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Re: Orthotics

Posted: April 24, 2007 9:27 am
by Patriotic Phlocker
Longboardn' ASEL&S wrote:
Patriotic Phlocker wrote: I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
Patriot DC,
Maybe you can explain it to me:
Why are back pain patients warned about not relying on the cinch belt since weakening of the back muscles will result, while orthotics are usually recommended to be worn full time?
Every orthotic wearer I know of can't even take a few steps without shoes at home, as they have become so dependent on these splinting devices.
I understand them as a last resort, but why the 24/7 (or at least while not lying down) recommendation for people with problems that might be treatable through adjustment, massage, or stretching?
Are'nt they undergoing needless and undesireble atrophy as a result?
We'll forget for now the $ incentive to the practitioner, since a DPM has no economic benefit in the adjustment, while a DC does.
The podiatrist really only has the orthotic or surgery in his/her armamentarium.
The main reason is muscles verses tendons and facia. In any movement, the first muscle to fire is the stomach and low back. This provides the core stability to lift, bend, and twist. When you were a cinch belt, it creates the stability without having the muscles fire. When the muscles don't need to work, the body does not supply them, that is why muscles waste away during long bouts of hospitalization. Basically, you don't ask for it, the body won't supply it.

As far as the foot, the most probable reason your arch is falling is because of repetative traumas to the ankle. Spraining your ankle alot is the most common. The tissues involved are tendons and ligaments not muscles. Once they are torn or stretched it is very difficult to get them back to normal. The best way to treat this is by supporting the ankle, usually with orthotics.

Re: Orthotics

Posted: April 24, 2007 9:35 am
by Patriotic Phlocker
pojo wrote:
creeky wrote:
Patriotic Phlocker wrote:
creeky wrote:Has anyone had experience with these?

My foot problem continues :cry: They have not been able to diagnose the problem ... I spent 4 weeks in a cast ... and a month ago had a cortisone shot - that should last a few months ...

I have started getting the pain back in the foot ..... :cry: :cry:

Because I had no pain when in the cast - their next option will be orthotics ...

I have had a look on the internet and not found too much ... I have only basic questions ...

Can you wear open shoes? or do they have to be closed shoes?
How long do they last - is this an ongoing expense?

Should I just get my foot amputated - would it be easier :lol:
Where is the pain in your foot? On the bottom in front of your heel? On the top of your foot at the anlke? The point of the pain makes a big difference on how you treat it. I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. They can run from 150 to 500 dollars. If it is a minor pain, finding a good pair of shoes will help. Asics and New Balance are the ones I recommend, as they still have reminants of an arch support. Other things you can do are calf stretches. Your calves are very strong muscles and if they get tight, they will pull on your heel and stretch the Plantar Fascia. This causes the fascia to create bone spurs and also the pain you feel. It will also flatten your arch. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
the pain is in my foot - half way up, on the bottom of the foot - it comes in spasms ..... I can get them walking - or just doing nothing - they just hit.
I do have a "tarsal coalition" - but the surgeon is not convinced that is causing the problem.

I always wear good shoes as have a bad ankle on the other leg ..... I get around in New Balance runners at the moment - but still have pain in those. The only thing that stopped it is the cast or the cortisone. I had a massage last night - and that didnt stop it either. MRI's didnt show what it is .... its just really annoying .... cause I am signed up to a gym and motivated to go and this is stopping me doing most things :cry:
Creeky... join the problem... as I stated earlier in additions to the plantar fasciitis... I have malleolus (a rounding proturberance of the bone on the interior side of my ankles) on both feet that cause massive problems (usually the podiatrists don't see this problem until 40-50s...) To add onto that I have an extremely week left ankle that at times needs the ankle brace. I've had x-rays and MRIs that don't show any problems.... so needless to say pain is an everyday occurrence.
Pojo, I was reading your response to creeky and was wondering who diagnosed you with malleolus? In my studies the human body is suppose to havbe two of them, they are call the medial and lateral malleolus. The lateral malleolus is the bottom end of the fibula and the medial is the bottom end of the tibia. This is a normal anatomical feature you will find on anyone. If one is larger than the othe is may be to trauma such as fracture or is could be due to an arthritic condition.

Let me know

Re: Orthotics

Posted: April 24, 2007 9:35 am
by carolinagirl
Patriotic Phlocker wrote:
Longboardn' ASEL&S wrote:
Patriotic Phlocker wrote: I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
Patriot DC,
Maybe you can explain it to me:
Why are back pain patients warned about not relying on the cinch belt since weakening of the back muscles will result, while orthotics are usually recommended to be worn full time?
Every orthotic wearer I know of can't even take a few steps without shoes at home, as they have become so dependent on these splinting devices.
I understand them as a last resort, but why the 24/7 (or at least while not lying down) recommendation for people with problems that might be treatable through adjustment, massage, or stretching?
Are'nt they undergoing needless and undesireble atrophy as a result?
We'll forget for now the $ incentive to the practitioner, since a DPM has no economic benefit in the adjustment, while a DC does.
The podiatrist really only has the orthotic or surgery in his/her armamentarium.
The main reason is muscles verses tendons and facia. In any movement, the first muscle to fire is the stomach and low back. This provides the core stability to lift, bend, and twist. When you were a cinch belt, it creates the stability without having the muscles fire. When the muscles don't need to work, the body does not supply them, that is why muscles waste away during long bouts of hospitalization. Basically, you don't ask for it, the body won't supply it.

As far as the foot, the most probable reason your arch is falling is because of repetative traumas to the ankle. Spraining your ankle alot is the most common. The tissues involved are tendons and ligaments not muscles. Once they are torn or stretched it is very difficult to get them back to normal. The best way to treat this is by supporting the ankle, usually with orthotics.
Thank you, Patriotic. This is very informative and useful.

Re: Orthotics

Posted: April 24, 2007 4:15 pm
by pojo
Patriotic Phlocker wrote:
pojo wrote:
creeky wrote:
Patriotic Phlocker wrote:
creeky wrote:Has anyone had experience with these?

My foot problem continues :cry: They have not been able to diagnose the problem ... I spent 4 weeks in a cast ... and a month ago had a cortisone shot - that should last a few months ...

I have started getting the pain back in the foot ..... :cry: :cry:

Because I had no pain when in the cast - their next option will be orthotics ...

I have had a look on the internet and not found too much ... I have only basic questions ...

Can you wear open shoes? or do they have to be closed shoes?
How long do they last - is this an ongoing expense?

Should I just get my foot amputated - would it be easier :lol:
Where is the pain in your foot? On the bottom in front of your heel? On the top of your foot at the anlke? The point of the pain makes a big difference on how you treat it. I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. They can run from 150 to 500 dollars. If it is a minor pain, finding a good pair of shoes will help. Asics and New Balance are the ones I recommend, as they still have reminants of an arch support. Other things you can do are calf stretches. Your calves are very strong muscles and if they get tight, they will pull on your heel and stretch the Plantar Fascia. This causes the fascia to create bone spurs and also the pain you feel. It will also flatten your arch. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
the pain is in my foot - half way up, on the bottom of the foot - it comes in spasms ..... I can get them walking - or just doing nothing - they just hit.
I do have a "tarsal coalition" - but the surgeon is not convinced that is causing the problem.

I always wear good shoes as have a bad ankle on the other leg ..... I get around in New Balance runners at the moment - but still have pain in those. The only thing that stopped it is the cast or the cortisone. I had a massage last night - and that didnt stop it either. MRI's didnt show what it is .... its just really annoying .... cause I am signed up to a gym and motivated to go and this is stopping me doing most things :cry:
Creeky... join the problem... as I stated earlier in additions to the plantar fasciitis... I have malleolus (a rounding proturberance of the bone on the interior side of my ankles) on both feet that cause massive problems (usually the podiatrists don't see this problem until 40-50s...) To add onto that I have an extremely week left ankle that at times needs the ankle brace. I've had x-rays and MRIs that don't show any problems.... so needless to say pain is an everyday occurrence.
Pojo, I was reading your response to creeky and was wondering who diagnosed you with malleolus? In my studies the human body is suppose to havbe two of them, they are call the medial and lateral malleolus. The lateral malleolus is the bottom end of the fibula and the medial is the bottom end of the tibia. This is a normal anatomical feature you will find on anyone. If one is larger than the othe is may be to trauma such as fracture or is could be due to an arthritic condition.

Let me know
My podiatrist. Its hard to explain without pictures. Think of it this way, (There is a two finger width distance between the ankle and the pertruding bone towards the toes). In our family, I'm the first to have problems the the pertrusion. When I talked with my podiatrist, he stated the surgery is the last resort and that they would have to adjust the tendons and muscles to where they should be. He's also the same doc that prescribed hard plastic inserts that only covered 3/4 of my foot and caused massive brusing and blisters.

Re: Orthotics

Posted: April 24, 2007 5:07 pm
by Patriotic Phlocker
pojo wrote:
Patriotic Phlocker wrote:
pojo wrote:
creeky wrote:
Patriotic Phlocker wrote:
creeky wrote:Has anyone had experience with these?

My foot problem continues :cry: They have not been able to diagnose the problem ... I spent 4 weeks in a cast ... and a month ago had a cortisone shot - that should last a few months ...

I have started getting the pain back in the foot ..... :cry: :cry:

Because I had no pain when in the cast - their next option will be orthotics ...

I have had a look on the internet and not found too much ... I have only basic questions ...

Can you wear open shoes? or do they have to be closed shoes?
How long do they last - is this an ongoing expense?

Should I just get my foot amputated - would it be easier :lol:
Where is the pain in your foot? On the bottom in front of your heel? On the top of your foot at the anlke? The point of the pain makes a big difference on how you treat it. I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. They can run from 150 to 500 dollars. If it is a minor pain, finding a good pair of shoes will help. Asics and New Balance are the ones I recommend, as they still have reminants of an arch support. Other things you can do are calf stretches. Your calves are very strong muscles and if they get tight, they will pull on your heel and stretch the Plantar Fascia. This causes the fascia to create bone spurs and also the pain you feel. It will also flatten your arch. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
the pain is in my foot - half way up, on the bottom of the foot - it comes in spasms ..... I can get them walking - or just doing nothing - they just hit.
I do have a "tarsal coalition" - but the surgeon is not convinced that is causing the problem.

I always wear good shoes as have a bad ankle on the other leg ..... I get around in New Balance runners at the moment - but still have pain in those. The only thing that stopped it is the cast or the cortisone. I had a massage last night - and that didnt stop it either. MRI's didnt show what it is .... its just really annoying .... cause I am signed up to a gym and motivated to go and this is stopping me doing most things :cry:
Creeky... join the problem... as I stated earlier in additions to the plantar fasciitis... I have malleolus (a rounding proturberance of the bone on the interior side of my ankles) on both feet that cause massive problems (usually the podiatrists don't see this problem until 40-50s...) To add onto that I have an extremely week left ankle that at times needs the ankle brace. I've had x-rays and MRIs that don't show any problems.... so needless to say pain is an everyday occurrence.
Pojo, I was reading your response to creeky and was wondering who diagnosed you with malleolus? In my studies the human body is suppose to havbe two of them, they are call the medial and lateral malleolus. The lateral malleolus is the bottom end of the fibula and the medial is the bottom end of the tibia. This is a normal anatomical feature you will find on anyone. If one is larger than the othe is may be to trauma such as fracture or is could be due to an arthritic condition.

Let me know
My podiatrist. Its hard to explain without pictures. Think of it this way, (There is a two finger width distance between the ankle and the pertruding bone towards the toes). In our family, I'm the first to have problems the the pertrusion. When I talked with my podiatrist, he stated the surgery is the last resort and that they would have to adjust the tendons and muscles to where they should be. He's also the same doc that prescribed hard plastic inserts that only covered 3/4 of my foot and caused massive brusing and blisters.
Is it on the front of your foot or the side? In the front of your foot, often times people will get pain in the joint space of the front of the ankle and just infront of it. This can be caused by a talus misalignment. Have a Chiro adjust your feet (make sure they know how first) and try to stregthen your ankle with a some exercises.

Re: Orthotics

Posted: April 24, 2007 6:13 pm
by pojo
Patriotic Phlocker wrote:
pojo wrote:
Patriotic Phlocker wrote:
pojo wrote:
creeky wrote:
Patriotic Phlocker wrote: Where is the pain in your foot? On the bottom in front of your heel? On the top of your foot at the anlke? The point of the pain makes a big difference on how you treat it. I am a Chiropractor and treat many people with this condition. Orthotic are a wonderful tool to help with plantar fascitis and other things. They can run from 150 to 500 dollars. If it is a minor pain, finding a good pair of shoes will help. Asics and New Balance are the ones I recommend, as they still have reminants of an arch support. Other things you can do are calf stretches. Your calves are very strong muscles and if they get tight, they will pull on your heel and stretch the Plantar Fascia. This causes the fascia to create bone spurs and also the pain you feel. It will also flatten your arch. Between the calf stretches and orthotics, you should do quite well. Having someone adjust your feet will help align the bones and speed the recovery.
the pain is in my foot - half way up, on the bottom of the foot - it comes in spasms ..... I can get them walking - or just doing nothing - they just hit.
I do have a "tarsal coalition" - but the surgeon is not convinced that is causing the problem.

I always wear good shoes as have a bad ankle on the other leg ..... I get around in New Balance runners at the moment - but still have pain in those. The only thing that stopped it is the cast or the cortisone. I had a massage last night - and that didnt stop it either. MRI's didnt show what it is .... its just really annoying .... cause I am signed up to a gym and motivated to go and this is stopping me doing most things :cry:
Creeky... join the problem... as I stated earlier in additions to the plantar fasciitis... I have malleolus (a rounding proturberance of the bone on the interior side of my ankles) on both feet that cause massive problems (usually the podiatrists don't see this problem until 40-50s...) To add onto that I have an extremely week left ankle that at times needs the ankle brace. I've had x-rays and MRIs that don't show any problems.... so needless to say pain is an everyday occurrence.
Pojo, I was reading your response to creeky and was wondering who diagnosed you with malleolus? In my studies the human body is suppose to havbe two of them, they are call the medial and lateral malleolus. The lateral malleolus is the bottom end of the fibula and the medial is the bottom end of the tibia. This is a normal anatomical feature you will find on anyone. If one is larger than the othe is may be to trauma such as fracture or is could be due to an arthritic condition.

Let me know
My podiatrist. Its hard to explain without pictures. Think of it this way, (There is a two finger width distance between the ankle and the pertruding bone towards the toes). In our family, I'm the first to have problems the the pertrusion. When I talked with my podiatrist, he stated the surgery is the last resort and that they would have to adjust the tendons and muscles to where they should be. He's also the same doc that prescribed hard plastic inserts that only covered 3/4 of my foot and caused massive brusing and blisters.
Is it on the front of your foot or the side? In the front of your foot, often times people will get pain in the joint space of the front of the ankle and just infront of it. This can be caused by a talus misalignment. Have a Chiro adjust your feet (make sure they know how first) and try to stregthen your ankle with a some exercises.
Sorry... its on the interior side of my feet. It is quite painful to touch.

Posted: April 24, 2007 6:42 pm
by finsupnorth
I haven't read through all the posts, but I have orthotics....have had them for about 5 years now, same pair. I only wear them in my tennis shoes and don't wear them with sandels, etc. If your sandles have a heel back, i would imagine you could wear them....Mine are hard plastic and I thought at first there was no way i could wear them because i need cushioning...have very sensitive feet that get very sore and calloused quickly...

They have helped great with high arches and give me more support for my entire foot and not just the few pressure points as before.

My insurance covered them at the time so I have no idea how much they cost...but they were easy to get....if I remember, they were made just by molding my foot with mud and paper that hardened and they sent off the casts for my imprint.

Posted: April 24, 2007 6:47 pm
by creeky
finsupnorth wrote:I haven't read through all the posts, but I have orthotics....have had them for about 5 years now, same pair. I only wear them in my tennis shoes and don't wear them with sandels, etc. If your sandles have a heel back, i would imagine you could wear them....Mine are hard plastic and I thought at first there was no way i could wear them because i need cushioning...have very sensitive feet that get very sore and calloused quickly...

They have helped great with high arches and give me more support for my entire foot and not just the few pressure points as before.

My insurance covered them at the time so I have no idea how much they cost...but they were easy to get....if I remember, they were made just by molding my foot with mud and paper that hardened and they sent off the casts for my imprint.
My insurance wont cover it ..... I am in denial about my age and am only covered for basic medical (most of our medical is free anyway - this is for extras) - so I am in the "young 20 yo type cover" :lol: - i need to upgrade ... but too lazy and in denial :)

Re: Orthotics

Posted: April 24, 2007 8:36 pm
by Longboardn' ASEL&S
Patriotic Phlocker wrote: This can be caused by a talus misalignment. Have a Chiro adjust your feet (make sure they know how first) and try to stregthen your ankle with a some exercises.
Does the mis-alignment result from shoe wearing or only from injury?
Is the adjustment a "joint cracking/popping" (for lack of a better term), or a massage of the soft tissues?
When I stretch my plantar fascia each morning with the baseballs, I feel a moving and re-alignment in several joints. I feel ankle adjusting as well when I stretch my achilles.
When I walk barefoot on our gravel driveway, I feel like I am useing every bit of architecture my feet have to offer.
I have been symptom-free for years, despite radiological evidence of osteo-arthritis and cartilage loss at the first metarsal-phylangial joints.
Am I just doing my own "poor man's" adjustments?
Is there evidence in the literature of self-adjusting indigenous people?
Who needs WebMD when you've got BN, right? :pirate:

Re: Orthotics

Posted: April 25, 2007 9:07 am
by Patriotic Phlocker
Longboardn' ASEL&S wrote:
Patriotic Phlocker wrote: This can be caused by a talus misalignment. Have a Chiro adjust your feet (make sure they know how first) and try to stregthen your ankle with a some exercises.
Does the mis-alignment result from shoe wearing or only from injury?
Is the adjustment a "joint cracking/popping" (for lack of a better term), or a massage of the soft tissues?
When I stretch my plantar fascia each morning with the baseballs, I feel a moving and re-alignment in several joints. I feel ankle adjusting as well when I stretch my achilles.
When I walk barefoot on our gravel driveway, I feel like I am useing every bit of architecture my feet have to offer.
I have been symptom-free for years, despite radiological evidence of osteo-arthritis and cartilage loss at the first metarsal-phylangial joints.
Am I just doing my own "poor man's" adjustments?
Is there evidence in the literature of self-adjusting indigenous people?
Who needs WebMD when you've got BN, right? :pirate:
Yoy seem to be doing everything you need to handle your individual situation. The re-alignments you are feeling could be just that or like in my case, the tendons in my feet pop as I walk. They do this by sliding over boney prominences. I hate it as I can not sneak up on my kids very easily. Being proactive about ones health is the best way to handle everything, but when it is more that you can handle, don't be afraid to seek help.