CUSTOM ORTHOTICS AND INSOLES

Orthotics and insoles are interchangeable terms used to describe foot orthoses, inserts that go inside of your shoes. However, in modern English they are often used differently. The term ‘insole’ is generally used in reference to simple over-the-counter products that provide additional cushioning and mild support for your feet. They’re mass-produced and designed to fit a range of foot types. The term orthotics is mainly used to describe bespoke medical devices, prescribed by a podiatrist or other health care professional following a detailed assessment. These are tailored to your specific foot structure and gait, addressing unique biomechanical issues and reducing tissue forces through injured structures.

Determining if you need orthotics often requires a professional assessment, but there are several signs that might indicate you could benefit from them. If you experience persistent foot, ankle, knee, hip, or lower back pain, especially during or after physical activities, this could be a sign that you could benefit from orthotics. Other indicators include uneven wear patterns on your shoes, frequent ankle sprains, or if you notice abnormalities in the way that you walk. Additionally, if you have certain medical conditions like diabetes, arthritis, or plantar fasciitis, orthotics might be recommended as part of your treatment plan. It’s important to note that while these symptoms can suggest a need for orthotics, a thorough evaluation by a podiatrist is the best way to determine if prescription orthotics are right for you. They can assess your foot structure, gait, and overall biomechanics to provide a tailored solution that addresses your specific needs and helps keep you comfortable and active.

While orthotics can be highly beneficial, there are situations where you should avoid wearing them. Activities requiring bare feet or specialised footwear, such as swimming, yoga, or martial arts, are often not suitable for orthotic use. After foot surgery, consult your podiatrist before resuming orthotic wear, as your foot’s needs may have changed. If your orthotics cause discomfort, blisters, or new pain, stop using them and seek professional advice, as this could indicate they’re worn out or no longer appropriate for your foot condition. Orthotics aren’t typically necessary for all shoe types, especially shoes that are only worn for short periods. However, this can vary based on your specific foot condition and your podiatrist’s recommendations. When in doubt about orthotic use, it’s best to consult your podiatrist for personalised guidance. Remember, orthotics are medical devices that require monitoring and adjustment as your foot health evolves, so regular check-ups with your podiatrist are essential to ensure they continue providing the right support for your lifestyle and foot condition.

Yes, you can buy orthotics/insoles over the counter. It is important to understand the difference between an over-the-counter insole and prescription orthotics. Over-the-counter orthotics, often called insoles, are pre-made devices available at pharmacies, sporting goods stores, and online retailers. These products provide additional cushioning and mild support for your feet. While they can provide some relief for minor foot problems and offer additional cushioning, they are not tailored to your specific foot structure or gait. Custom orthotics, on the other hand, are prescribed by a podiatrist or health care professional following a thorough assessment and are made to fit your unique foot shape and address your individual biomechanical or medical requirements. For mild discomfort or as a short-term solution, over-the-counter orthotics may suffice. However, if you have persistent foot pain, a diagnosed foot condition, or complex foot issues, prescription orthotics are likely to provide more effective, long-term relief. Always consult with a podiatrist to determine the best option for your foot health needs.

The lifespan of orthotics can vary depending on several factors, including the type of orthotics, materials used, frequency of use, and the wearer’s activity level. On average, custom orthotics typically last between 2 to 5 years. However, high-quality custom orthotics made from durable materials may last even longer with proper care. Over-the-counter insoles generally have a shorter lifespan, usually around 6 months to a year, as they’re made from less durable materials and aren’t prescription devices made for you. It’s important to monitor your orthotics for signs of wear, such as compressed areas, cracks, or a decrease in support and comfort. If you notice these signs or experience a return of foot pain, it may be time for a replacement. Regular check-ups with your podiatrist can help determine when your orthotics need to be replaced or adjusted. Remember, maintaining the effectiveness of your orthotics is crucial for continued foot health and comfort, so don’t hesitate to consult your podiatrist if you’re unsure about the condition of your orthotics.