Foot conditions are often times treated with orthopedic devices that fit inside shoes known as custom foot othotics or arch supports. Specialized shoes or modifications to an existing shoe, such as a lift or wedge, may also assist with stabilizing deformities of the foot and ankle.
Foot orthotics may be constructed in a variety of ways with materials ranging from thin rigid plastics to soft cushioned foams. Materials are selected based on the purpose of the device and the space available in the shoe. In addition to capturing the mold and shape of the foot, the Pedorthist will consider the biomechanics of the foot and ankle during gait when designing the customized footwear.
Corrective devices will be prescribed for cases where the foot and ankle present with flexibility or hyper mobility and accommodative devices are generally used for a rigid foot-ankle. A combination of materials may also be used in order to provide shock absorption while still supporting alignment. The proper stiffness or durometer must be selected based on the condition of the foot and the surface or impact of use.
For treatment of a diabetic foot condition such as ulcers, pre-ulcerative calluses, neuropathy with a callus, foot deformities and/or poor circulation, Diabetic Shoes and inserts may be prescribed.
Footwear for the Diabetic patient requires a specialized treatment involving thick cushion inserts which require an extra depth shoe that is wider and deeper to allow extra room for the inserts.
Partial foot inserts are also available to provide biomechanical leverage while walking and to fill the void in the shoe for the amputated toes or forefoot.