Over the last thirty years, the use of true prescription-level orthotics to assist in the treatment of foot ailments has gradually increased. Commonly recommended by podiatrists, doctors of sports medicine, and other medical practitioners, the purpose of orthodontics is to provide protection for flat arches, to withstand shocks in high arches, and to allow for extensive control of the pressure of the heel and bottom of the foot. The modification and enhancement of foot function is greatly improved over that of less precise over-the-counter implants and inserts made of an uncorrected foot mould, as each orthotic is made directly from a structurally corrected mould of the foot. Each orthotic should, so to speak,’ fit like a glove’ and should be absolutely comfortable to wear all day long. Most individuals will begin to wear new orthotics right from the start without pain. There are however a limited number of people who need a break-in time to get their feet used all day to standing on the inserts. This article addresses this break-in phase and how, in as little time as possible, one can get the most out of their new orthotics. Have a look at Barrie Orthotics.
It can be extremely frustrating when new orthotics are difficult to wear. Many individuals expect immediate relief from foot discomfort, and considering the nature of foot pain and the cost of getting orthotics in the first place, this is understandable. Orthotics are not meant to cause pain. In the first place, one would presume that they were correctly cast for and the correct prescription was used to make additional changes to the original design based on the evaluation of the foot structure by the physician. One must also presume that the insert has been fabricated properly by the laboratory to the necessary specifications. It does not help what really must be done to automatically conclude that one of these steps was done incorrectly: a break-in phase conducted with patience and determination. Usually, the level of inappropriate casting, prescription writing, or development of orthotics is rather poor. It is only after all other interventions have failed to provide lasting relief that these variables should be logically considered.
The break-in period is a brief period in which the foot becomes used to the regulation offered by the orthotic. A good orthotic, in turn, would provide the foot structures with gentle yet strong support. This requires reinforcement for all the muscles and ligaments that have become lax during an irregular support lifespan. The orthotic is going to push these systems to properly realign. This can cause a fleeting pain of the lax tissue for others, or it can push some muscles for the first time to function properly. Such behaviour will cause pain, and when the orthotic is worn, this will be felt. In making the orthotic comfortable to wear, a simple strategy to gently introduce the foot to increased support is important. They should be worn automatically when one first receives their orthotics. They should be removed from the shoes when and if the orthotics become uncomfortable. They can be put back in the shoe after several hours and used again before pain arises. Alternately, to try again, one can wait until the next day. This cycle is to be repeated everyday, with each day reaching a longer wear period. Ultimately, after two to three weeks, the orthosis would no longer be awkward. Another typical solution is to wear the orthotics on the first day for one hour, and then raise the wear time by one hour every day that follows. In this author’s clinical experience, failure to provide a complete adjustment of the foot to the orthotic is very unusual for a properly followed break-in time.
There are other variables that contribute to the failure of an orthotic break-in phase that leads to comfort. The most popular of these includes the orthotic incompatibility of the shoe. Although orthotics are designed to fit into a wide range of shoes, an orthotic is not suitable for every shoe in circulation. With shoe use the orthotic does not slip under the foot. This suggests a shoe that is wide for the actual size of one’s foot. Even, with little space left for the foot, they should not have to be squeezed into the shoe. This means the shoe is too small to fit with an orthotic for the foot or is too small or narrow. It is stupid to stubbornly hang on to improper shoes at the cost of orthotic comfort exclusively for style purposes, which will never result in a comfortable orthotic. Regarding their shoe range, one must be sensible and rational. This does not imply a sacrifice of sensitivity to fashion, it simply implies being rational and respecting one’s own needs for body and foot structure. The raised heel is another clear example of this. The body is pressured by high heels to exert great pressure on the ball of the foot. This takes away the normal rhythm of walking that the body utilises to move itself. In a high heel shoe, an orthotic would never operate properly as the body does not use the foot properly during this irregular walking pattern, and pressure is not transmitted into the orthotic properly. While certain orthotics in the boutique style are designed to be included in these shoe styles, their utility is debatable. Another factor leading to break-in failure includes instances in which a shoe can fit correctly, but the designer creates a constraint on those design choices for proper orthotic use. Some athletic shoes, for instance, include additional padding across the top of where the shoe meets the heel.