Orthotics & Insoles

Insoles and orthotics are removable inserts that are placed inside a shoe to provide cushioning and support for the feet. They are often used to treat foot problems, improve posture, and alleviate painful foot conditions.

What is the difference between orthotics and insoles?

Whilst they share similarities in providing support, cushioning, and correction to the feet. There are also some significant differences between the two.

Orthotics are custom-made shoe inserts that are designed to address specific foot conditions, such as plantar fasciitis, flatfoot, and overpronation. They are typically prescribed by a healthcare professional, who takes into consideration the individual’s foot structure, gait, and medical history when creating the orthotic. Orthotics can be made of various materials and are designed to correct specific biomechanical issues.

Insoles, on the other hand, are pre-fabricated shoe inserts that are available over-the-counter. They can provide cushioning and support, but they are not designed to address specific foot conditions. Insoles can be used to enhance comfort and reduce foot fatigue, but they are not as effective as orthotics in correcting specific biomechanical issues.

In summary, orthotics are custom-made inserts that are designed to address specific foot conditions, while insoles are pre-fabricated inserts that are available over-the-counter and are primarily used for cushioning and support.

Do custom orthotics really work?

Custom orthotics can be an effective treatment option for many individuals with foot pain, foot issues, and sports performance. There is evidence-based research that supports the use of custom orthotics for specific conditions such as plantar fasciitis, flatfoot, and overpronation. However, it is important to note that custom orthotics may not be the best treatment option in isolation for everyone and their efficacy can vary depending on the individual and the specific condition being treated. 

What can custom orthotics do?

Custom orthotics help address specific foot conditions or issues. They can provide support, stability, and alignment to the feet and lower limbs, and help relieve pain and discomfort. Some of the benefits of custom orthotics can include:

Pain relief: Custom orthotics can help alleviate pain caused by conditions such as plantar fasciitis, flatfoot, and overpronation.

Improved foot and lower limb alignment: Custom orthotics can help improve the alignment of the feet, reducing stress and strain on the feet, legs, and lower back.

Enhanced athletic performance: Custom orthotics can improve balance, stability, and biomechanics during physical activity, leading to improved athletic performance.

Increased comfort: Custom orthotics are designed to fit the individual’s feet, providing improved comfort and reducing the risk of foot fatigue and injury

Can orthotics o more harm than good?

Whilst orthotics can be beneficial for many individuals with foot pain, foot issues, or sports performance. Like any medical interventions, there is a possibility of both potential benefits and potential harm particularly with off the shelf insoles ans orthotics. The use of custom orthotics should be guided by a healthcare professional, who can determine if they are appropriate for an individual and help minimize the risk of potential harm. The more precise the fit the greater the comfort.

Potential harm from custom orthotics is usually minor such skin irritation, discomfort, how however if they are not truly custom then you may experience decreased in balance or stability, and an increased risk of injury.

In general, custom orthotics are considered safe when used as recommended by a healthcare provider. It is important to communicate any symptoms or concerns with your provider to ensure that the orthotics are fitting and functioning properly, and to adjust or discontinue use as necessary.

How do I get fitted for custom orthotics?

Traditionally getting fitted for custom orthotics typically involves the following steps:

Consultation with a healthcare professional: The first step in getting fitted for custom orthotics is to schedule a consultation with a healthcare professional, this may be a practitioner who specialises in foot issues such as a podiatrist or osteopath. During the consultation, the healthcare professional will assess your feet, gait, and medical history to determine if custom orthotics are appropriate for you.

Foot impression or mould: Prior to recent developments in the production of orthotics this was the main process of production. If custom orthotics are recommended, the healthcare professional would take a foot impression or mould of your feet. This can be done using a foam box, plaster cast, or computerized scanning technology. The mould or impression will be used to create a customized orthotic that is tailored to your specific foot structure and needs.

Orthotic fabrication: After the foot impression or mould is taken, it is sent to a laboratory or manufacturing facility where the orthotic is created. This process typically takes several weeks.

Fitting and adjustment: Once the custom orthotics are received, the healthcare professional will perform a fitting to ensure proper fit and function.

Whilst this process has predominantly been used 3D gait analysis is being used more and more, with precision mapping and analysis, increased  use and implementation from sports professionals such as many GB athletes along with premier league football clubs. The benefits are being highlighted not only in injury recover and rehabilitation but in maximising ground contact for better performance. 

 

How do I get fitted with 3D Print Custom Orthotics

As custom orthotics you go through a detail clinical assessment with a healthcare professional.

A dynamic gait analysis is carried out to map out weight distribution, force direction, stability and the centre of balance.

The data is analysed by the healthcare professional and then sent to a 3D Print machine to directly produce the custom orthotic based specifically the data and clinical information.

As they are made with precision they are comfortable once inserted into the shoe.

As with any custom insole you need to introduce them slowly so to allow your feet to adapt.

Do I need a GP referral to get orthotics

The requirements for getting custom orthotics can vary depending on the healthcare system and country. In some cases, a referral from a general practitioner (GP) is required to see a specialist such as a podiatrist or orthopaedic specialist on the NHS, who can prescribe custom orthotics. In other cases, a referral may not be required, and individuals can schedule a consultation directly with a specialist.

It is recommended to check with your healthcare provider or insurance provider to determine the requirements for getting custom orthotics in your area.

How much are custom orthotics?

The cost of custom orthotics can vary depending on several factors, including the type of orthotic, the materials used, and the healthcare provider or laboratory that is providing the service. On average, custom orthotics can cost anywhere from £200 to £400 or more, although some insurance plans may cover a portion of the cost.

In general, custom orthotics tend to be more expensive than over-the-counter insoles, but they are also more tailored to the individual’s specific needs and are often more effective in addressing specific foot conditions.

Check with your insurance provider to determine the cost of custom orthotics and to find out if your insurance plan covers the cost.

Do I need bigger shoes for custom orthotics?

Custom orthotics may require a larger shoe size, but this will depend on the thickness and design of the orthotics and the individual’s foot size. Orthotics can add thickness to the insole of the shoe, which can affect the fit of the shoe. In some cases, a larger shoe size may be required to accommodate the orthotics and provide enough room for the feet to move comfortably.

It is recommended to consult with a healthcare professional or shoe specialist when choosing shoes to wear with custom orthotics. They can help determine the appropriate size and type of shoes that will provide a proper fit and accommodate the orthotics. In some cases, it may be necessary to purchase shoes that are specifically designed to be worn with custom orthotics.

In general, it is best to try on shoes with the orthotics in place to ensure a proper fit and to avoid having to purchase larger shoes or having shoes that are too tight.

Are over the counter orthotics any good?

Over-the-counter (OTC) orthotics can be a convenient and affordable option for individuals who are experiencing minor foot discomfort or who are looking to improve foot comfort and support. However, they are not as effective or tailored as custom orthotics in addressing specific foot conditions or providing optimal support.

OTC orthotics are mass-produced and are designed to fit a wide range of foot types and sizes. While they can provide some level of support and cushioning, they may not be as effective as custom orthotics in addressing specific foot conditions or providing optimal support. Additionally, OTC orthotics may not be appropriate for individuals with more serious foot conditions, such as foot deformities or chronic pain.

What are the different type of orthotics?

There are several different types of orthotics, including:

Custom orthotics: Custom orthotics are tailored to the individual’s specific foot structure and needs. They are designed based on a mould or impression of the foot and are typically made by a healthcare professional or laboratory. Custom orthotics can be made from a variety of materials, including plastic, foam, and leather, and can be designed to address specific foot conditions, such as plantar fasciitis, flat feet, and overpronation.

Over-the-counter (OTC) orthotics: OTC orthotics are mass-produced and are designed to fit a wide range of foot types and sizes. They are typically less expensive than custom orthotics and are available without a prescription. OTC orthotics can provide some level of support and cushioning, but they are not as effective or tailored as custom orthotics in addressing specific foot conditions or providing optimal support.

Prefabricated orthotics: Prefabricated orthotics are pre-made orthotics that are designed to fit a specific type of shoe, such as running shoes or dress shoes. They are typically less expensive than custom orthotics and can provide some level of support and cushioning. However, they are not as effective or tailored as custom orthotics in addressing specific foot conditions or providing optimal support.

Accommodative orthotics: Accommodative orthotics are designed to provide cushioning and relieve pressure on specific areas of the foot, such as calluses or ulcerations. They are typically made from soft materials, such as foam, and are used to treat specific foot conditions, such as diabetes-related foot problems.

Functional orthotics: Functional orthotics are custom designed to improve the alignment and function of the foot, as well as address specific foot conditions, such as plantar fasciitis, flat feet, and overpronation. They are typically made from a combination of materials, including plastic, foam, and leather, and are designed to provide support and stability to the foot.

What are 3D print custom orthotics?

3D Printed custom orthotics are orthotics that are manufactured using 3D printing technology.

3D printed custom orthotics have several advantages over traditional custom orthotics, including:

Increased precision: 3D printing technology allows for greater precision and accuracy in the manufacture of custom orthotics. This can result in a better fit and improved comfort for the user.

Speed: 3D printing technology can significantly reduce the time it takes to manufacture custom orthotics, allowing for faster turnaround times and improved convenience for the user.

Customization: 3D printing technology allows for greater customization of the orthotic, including the ability to create unique shapes, designs, and materials to meet the specific needs of the individual.

3D printed custom orthotics are becoming increasingly popular and are being used by healthcare professionals and orthotic laboratories to provide a faster, more convenient, and more accurate option for individuals who need custom orthotics.

As this type of orthotics is made with precision they are increasingly being use by professional athletes and premier league clubs to maximise performance and to enhance injury rehabilitation.

Note:
This information is intended to provide general information and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified healthcare provider with any questions you may have regarding a medical condition.

More Q & A’s

Osteopathy

Back Pain

Plantar Fasciitis

Sciatica