Why do I need orthotics?

Why do I need orthotics? What are orthotics used for anyway? Why would a chiropractor recommend orthotics?
There are a number of questions, let’s start with what orthotics are and what they’re used for.

Orthotics are custom made insoles for your shoes, designed to correct imbalances in your foot structures, muscles of the lower leg, protect against the forces of hard flooring on your feet.

Symptoms one might experience if orthotics are necessary aren’t limited to the feet, but include; foot, arch or heel pain, leg or knee pain, leg length inequality, hip or back pain even neck pain.

Foot orthotics work similar to braces for the teeth, or glasses for your eyes, they slowly and consistently place your foot structures in the correct position. We use orthotics in all kinds of footwear, even skates and ski boots!

I think I need orthotics what’s next?
During an orthotic examination I perform a static ( not moving) postural assessment, both weight bearing and non-weight bearing, to see how your foot reacts to supporting your body. I assess any mobility issues in the ankle or foot, check to see wear the forces stress the foot as shown in any calluses you may have. Next I have you walk several times in bare feet to assess your dynamic posture, do the toes point in or out, does the ankle roll in with walking?

Next I make a mold of your foot in special foam with you sitting, having your foot kept in the optimal position. The mold is then sent to the orthotic lab and analyzed. The orthotics are then ready in about a week or two.

I have my orthotics now what?
Initially you wear the orthotics an hour or two each day slowly increasing the time you wear them.

Wear them as much as you can , the more consistently you wear them, the better the benefit will be. Often we need to make 2 pair of orthotics to accommodate different kinds of foot wear, i.e. dress shoes vs. running shoes.

How does this fit with chiropractic?
Why as a chiropractor would I recommend orthotics?

Typically the answer is to either be reactive or proactive. If you are already having pain and there are structural or muscular imbalances that are contributing to your pain, orthotics may be part of the recovery process. If during our assessment process I discover some issues that may not be contributing to a pain process but have the potential to, I may suggest the orthotics as a preventative measure.

For more information go to https://yourpickeringchiropractors.cablog/
Or http://www.theorthoticgroup.com/PatientSite/Home.aspx

Why does my chiropractor care about my feet?

Why does my chiropractor care about my feet?

Why does my chiropractor care about my feet? Isn’t that what a podiatrist or chiropodist is for?
Another good question, why should a chiropractor care about feet?
There are several good reasons why as a chiropractor I am interested in feet. Most obviously, feet are the first thing that make contact with the ground and as such have a bearing on what occurs above them I.e, your ankles, your knees, hips and even your back and neck, areas you might expect me to be more interested in.

Why does my chiropractor care about my feet: Posture
If we take someone with flatter feet, meaning the arch on the inside of the foot is lower or absent altogether, this can cause the ankle to roll in when walking or running, causing more forces to be applied to the inside of the knee, tight muscles at the hip and weak glutes. This can lead to increased or imbalanced stresses at the lower back and other compensatory changes in the upper back and neck.

Why does my chiropractor care about my feet: Musculoskeletal conditions
A couple of common conditions we also see in the feet are plantar fasciitis and fat pad syndrome, these typically present as heel pain, either first step of the day or after rest( plantar fasciitis) or with prolonged activity (fat pad). These are conditions that as chiropractors we can easily manage and help educate the patient to manage at home. This might involve exercises for the muscles of the feet or lower legs, custom or off the shelf orthotics shoe inserts, heat or ice.

Why does my chiropractor care about my feet: Neurological conditions
Have you ever wondered why I may check sensation in your feet? I usually check 3 ways, with a very light touch using a tissue, with a sharp object ( paper clip or pinwheel) and lastly checking vibration sense with a tuning fork. Why do I do this? Checking three types of sensation checks three different pathways of the nervous system from the foot to the brain, a problem feeling these sensations tells me something about where the problem may be. Most often with someone with back pain it might mean that a disc is putting pressure on the nerves going to and coming from the feet. It might also be a sign that someone who is diabetic is having a worsening of their condition and are at greater risk of injury be it from lack of balance because they can’t feel the ground under their feet or from cuts to the feet or toes that may not heal well and cause ulceration.

I hope that briefly explains why a chiropractor might care about your feet.
If you have further questions, please don’t hesitate to ask, or show me your feet.
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Is it my back or is it my hip?

Is it my back or is it my hip?

This is a common question I’m asked and the answer sometimes isn’t so easy, so I’ll try to explain with a couple of simple clinical scenarios.
The first scenario, involves a person I’ll call “Bill”, Bill is a 35 year old man who was doing some landscaping around his house, lifting and moving flagstone, digging, planting etc. He recalls bending and lifting a rock and then feeling some pain in his “hip” and buttock area and some pain in his groin. He is uncomfortable bending, standing from sitting and rolling over in bed. He finds some relief when he’s up moving around and walking feels better. Is it my back or is it my hip?

In this case Bill’s problem is his sacroiliac joint, or the joint between his sacrum or tailbone and his illium or the bones your belt sits on (unless you are a teenaged boy, then the belt may really sit on the hip) , this is not really your hip, but this is commonly referred to as one’s hip. A problem in this area will often present as Bill did with one sided lower back, buttock and groin pain, with walking tending to help.

Scenario two, has “ Betty” an energetic 77 year old lady who enjoys walking, golfing and gardening. Betty reports that over the past couple of years she has been getting more sore over her right hip, buttock and groin. The pain can be aggravated by her regular walks, getting out of bed in the morning or if she’s been still for a long period. Is it my back or is it my hip?

In Betty’s case the problem is in her true hip joint (ball and socket joint) or where her femur, the leg bone (the ball) inserts into the pelvis ( the socket), here the cartilage components of either the ball or the socket are wearing out and with weight on the right leg the symptoms become worse, inflammatory effects are worse when initiating movement from rest.

So in short is it my back or my hip?
Backs like to walk and hips don’t

Both conditions will respond well to chiropractic care
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Is it my back or is it my hip?

Image courtesy of David Castillo Dominic at FreeDigitalPhotos.net