The Misuse of Foot Orthoses

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Editorial
The Misuse of Foot Orthoses: Clinical and Ethical Implications of Erroneous Prescription Practices

 

Related Thread:
Bridging the gap between custom foot orthoses research and clinical practice

 

I quote from this publication: 'Research by Mills et al1 and Hennessy et al2 highlights that many prescriptions rely on generic templates or anecdotal evidence, rather than robust clinical guidelines'

IMO, the robust clinical guidelines should read: rather than identifying primary etiology.

For years I have been saying: Orthotics/Insoles should not be dispensed without first identifying the etiology (establishing a diagnosis). Abnormal pronation, flatfeet, pes planus - these are objective signs, not a diagnosis.

For example, chronic knee pain due to the PreClinical Clubfoot deformity is an example of a symptom linked to its' etiology. Dispensing appropriate insoles, is sound intervention.

Chronic knee pain due to abnormal pronation and dispensing insoles to treat the abnormal pronation, IMO, is a misfeasance.