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We, as Podiatrists, are far too cavalier in the use of orthotics. Many different theories have been presented that form the basis in the use of a mind bending number of different insoles.

This needs to stop. We must exercise discretion whenever we put anything underneath the foot that changes foot function.

A Recent study has graphically demonstrated that a change in the Plantar Pressure Gradient changed neural activity. This tocsin must not be ignored.

Podiatrist must understand that changes in foot function impact the entire body and act accordingly.

 

No comments, or simply no interest?

 

The results of this preliminary study underscores the necessity of due diligence when putting anything underneath the foot. The days of using orthotics in a cavalier fashion are quickly closing.

 

Many years ago, I published a paper delineating the distinct plantar pressure gradients for the PreClinical Clubfoot Deformity (PCFD) and the Primus Metatarsus Supinatus (RFS) deformity. I used this information in engineering and fabricating specific proprioceptive insoles for each foot structure.

The insoles are different, that is, they are Not interchangeable. In fact, if you use an insole manufactured for RFS in a patient with a PCFD, their symptoms will be augmented.

This understanding, using the correct insole for the specific foot abnormality, is even more important, now that we are aware of the foot to brain connection. That is, it is possible to create CNS symptoms, using an inappropriate insole.

Just food for thought.