orthotics

Heel Pain in Children

Custom orthotics for severs disease
Custom orthotics for severs disease 600 400 Ace Health Centre

Custom orthotics for severs disease

Custom orthotics are widly used for severs disease. If done right they can have a great effect in help reduce pain in in childrens feet, alowing them to continue doing exercise and walking with less if not no pain.

Severs disease is growing pains in the heel of kids feet. It mostly occurs in in children aged 9-13. Although they will eventually grow out of it, it can be debilitating at times. The pain can make children avoid speding time on their feet, doing sport and activities. Keeping chrildren active, moving and therefore happy is the main objective. Nobody in pain and avoiding the activies they love is happy.

Orthotic prescription

When prescribing orthotics for sever there a a few things that we aim todo.

  1. To start, we are aiming to take pressure away from the heel area. This is done by providing adequate arch support. The more weight we can redistrobute away from the heel the less pain that they will experience.
  2. The next is providing extra cushiong. Hard floors and vibrating increase pain, and so adding extra lawyers of cushing can reduce pain.
  3. Adding a heel lift helps reduce pull of the achillies on the heel. This is done via footwear that have a heel pitch built in. The orthotics under the heel also add a slight heel lift to reduce pain.
  4. Pronation can cause strain on the heel. The foot rolling inward causes the calf muslce to pull on the heel bone. The orthotics can be used to reduce pronations to help reduce pain.
  5. Soft top covers on the orthotics can help further add cushioning.

We commonly use Custom orthotics for severs and found them much more effective than off the shelf ones. This is due to the range of customisation we have to aim the orthotics at the child at hand. Having the right support, the right arch height, the right amount of chsioning to maximises the effects of the orthotics. They are also much more durable than over the counter products.

If your child is experiencing heel pain then give us a call today to see how custom orthotics can help them.

 

Blog written by Mike, Podiatrist

Ace Health Centre. Podiatry Gold Coast. Best podiatry Cold Coast. Bulk billing podiatry. Flat Feet. Best Orthotics. Low arch.

Orthotics for flat feet
Orthotics for flat feet 1000 667 Ace Health Centre

 

Orthotics for flat feet

When designing orthotics for flat feet there are lots of different modifications you can do. Changes in the arch height, flexibility, rear foot and forefoot angles and more.  In the video, we run through one example of a prescription we have done for a client.

The design

This design is for a client that has been coming for a fair few years now. We have tried a few different prescriptions over time to try and improve the outcomes but it seems the best for this client is to keep it fairly simple. The client has extremely flat feet and has suffered from chronic foot, knee and back pain and other injuries associated with having flat feet. They have a job that requires them to be on their feet all day and so the orthotics have been a massive help for him not only for work but for allowing them to play touch.

The prescription

This custom orthotics prescription has – A 3.5mm thick shell with a 2.5mm thick bar. The bar runs under the arch of the orthotic to help increase stability through this area without having to make the whole of the orthotic too thick. The arch height is exactly 20mm high. The rearfoot has a 6-degree angle tilting outwards, and a 6mm skive in the rearfoot (the flat spot at the heel which tilts the foot outwards even more).

The covers

To provide cushioning on the orthotics we have put a layer of poron under the arch. Poron is a highly durable, soft material that provides extra cushioning in this area. With the foot being so flat and so much force in the arch area, extra cushioning is required for the person to reduce the risk of blisters and callous build-up.

We then have a full-length E-tpu top cover. E-tpu is an extremely durable and bouncy material that’s commonly used as the soles of Adidas shoes. It doesn’t absorb moisture and is generally used for a more sports-based orthotic. This orthotic will be used in combination with a Brooks Beast shoe to provide maximum stability and get the most out of the orthotics.

Always remember that your orthotics are only as good as the shoes you put them into. Your podiatrist will recommend appropriate shoes to make sure you get the maximum benefits from your custom orthotics.

Book today if you need orthotics for your flat feet. 

ACE Custom made Insoles. 3d orthotics

Welcome to your new custom orthotics
Welcome to your new custom orthotics 1000 667 Ace Health Centre

Welcome to your new custom orthotics

Thank you for purchasing your new custom orthotics from Ace Health Centre. Here’s all of the information you will need about them. It details how your custom orthotics are prescribed, designed, manufactured, and what to expect.

Did you know it takes your podiatrist over an hour of extra work after your consult to finish your orthotics?

How your orthotics are prescribed

 

Your orthotics are prescribed from a mix of –

  • your injury
  • your flexibility
  • your posture
  • your alignment in your feet, knees hips and back
  • your weight
  • your shoes
  • your sport or activity
  • your medical history such as being diabetic
  • your blood flow to your feet
  • your nerves and feeling in your feet
  • your balance
  • history of other injuries
  • muscle strength
  • corns or callous
  • and more…

Orthotics prescription and design

When prescribing orthotics there are many different things that a podiatrist can do design-wise. The prescription itself will be determined from the assessment.

Your podiatrist will then have done a 3D scan of your feet. The 3D scan provides a base model of your feet giving them your base arch heights, foot length and widths.

The custom orthotics are then designed via computer software by your podiatrist after the consult. It takes a lot of time and practice to be able to use compete software to design up an orthotic to know how it will end up after being 3D printed. The software helps aid with consistency of the product being produced and is far more accurate than other methods of orthotic manufacture.

Every podiatrist will prescribe slightly different meaning you could go to 10 different podiatrists and get 10 different orthotics designs and prescriptions. The goal though will always be the same. The main difference is that many podiatrists get other companies to do computer design for them. At Ace, we do all of the computer design ourselves. Did you know Mike, our podiatrist does design work for other podiatry clinics around Australia as well in his spare time?

3D printing

Once your orthotics have been designed by computer the file is then sent to a 3D printer. The 3D printer is an industrial-size printer that prints around 30-50 sets of orthotics in one go. It cannot just print singles. It prints by laying down layers of very fine powder in microns and then heats the powder to fuse it in specific places. The printing process takes around 24-36 hours in total. The orthotics are then removed from the printer, sandblasted to remove any excess powder, and then washed. The orthotics are printed using an HP MJF 4200 using PA11 nylon material. This material is also eco-friendly and 3D printing minimises waste material.

Covering

Once the 3D-printed shell has arrived back at the clinic it’s time to cover the orthotics. This is all done via your podiatrist by hand. The covers that your orthotics will is decided by your podiatrist from your consultation. This is determined by factors such as – your activity, the shoes you will wear them in, your weight, your medical history, your injury and more. There are many different materials available. Covers on orthotics can be replaced if you ever want to give your orthotics a little TLC.

Fitting

Once the orthotics have been completed, our reception team will give you a call to arrange a fitting appointment. Your orthotics are always made slightly big for your shoes and require trimming up to ensure a good fit.

It’s important to remember that your orthotics are only as good as the shoes they are being put into. This means that although putting them into flat soft or flexible shoes will be much better than nothing at all, fitting them into a good supportive stable shoe will give much better results. Your podiatrist should have discussed footwear with you in the consult and possibly given you recommendations for shoes that your custom orthotics will work best in.

If you do require new shoes we recommended purchasing them before your fitting appointment. This way your podiatrist can check the fitting of the shoes, make sure the shoe is correct, and fit the orthotics into the shoes.

When fitting an enclosed lace-up shoe we usually recommended fitting them by – putting both shoes on, lacing the shoes up properly, standing up, and having a fingers width between the end of your longest toe and the end of the shoe. We also suggest being able to pick a small amount of fabric across the widest part of your forefoot. This ensures that the orthotics will fit the shoes, and will provide a more comfortable experience. It is always best to go shoe shopping at the end of the day when your feet are maximally swollen and expanded. This will give you a much better idea of fit and comfort.

For people that do spend a lot of time on their feet, it is sometimes beneficial to purchase 2 pairs of shoes and alternate them daily. The foam in the soles of shoes can take 24 – 48 hours to fully recover and expand back out. This means that having that rest day helps them last longer, maintaining more support and cushioning.

Shoes do have a lifespan. If you are in your shoes for 8 hours per day we recommended getting new shoes every 6-8 months. Just because the top looks ok doesn’t mean the foam is. We also recommended replacing shoes after having them for 1.5 years as the foam and glues in the shoes start to degrade. This means the shoes will not provide the same support and cushion as they once did when new.

Your orthotics may not fit every shoe but may be able to fit between shoes that are the same size. Just take out the original insole that is in your shoe and replace it with your custom orthotics

What to expect

Everybody is very different in the way their body reacts to orthotics. The orthotics as often designed to hold/guide your feet in a certain position. This means that different muscles will be used while wearing them. These muscles can take time to adjust. For that reason, we ask you to pay attention to your body. Aches or pains for up to the first 4 weeks are normal. If you experience this we suggest taking the orthotics out, putting the original insoles from the shoes back in, and then starting to use the orthotics again the next day.

Reviews

After the fitting appointment, we book you for a 3-4 week orthotics review. This review session is to see how you are getting on with them. Making sure you are happy, they are comfortable, and they are doing their job. If there are any issues at this stage the orthotics can be modified when needed. Things such as arch heights, cushioning, support, flexibility and more can be changed. Just like anything custom it can be changed and modified as needed. For the first 3 months reviews are done without any out-of-pocket cost.

If you are experiencing issues where you are not able to wear your custom orthotics due to pain we recommended calling up for a review appointment and coming in sooner.

We recommended having your orthotics reviewed every 12 months. This is due to changes within your body that may affect your orthotics prescription. This can be anything from strength, flexibility sensation, blood flow and more. You may also have a new injury or issues that the orthotic needs to be aimed at that may require a change in prescription again. Your orthotic shell may also become more flexible over time meaning it will provide less support. These changes may mean an update in your orthotics prescription.

If you need anything or have any questions please contact us here, or book here. 

 

Enter your
text here