Healthcare professionals prescribe custom foot orthoses to help improve foot mobility and posture. People with excessive foot pronation can experience a variety of health issues, including overuse injuries. Overuse injuries caused by excessive foot pronation, as well as various other health issues, can ultimately cause an individual to compensate by changing their regular foot mobility and posture to something that isn’t appropriate for them. According to healthcare professionals, custom foot orthotics can help improve foot mobility and posture in people with excessive foot pronation by allowing them to change back to their original foot mobility and posture before they experienced overuse injuries or any other variety of health issues. Uncomfortable foot orthoses can also cause an individual to compensate and change their regular foot mobility and posture which may ultimately lead to overuse injuries and various other health issues. Research studies have demonstrated how custom foot orthotics help improve foot mobility and posture. Researchers found that the midfoot and forefoot, as well as the rearfoot, are important when it comes to prescribing custom foot orthotics. Therefore, custom foot orthoses should be able to support the entire foot to change foot mobility and posture caused by excessive foot pronation. A total contact approach or a total contact theory focuses on controlling the mobility and posture of the midfoot, not just the rearfoot. Custom foot orthoses ultimately offer support for the entire foot. Dr. Alex Jimenez, a chiropractor or doctor of chiropractic in El Paso, TX, can offer patients custom foot orthotics to help improve foot mobility and posture associated with excessive foot pronation and overuse injuries, among other varieties of health issues. Dr. Alex Jimenez and his staff can help diagnose a patient with excessive foot pronation to provide them with the custom foot orthoses they need and deserve to achieve overall health and wellness.
[00:00:11] It’s probably good for us to start and ask why do we use foot orthoses?
[00:00:17] Why do we prescribe them?
[00:00:20] Do foot orthoses help control motion? Do they have a shock attenuation effect? Do they have a neurosensory effect? And since the excessive mobility pronated foot posture is so much more prevalent in the population, we often think of this being the major factor related to foot alignment and foot posture that leads to overuse injury.
[00:00:46] We know that when an individual undergoes an injury, we say that they compensate, they try to keep doing their activity, but they move to a pattern that’s not their preferred pattern, a compensated pattern.
[00:00:58] Maybe the purpose of the orthotic is to help the individual feel comfortable enough to move back to their preferred pattern of movement. If you make an individual walk with an orthotic that is uncomfortable, they will find a pattern to adapt. And oftentimes that’s detrimental to the pattern that we’re actually trying to have them avoid.
[00:01:21] The other thing that we need to think about is what does the current kinematic motion data tell us about how the foot moves and how then we should design an orthotic?
[00:01:31] The current kinematic research indicates that the midfoot and the forefoot contribute as much, if not more than the rear foot. What this would suggest is that in order to control foot pronation or modify foot posture, foot orthoses need to provide support across the entire midfoot and rearfoot. And the use of wedges alone are unlikely to produce the desired effect on either mobility or posture.
[00:01:59] I have always used what I call a total contact approach to my orthotic or a total contact theory.
[00:02:06] What does that mean? We have to control mobility and the midfoot, not just in the rear foot. So we have to provide total contact to the entire foot and especially into that medial arch region. How do we do that without causing pain? In order to illustrate the effect of the total contact principle.
[00:02:28] Look at the position here as he’s just about loading the foot.
[00:02:31] And I really want you to focus on the midfoot, the articulation between the navicular and the Kenia form. And you’ll see there’s some nice spacing in here now. But watch what happens to that spacing.
[00:02:43] As he loads the foot and the arch drops, you can start to see the arch drop right as the other foot starts to pass and it’ll be coming right.
[00:02:52] You see right there. See how the arch began to drop?
[00:02:57] Now it’s definitely down, isn’t it? And more importantly, you see how this area up here is compressed. This area here has gapped.
[00:03:06] And look at how that continues. You can see there, look at how this whole rotation in the rear foot is occurring, sort of breaking the foot almost in half.
[00:03:16] Now here we’re going to see him walking with orthoses in the shoe.
[00:03:22] And right away you can see a difference, can’t you?
[00:03:24] Look at how we have fairly equal space distribution in here. Remember before this was going to be compressed because of this almost breaking of the foot in half as he starts to lift the heel off the ground.
[00:03:39] As he starts to come through, there’s no change.
[00:03:42] Everything is staying in the same position. And if we start right here. Look at how we have that nice even spacing in here. The orthotic has done what it’s supposed to do. It’s controlling foot posture and thus controlling the amount of tissue stress.
[00:03:57] Millions of Americans suffer from chronic pain throughout their body caused by imbalances and instabilities in their feet. But today, individually designed stabilizing orthotics are helping people live active pain-free lives. Stabilizing orthotics are designed for your body based on a scan of your feet. Unlike the one size fits all orthotics that don’t address your specific needs, your stabilizing orthotics can provide more stability and support.
[00:04:23] The difference in these orthotics, compared to over-the-counter, is supporting the three arch structure called the plantar vault. This structure provides momentum for movement. Your arches from its springy flexibility to accommodate changes in terrain. If one arch in your foot is compromised or you have flat feet.
[00:04:43] Flexibility will diminish and can lead to considerable pain in your ankles, knees, hips, and back.
[00:04:51] Stabilizing orthotics give you the stable foundation…
[00:04:54] You need to help reduce unnecessary stress and strain on your joints. Your plantar vault also provides strength to support the weight of your entire body.
[00:05:05] Once your feet are properly supported, a leveling effect will occur to your ankles, knees, and hips.
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