Improve Performance and Reduce Pain with Sport Podiatry at St. Clair
Podiatrists, among other things, are specialists in the biomechanical assessment of feet.
Biomechanics is the study of force and its control and distribution in the body. The foot is a complex collection of bones, ligaments, muscles, tendons, nerves and blood vessels, and our podiatrists at St. Clair have spent a minimum of four years at the university level learning about the interaction between these structures, as well as how the foot relates to the alignment and function of the rest of the body.
Podiatrists have their 'Doctor of Podiatric Medicine' (DPM) degree, and are foot specialists, as this is the only area of the body they deal with. SEMI's podiatrists in St. Clair regularly use prescription orthotics to aid in the treatment and prevention of injuries, but also may perform surgery on the foot in certain circumstances.
If you're looking for top notch sport podiatry at St. Clair, be sure to visit SEMI's St. Clair clinic at the corner of Yonge and St. Clair!
What are Prescription Orthotics?
Prescription orthotics are custom made devices that are inserted into your shoes. They enhance your function by maintaining the anatomical angular relationships between the segments of the feet and legs.
Prescription orthotics control abnormal foot and leg motion, and are useful for preventing and treating injuries of the lower legs and feet, as well as providing foot pain relief. They also play a big role in managing many causes of low back pain.
Do Only Podiatrists Prescribe Orthotics?
Not at all; the prescription of orthotic devices is not regulated, so you do not need any special accreditation to prescribe orthotics. Because of this, many different practitioners and businesses make these devices.
There is a wide continuum of training, ranging from weekend courses all the way up to podiatrists with university degrees. Many shoe stores offer orthotics, as do many health care professionals, all with varying degrees of understanding of foot biomechanics.
The important thing to remember is, as with anything, the more training and experience a particular individual has, the better your treatment will be. Orthotics are no exception, and podiatrists are the most highly trained foot practitioners in the medical system, including our podiatrists at St. Clair.
Should I Get Prescription Orthotics or Off-the-Shelf Orthotics?
Currently, there are four common methods used to make orthotic devices: off-the-shelf, force plate, foam box and plaster cast.
Force Plate Orthotics
Force plate involves walking on a pressure sensitive mat, which scans the foot in two dimensions during weight bearing.
The scan information is then usually used to modify prefabricated orthotic devices to fit your foot, so they are not quite custom-made. The foot is a three-dimensional structure, so using two-dimensional information to modify a prefabricated device is less than ideal. Virtually anyone can use this method due to its simplicity, and this system requires minimal training and understanding of foot biomechanics.
Foam Box Orthotics
The foam box method is used by many healthcare professionals (except podiatrists) to make orthotics. For foam box orthotics, the patient steps into a foam box, which takes a mould of the foot.
The mould is then manufactured into a custom orthotic device. While this method is preferable to the prior two, it is still less than ideal in terms of accuracy, as much research into the topic confirms. The appeal of this method is it is relatively less messy and less costly than the next method.
Plaster Cast/3D Laser Scan Orthotics
The plaster cast method has repeatedly been proven to be the most accurate method used today.
Much research supports the use of plaster cast orthotics. With this method, a plaster cast of your foot is taken while lying down, so that no weight is exerted on your feet during the process. Your feet are held in 'neutral position'(the foot position most ideal to be in) while the plaster dries. This enables the cast to most accurately represent your ideal foot position, and the orthotic is then manufactured from this plaster impression. A 3D laser scan maybe used in place of a plaster cast.
Why Does the Price Range Vary So Much for Orthotics?
The price of an orthotic, like anything else, is dependent on who makes them, and what method is used in the manufacturing process. The more educated and experienced your practitioner, the more they will charge, meaning podiatrist-prescribed orthotics are usually more expensive than those made by other practitioners.
In addition, a truly custom device requires a series of angles be built into your orthotic to maximize control of your foot (your foot prescription), and your podiatrist at St. Clair will direct the manufacturing lab how to do this for your particular situation, much like a medical doctor directs a pharmacy with a prescription for medication. Adding angles to your orthotic increases the manufacturing cost. You can be sure that with less training, your practitioner is less likely to actually direct the manufacturing lab as to what angles to build into your devices, as this is an area requiring substantial levels of education and experience to fully understand.
Any prefabricated device will be less expensive (off the shelf and force plate technique) because these methods don't produce custom devices, and therefore are less expensive from a manufacturing standpoint.
As it turns out, the manufacturing process for the plaster cast or 3D laser technique is on average a 20-step process, and, as such, is generally a more expensive, albeit much more accurate, method of manufacturing.
How Long Do Prescription Orthotics Need to be Worn?
Once prescription orthotics are prescribed to you, it is likely they will be worn for the rest of your life.
Think of orthotics in the same way you think of eyeglasses. While orthotics are often used for rehabilitation from an injury or to provide foot pain relief, they are most often utilized to control abnormal foot and leg motion. Therefore, they will likely be worn forever.
Will a Foot Orthotic Improve My Athletic Performance?
Indirectly, yes. By contributing to injury prevention and limiting foot pain, prescription orthotics keeps you training and competing, which in the end, can only help improve athletic performance. Orthotics also can improve the efficiency of power transfer from the foot to the legs. This is especially important in running, field and court sports, as well as cycling and figure skating.
Contact SEMI to connect with a podiatrist in St. Clair. Our sport podiatry at St. Clair excels at treating and preventing foot pain and ball of foot pain, as well as prescribing custom orthotics that improve your sports performance and general comfort.
Our St. Clair clinic is located at 40 St. Clair Ave. W, just west of St. Clair station!
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Tip of the Month
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