Orthotics

The use of an orthotic device should not be a first line of therapy for most foot problems. Orthotics are often prescribed to patients with knee pain. However, many studies have not shown this to be effective. In addition, EMG (electromyographic) studies fail to show any significant differences in the average muscle activity of the tibialis anterior, peroneus longus, and gastrocnemius muscles when orthotics are used.

Placing orthotics in your shoes most often results in the shoe fitting differently, usually too tightly. In this instance, the shoe must either be modified or a different shoe used. Unfortunately, this is not usually done and many people with added support now have worse ill-fitting shoes.

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Most orthotics are not custom-made to your foot but to a general model of an average foot. They are often made from hard materials—plastic and sometimes even metal. I could never understand these materials for use in a person without a serious permanent condition as these materials are often used for people who have functional problems. Your foot moves through many ranges of motion during the course of standing, walking, or running. The best material to use is leather since it will move with the foot.