Custom orthopedic insoles

Today we will talk about orthopedic insoles for preventive and therapeutic purposes. How to choose them correctly, because orthopedic salons offer a huge number of models. About how often you can use this orthopedic accessory.

General recommendations

When choosing orthotics for your feet, it is important to take several factors into account. First of all, you need to know the purpose of this product. The fact is that the wrong choice of product will not only not give a positive effect from use, but can also cause significant harm to health.

Experts recommend that the insole fits as tightly as possible to the base of the shoe. Otherwise, while walking, the instep support will move to the side, causing discomfort. The insole is selected on the recommendation of a doctor, in accordance with the existing orthopedic pathology.

Some people try to match the insole to their shoes. This is not the right approach at all. First of all, the insole is selected based on the shape and size of the foot, the presence or absence of flat feet, the patient’s weight and physical activity. You need to buy shoes that will fit the orthopedic insole best without causing discomfort.

Design of a custom full-footprint orthotic for everyday walking

The complex design of the insole evenly distributes the load over the entire plantar surface of the foot.

Forefoot placement is accomplished through pronation, supination, or neutral positioning of the forefoot.
Rearfoot placement is achieved through pronation, supination or neutral positioning of the deep heel cup of the insole.
The metatarsal pad varies in height, density, shape and provides support and relief for the transverse arch of the foot.
The outer arch is individually blocked to correct the supporting arch of the foot.
The inner arch is individually blocked to correct the spring arch of the foot.
The selection of material is carried out taking into account height, weight and physical activity.

Full-foot orthopedic insoles are used to treat various foot deformities and flat feet: valgus foot (overpronated), flat-valgus, “hollow”, equinovarus foot and other types of pathology.

Orthopedic insoles for longitudinal flat feet

With this type of flatfoot, the longitudinal arch of the foot flattens, causing almost the entire surface of the foot to come into contact with the floor. Often, the intensity of the development of the disease depends on the person’s weight. The larger it is, the stronger the symptoms appear.

Orthopedic longitudinal insoles are characterized by the main feature - the presence of a high arch support. This element supports the longitudinal arch, which helps restore normal biomechanics of the leg:

Excessive stress is relieved, blood circulation improves, and foot stability increases.
Pain sensations are eliminated.
The formation and development of heel spurs is prevented.

Also, insoles must have wedges with which you can change the angle of inclination while walking.

An important characteristic of products prescribed for longitudinal flatfoot is the height of the instep support. Its value is determined by the structure of the foot, the degree of the disease and individually for each person.

It is wrong to purchase insoles at a pharmacy that sells products with average parameters. It is best if a specialist selects the characteristics of orthopedic insoles for you.

The best material for longitudinal insoles is high-temperature plastic. It provides effective arch support and good heel support. A mandatory requirement is that the insole exactly matches the shoe size.

Custom insole design for sports

The insole evenly distributes the peak load on the foot during sports.

Balance and forefoot release.
The deep heel cup places the rearfoot in a neutral position and reduces impact.
Metadarsal cushions of varying heights, densities and shapes relieve stress on the transverse arch.
The external support arch absorbs peak loads during sports.
The internal arch restores the spring function of the foot.
2-3-layer EVA material is used - an ideal solution for insoles for sports purposes.

Full-foot orthopedic insoles are used to treat various foot deformities and flat feet: valgus foot (overpronated), flat-valgus, “hollow”, equinovarus foot and other types of pathology.

Differences between therapeutic orthopedic shoes for children and ordinary ones

♦ high ankle - to fix the ankle joint in the correct position during physical activity;

♦ hard heel - to maintain the heel in an anatomically correct position;

♦ wide, stable heel - on the inside of the sole, in the front part it is additionally reinforced to maintain the correct position of the foot during movement.

♦ polyurethane sole - to form the correct roll of the foot;

In therapeutic shoes, not only the fixation of the foot is important, but also wearing comfort. It is difficult for children to wear shoes that rub, squeeze and press. Therefore, orthopedic and preventive shoes are made from natural vegetable tanned calf leather. The calf leather in the shoes is soft and pleasant for everyday wear. No chemicals are used in the production of therapeutic shoes, which prevents allergies. To protect delicate children's skin from chafing, the shoes have a minimum of internal seams.

PRODUCTION STEPS

Patient examination:
determination of the type of foot deformation;
taking into account concomitant diseases.
Carrying out diagnostic tests:
manual muscle testing;
3D computer diagnostics of feet on a platform in statics and dynamics;
modern plantography methods;
orthopedic examination using a plantoscope using measuring instruments;
impression of the foot on biological foam with further creation of a plaster positive - a cast.
Selection of technology for the production of individual foot orthoses:
Formthotics technology;
express thermoblocking technology;
stacked frame insole Orthodinamic (vacuum molding).
Choosing a model of individual insoles for everyday walking, sports, dress shoes (heels higher than 4 cm), children's insoles.
Determination of an individual orthopedic wearing regimen and frequency of correction of insoles (for 6 months free of charge).

Computer 3D diagnostics of foot pathology is a modern diagnostic study that allows you to determine, statically and dynamically, the presence of flat feet and types of foot deformities.
It is carried out on a digital plantograph and allows you to identify the parameters of the foot in a color, digital and three-dimensional image.

The results of the study are stored in an electronic database, which makes it possible to evaluate the condition of the feet and the effectiveness of treatment over time.

Causes

Planovalgus foot deformity has various causes that can cause the disease even in an infant. True, in this matter it is important to take into account that the form of the disease can be either congenital or acquired. Therefore, in children under 3 years of age, we can talk about changes in the foot that occurred during intrauterine development.

In turn, by the age of 4-5 years of a child’s life, planovalgus feet appear as a result of many reasons, which are determined by the doctor as a result of an examination.

Weakness of the muscle tissue of the ligaments and lower leg, unable to maintain the correct position of the foot;
Hereditary factor;
Incorrectly selected, uncomfortable and low-quality children's shoes. You should avoid wearing shoes with thin, flat and soft soles that do not anatomically follow the shape of the foot;
Lack of physical exercise in the child;
Frequent colds, infectious, bacterial diseases;
Injuries and damage to the foot;
Endocrine disorders, including thyroid disease, excess weight or, conversely, underweight, diabetes;
Rickets, which has a destructive effect on the bones, making them weak and fragile, and also affecting the curvature of the foot;
Improper metabolism and nutritional system, which has an adverse effect on the body;
Lack of calcium and other vitamins and minerals.

Establishing the cause of a child’s foot curvature requires immediate therapy, which is carried out using different methods.

HOW CUSTOMIZED INSOLE WORKS

Evenly distributes the load over the entire plantar surface of the foot.
Supports the transverse and longitudinal arches of the foot.
Increases stability when standing and walking.
Improves spring and sensory functions of the feet.
Prevents fatigue of the feet and lower extremities during exercise.
Prevents the development of pathological conditions of the musculoskeletal system (persistent deformities, cascade of overload pain).
Reduces the load on the spine, hip, knee and ankle joints.
Restores the equilibrium function of the body.

To achieve the best results of treatment in orthopedic on Akademicheskaya, individual insoles are prescribed with individual interdigital orthoses, an individual exercise therapy complex on a balancing disk, reflexology, myostimulation and massage, which greatly enhances the therapeutic effect.

What types of orthopedic children's shoes are there for hallux valgus?

The presence of various structural elements in children's orthopedic products with a corrective and therapeutic effect provides a wide range of such shoes. It is better to find out what design features of anti-valgus boots recommended for your child should have from an orthopedic doctor.

You can also read about how to choose orthopedic shoes for a child in the article on our website, which provides general recommendations.

The range of children's orthopedic shoes includes summer, winter and demi-season models. Shoes for the summer season usually mean open sandals or sandals. Warm models include wool or fur lining and anti-slip soles.

In addition, there are also special sports models of stabilizing shoes. But it should be borne in mind that if a child under 5 years of age has a hallux valgus deformity, then it is better for him to refuse to wear sneakers. Unless this is required to visit the sports section.

ADVANTAGES of manufacturing insoles at OrthoMed Classic

Manufacturing of full-foot orthopedic insoles with full contact (complex foot orthosis).
Computer 3D diagnostics of feet on a platform in statics and dynamics with an image on the screen of the distribution of load on the plantar surface of the foot in color and digital equivalent.
Ideal price-quality ratio.
Fitting an individually made insole to the patient’s shoes or prescribing anatomically correct shoes (2-4 cm heel, semi-rigid sole with a roll, fullness from 5 to 10, elastic inserts in the front section, removable standard insole).

Impeccable correction of the forefoot, middle and rear foot.
The use of measuring instruments to identify distortion of the pelvic bones and curvature of the spine; measurement of the length of the lower limbs with determination of the deviation of the heel bone.
Wear resistance and durability of the OrthoMed classic insole.
Use in the production of modern hypoallergenic composite materials of varying degrees of Shore density. When choosing covering materials, the condition of the soft tissues of the feet is taken into account (dryness or excessive sweating of the skin, trophic disorders), venous and lymphatic congestion, weight, physical activity, which increases the period of use of the insole.

Factors contributing to the development of pathology:

Weakened muscles due to lack of exercise.
Congenital weakness (underdevelopment) of the ligaments and tendons of the legs.
Excessive load on the ligamentous apparatus of the foot due to excess body weight (obesity) in the child.
Against the background of insufficient muscle tone (hypotonia).
Deviations in the development of the musculoskeletal system
The cause is often wearing uncomfortable or soft shoes that do not support the foot properly.
Weakened body, prematurity and frequent acute respiratory infections at an early age.
Researchers attach great importance to genetic (hereditary) predisposition, endocrine diseases (hypothyroidism, diabetes) and osteogenesis disorders.

Even in ancient times they said that if a person has sick legs, then he is sick all over. And here, over the centuries, nothing has changed and nothing will change. The work of the spine, all other parts of the musculoskeletal system and almost all internal organs is directly dependent on the foot, its functional and shock-absorbing properties.

Manufacturing of orthopedic insoles in Moscow

We are located at: st. Dmitry Ulyanov, building 31. Entrance on the left side of the building. You can buy custom orthopedic insoles on weekdays from 10:00 to 20:00, as well as on Saturdays from 11:00 to 18:00. Our center has a flexible system of discounts, so you always have the opportunity to order insoles (including Formtotics) at the lowest price for Moscow.

How to get there:

m. Akademicheskaya

First exit from the center. In the underground passage, turn left; when going up the street, turn left to the public transport stop. Auto. No. 121, 315, 3rd stop “st. Dmitry Ulyanov."

m. Akademicheskaya

The last car from the center. In the underground passage, turn right; when going up the street, turn right towards the Ho Chi Minh Monument. Then walk 10 minutes along Dm street. Ulyanov to house No. 31, a pyramid-shaped building, entrance on the left side.

m. Shabolovskaya

Tram number 26 to the stop “ul. Dm. Ulyanov. Museum of Heroes”, then walk 5 minutes along Dm Street. Ulyanov to house number 31, entrance on the left side.

Features of choosing children's orthopedic insoles

For children, orthopedic insoles are made with certain features. Since children's bodies are constantly changing, insoles must also be flexible enough. They will have to be used for quite a long time, so they must be made of high-quality material. In general, the ideal material for orthopedic insoles is leather. But nowadays its analogues are no less widely used.

The service life of children's insoles (as well as those of adults) is about 2 years. And if this period is not enough for adults (after all, the leg no longer grows), then for children this can rather be called an advantage. In a couple of years, the child’s foot will grow and the insole will have to be changed in any case.

Causes of foot deformities

The causes of hallux valgus in the feet are as follows:

hereditary factor;
transverse flatfoot;
some endocrine pathologies;
osteoporosis.

Women suffer from hallux valgus five times more often than men. This is due to the congenital weakness of the bone tissue of the feet, as well as the fact that many ladies prefer high-heeled shoes.

Varus deformity

may occur due to the following reasons:

rickets and other metabolic disorders that reduce bone density;
genetic predisposition;
flat feet; foot injuries;
wearing uncomfortable tight shoes for a long time.

Varus pathology occurs more often in children, but at an early age it is easier to get rid of. Degrees of foot deformation

When hallux valgus occurs, the actual degree of the disease is determined based on the size of the angle formed between the big toe and the metatarsal bone. There are three degrees of valgus pathology:

first: directly in the intermetatarsal angle, there is an increase in joint deformation, while the ligaments are excessively mobile, and subluxation of the foot occurs;
second: the displacement of the joints and the nearest tendons in the area of the thumb is diagnosed;
third: both bone and almost all connective tissue become very weak and vulnerable, which is accompanied by constant pain in the affected area.

Varus deformity is also divided into three degrees:

light: supination and deformation of the foot do not exceed 10-15 degrees, the foot can be brought to its normal position;
medium: the equinus angle ranges from 15 to 30 degrees, but the clubfoot components can still be corrected;
severe: the equinus angle exceeds 30 degrees, the deformity becomes stable and can only be partially corrected.

Preventing diseases with orthopedic insoles
Orthopedic insoles are excellent for treating foot deformities. They allow not only to increase the level of comfort when walking and minimize pain, but also to stop the development of the disease. The process of choosing therapeutic insoles should be approached especially carefully. First of all, you should take into account the type of disease that requires orthopedic correction. An important factor is the degree of manifestation of the disease.

For hallux valgus pathology, the following types of insoles are recommended:

therapeutic, intended to correct a deformed arch of the foot. Such products have a fairly rigid shape and cover the foot well in order to maintain the required position of all cartilages. Recommended for use with orthopedic shoes;
preventive – used in the initial stages of hallux valgus. They can be worn with regular shoes;
therapeutic and prophylactic - they are made of leather or special elastic fabric. The products are slightly springy and do not compress the foot too tightly. Such insoles can be shortened in design and used with any shoes

Based on their functional qualities, orthopedic insoles used for hallux valgus are divided into several types:

arch-supporting – significantly reduce the load on the feet, minimize pain;
arch-forming – designed to ensure the smoothest possible roll of the arch. Often used in pediatric orthopedics to correct flat feet;
unloading – provide a uniform load on the entire foot; for this purpose they have special bulges and indentations;
therapeutic – designed to correct the incorrect position of the feet, equipped with additional elements: instep supports, pelotas, high sides.

In addition to full-size orthopedic products, there are also half-insoles that do not have a front part.
Such devices also have therapeutic and prophylactic properties. Their main advantage over conventional insoles is that there is no need to select the product by size. In addition, half-insoles can be worn even with the most open shoes, because they will not be visible from the outside. In some cases, wearing heel pads or heel pads, which are small orthopedic devices designed to solve local orthopedic problems, may be indicated. Such products are recommended for heel spurs, as well as for use in shoes with an excessively hard heel. Insoles for pes varus are designed to rotate the entire foot, including the heel, into the correct position. For this purpose, special antivarus insoles are used, which have special thickenings on the outer heel part - pronators. This design allows you to give the foot the desired shape. How to choose orthopedic insoles

When deciding how to choose insoles for hallux valgus, you should consider the most important recommendations:

pay attention to the size of the insoles, having first measured the length of your foot in centimeters. To determine the length of the foot, place it on a sheet of paper and carefully trace the contours with a ballpoint pen. After this, you need to draw a line on the sheet using a ruler in the place where the length of the drawing is maximum, and measure it. This will be the desired size indicator;
if there are doubts about the accuracy of determining the size of the foot, it is better to choose products that have double or triple sizes, which allows you to avoid mistakes in purchasing insoles;
some insoles are designed so that they can be trimmed - in this case, you can purchase a slightly larger size than the actual length of the foot;
for women who still do not want to give up wearing shoes with heels, you should select products made of leather, cork and special foam; if a person’s weight exceeds 100 kg, it is better to give preference to graphite or hard plastic insoles;
For diabetes, double-layer insoles are recommended. In addition to the therapeutic orthopedic effect, such products prevent the appearance of calluses and open wounds, which are dangerous in this endocrine pathology;
for planovalgus deformity, leather or felt insoles with an orthopedic effect are well suited;
workers who have to stand still for a long time (hairdressers, salesmen, etc.) are recommended to use rigid, preferably framed, orthopedic products; athletes are shown frameless insoles; children with hallux valgus are suitable for thermoplastic insoles, as well as products with instep supports and other unloading elements. It is better to agree on the final version of insoles with your doctor.

Advantages and effectiveness of using orthopedic insoles
Provided the correct selection of insoles and their regular use, the effect of treatment will definitely manifest itself. The most important benefits and positive changes are:

the arch of the foot is fixed, therefore its further deformation in case of hallux valgus pathology slows down and even completely stops;
pathologically changed small joints of the feet gradually return to the correct position;
deformed and excessively curved toes gradually straighten and take on the correct shape, which is especially important for hallux valgus;
the load on the soles of the feet becomes more uniform, due to which calluses, corns and other compactions disappear;
harm from incorrectly selected or excessively hard shoes is minimized provided that shock-absorbing insoles are used;
pain when walking is eliminated due to the reduced load on the feet and the springy properties of orthopedic products;
venous blood flow in the legs improves, therefore swelling of the feet decreases.

The benefits of wearing orthopedic products will be even more noticeable if insoles for hallux valgus or varus pathology are selected after consulting with a doctor. The specialist will recommend the most optimal option for therapeutic shoe inserts for the individual patient, which will help speed up recovery.

Features of choosing children's orthopedic insoles

It is for children that an individual and careful choice of insoles is of decisive importance, because in this case parents are faced with an important task - to quickly stop the process of deformation of the joints in the foot area, to save the child from manifestations of flat feet or other orthopedic disorders.

For varus deformity, which is most common in children, orthopedic insoles without any instep supports are recommended. These corrective inserts can be combined with special shoes with pointed toes. It is advisable to order children's orthopedic insoles individually if hallux valgus is diagnosed. In the heel area of the product there should be a special recess, the contours and depth of which must be determined by the doctor.

The specialist also selects the height of the instep support, which should be located exactly under the inner arch of the foot. Even after the symptoms of foot deformation disappear, it is advisable to use therapeutic and prophylactic insoles until the child reaches the age of 14-16 years.

Tips for choosing shoes that enhance the effect of orthotics

To maximize the effect of therapeutic insoles, shoes should be:

with a fairly wide heel of low height (up to 4-5 cm). Shoes with completely flat soles are not permitted;
It is desirable that shoes, even summer ones, have a high, stable heel;
the toe part of the shoes or boots should be quite wide, not squeezing the toes.

If you can remove the factory insoles from your shoes, it is best to do so before using orthotics. Otherwise, corrective devices should be placed on top of the “original” shoe insoles.