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Pilgrim Topics Related to all Routes
🥾 Equipment and Clothes
Anyone need footwear/foot advice?
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[QUOTE="Mark Heard, post: 211869, member: 31487"] Jabaldo, I cant be too specific as I don't fully know your case but broadly we use custom foot orthoses when we want to be specific about design features. We use "off the shelf" orthoses when we don't need specific features. We tend to use custom devices far more for the conditions I see though as EVERY foot is unique, their shape is unique & the requirements of the individual are unique. There are so many factors that lead to a person developing pain/injury including footwear, terrain, muscle strength/balance, conditioning, biomechanics........... When we prescribe an orthosis we take all of this into consideration. We write a prescription for an orthosis that addresses the underling causes & this forms part of an overall treatment plan (which may include footwear changes, stretching/strengthening, walking/running advice....). I never "just prescribe an orthotic". So for you, I think custom in general is far better, when it is prescribed correctly & forms part of an overall plan. They will last longer, they will address the issue more accurately and SHOULD be more comfortable. I highlight SHOULD because many people on this forum & patients I have seen will say their old orthoses were uncomfortable - that is generally because it wasn't "prescribed" to the specifics of your foot. Too many practitioners see orthotics as a "cash cow" & spend no time in understanding the cause of the persons pain. This is not a sales pitch!!! [/QUOTE]
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