoes at the same rate and orthoses are much the same withreplacement periods being as short as 1 year and as long as 5.Long distance runners, those who work on their feet, those who may have gained 20 ormore lbs of body weight and highly active people tend to flatten their orthoses more quickly.The orthotics I use are uniquely designed to match each person’s body mass, which is theingredient that keeps them comfortable and is also the factor that allows the plastic to“creep” (or drop) over time.Here are a few indications that your orthotics need replacement:1. It has been longer than 5 years. Many feet change over a 5-year period. So if you havesome form of progressive change, then 5 years is a maximum.2. If you experience a return of your original symptoms. In other words, the return of thepain in your heel or arch or knee after years of relief, may indicate a need forreplacement.
3. The orthoses appear flatter than you remember them. It’s not uncommon for orthoses toflatten 1 cm in a year for those who are really active. That translates to an extra 1 cm ofimproper movement with each step.How long will it take to get used to my Orthotics?We discuss a “ break-in period” when you are first given your orthotics. This simply refers tothe time it takes to wear the orthoses comfortably all day.Interestingly, there is no single answer and it’s not possible to predict who will comfortablywear orthoses immediately and who will need several weeks of gradually increasing wear.There does not appear to be any correlation between gender or age or activity level orsymptoms that helps to predict the “break-in” period.A reasonable rule of thumb is that the orthoses should be comfortable for full-day weararound the 2-week mark. If it takes longer than 2 weeks, it would be wise to come back tothe clinic. Minor modifications to the orthoses are sometimes necessary and usually allowsfor full day use.“I have bunions. It must be because I wore the wrong shoes as a child.”This is a statement that those who work in foot care have heard hundreds of times frompeople with lumps on their big toes.Rest assured, it has nothing to do with your shoes and everything to do with poor footbiomechanics (the way your foot interacts with the ground).Bunions are especially common in those who have very mobile flat arches where themuscle that pulls the big toe down into the ground is overpowered by the one the pulls thebig toe towards the others.
Plenty of ladies who wear pointy-toed higher heels do not end up with bunions. By the sametoken, in cultures where people do not wear shoes at all, there are plenty who do havebunions. So clearly shoes cannot be to blame. TopMany people ask whether there are advantages to getting 2 pair of orthotics at the sametime or back-to-back years and indeed there are.They include the following:1. Alternating use of orthotic pairs each day allows drying between uses and helps tocontrol foot odor. It’s the warm moisture that allows bacteria to thrive inside a shoe socomplete drying of the shoe and its orthotic keeps the problem under control.2. Two pair means half the wear and tear on each pair over the period of time theynormally need to be replaced. So if you would ordinarily replace orthoses every 2 years,you may be fine for 4 years alternating between 2 pair.3. Many people only use a few pair of shoes on a weekly basis so it’s a matter ofconvenience to leave a pair in your work shoes and a pair for your casual/sports shoes.4. Many, if not most clinics, offer some form of discount for second sets ordered at thesame time. It may end up being cheaper to order sets of 2 over the long run.If you need an Orthotic Expert in Ontario CA, visit www.FootKneeBack.com. For moreinformation about Orthoses and Foot Doctors in Ancaster, Ontario CA, seewww.theorthoticexpert.com.Other articles you will find interesting:What You Need to Know About the Orthotics IndustryAncaster Orthotics | The Real Cost of “Free” Shoes