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I'm new in this forum. I'm an Orthopaedics from Rome Italy with not to much experience on orthotics. I would like to know when you decide and why to use a full length orthotics or non.

 

I use a full length device except when I can't get it into a shoe.

 

I do the following

Full length

In surgical footwear including piedros
Most of the time if the orthotic has a forefoot modification (ff varus ext, cushioning, neurological etc),
If i am concerned that the insole might shift position in the shoe (although velcro works well also)

2/3 length

If the shoe has little room in the toe box
If the insole has no forefoot modifications

But thats just me

 

I use full length orthoses when I wish to alter pressure related variables beneath the MPJ's and or digits.