Orthosis should always be a custom made one. since every individual has unique size of foot and unique type of foot. A foot wear or orthosis from shop may or may not solve the purpose. mostly it doesn't solve, but most of the patients have psychological satisfaction on wearing it.

True Sir..

Ready mades are pleasing to eyes..

@ Arun, I agree with you. Foot orthosis for anyone need to be a custom made by the specialized personal. As foot orthosis are prescribed specific to specific foot problems and type, it need to be customize to fit and to solve particular problem. Many time, One ill fitting foot orthosis may worsened the problem rather then solving it...

I agree with you but in our country there usually a single or two certified orthotist in a city.. So..

Hi. I am Sathish working with the Leprosy hospital as Physiotherapist and Rehab Engineer.. I agree with Mr. Arun said, orthosis needs to be custom made and in most Leprosy hospitals foot orthosis are given to the patients by the physiotherapist themselves.. fabrication dosen't take much time

Thanks for your input Satish..

I am little confuse r you being a PT involved in measurement and fabrication??

I mean it done by orthotist as we all know.

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I am trained in Podiatry and also have a post graduate diploma degree in podiatry

Ok

So you are doing dual tasking..

After two masters and one PhD in the subject, I could tell that some times prefabricated orthotics work perfectly if you know how to modify them and they have the same results with the custom made orthoses. Custom made orthoses work better when you have abnormal shape of the feet. Otherwise prefabricated orthoses work very good in the hands of an experienced podiatrist or orthotist.

Christos sir, thank you for your input..

I would like to ask youif some one is having flat foot than we use to advised ready made sillicon arch support and if hrel pain heel cushion ready made..

So what is your opinion??

Bcz our college and hospital dont have full time orthotist so..

Sillicon helps 3/10 people with heel pain no if you have plantar fasciitis only for calcaneal spur. Also we found a lot of athletes using heel silicon products have knee pain after six months.For flat feet is useless. For flat feet treatment depends on the age and the type of foot orthoses. There are plenty of negative results in the treatment of flat foot bkz of two reasons: A) podiatrists or orthopaedic technicians or orthotist strill using prefabricated soft materials that cannot correct anything and they use arch supports theory which it is not working for correction only for symptoms B) the age that most of the people suggest is 4 years old as most of them they dont know what to do. Best results is when you start as early as possible about two months after walking supported by Rose, 1986, Cussick, 2000

Good Morning Dhara,

Before putting any type of orthotic/insole underneath your patient's feet, you need to determine exactly what is causing the foot symptoms (e.g., primary pathology). If you only treat symptoms (e.g., abnormal pronation, heel pain, arch pain etc), they will reoccur and your patient will end up in pain management.

Once you have determine the cause of your patient’s foot symptoms, it will become more apparent exactly what needs to be done (and this includes whether over-the-counter devices will suffice or not).

Thank you Brian sir for your valuable input..