Foot orthotics are commonly used to manage a variety of foot disorders from overpronation and fallen arches to plantar fasciitis and other reasons for heel pain. The scientific evidence points too they are generally effective at helping most of the conditions as long as they are indicated for that condition, Foot orthoses typically get used to support the foot, when support of the foot might have nothing to do with the condition that the individual could have. This may lead to them being misused and unnecessarily blamed for treatment failures. Another issue is that there are various sorts of foot orthoses as well as within every type of foot orthotic, there is an just about infinite variation in the design features that can be integrated into them. If even one of those design features isn't suitable for the individual, then the probability of that foot orthotic helping is probably reduced. This is the reason the choice of the various designs is actually determined by the experience and expertise of the clinician.
The podiatrist will select the design features needed for the individual and if the device needs to be custom made for the individual or if a pre-made less costly foot orthotic can be used. When it comes to custom made orthotics, the medical professional needs to take a plaster cast or optical scan of the foot kept in specific positions for the foot orthotic to be made on. When it comes to the design of the device various elements are taken into consideration. For example, if the patient has posterior tibial tendon dysfunction, then something like a Cluffy Wedge type foot orthotic is needed. The Cluffy Wedge has unique modifications to handle the range of problems that occur in that disorder. If the problem is related to a lack of impact absorption, then the orthotic really should be made to support that. The range of choices is endless and is determined by the problem present and the experience of the treating podiatrist.