Custom Orthotics

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					Plantar Fasciitis Plantar fasciitis is the inflammation and possible tearing of the plantar fascia ligament that attaches to the base of the heel bone on the bottom of the foot. This ligament extends to the metatarsal heads in the forefoot area, and is very much like a guitar string when it is pulled tight. Plantar fasciitis not only creates pain in the heel region of the foot; it can also cause arch pain, which can be triggered by a number of different situations. One of the most common situations that triggers plantar fasciitis is over-pronation within the foot. If the foot pronates, collapses, and elongates it actually pulls on this ligament and stretches it. As we walk, stress is put on the plantar fascia ligament, which triggers inflammation, and possibly tearing. This pulling and stretching motion occurs during every one of our 8,000 to 12,000 steps a day. In the beginning, plantar fasciitis is commonly treated with an orthotic to try to stabilize the bone structure of the foot. The plantar fascia ligament can then stay more relaxed, so that undue stress is not put on the ligament.

Custom Orthotic’s

Edgemont Chiropractic Clinic
Bay #10-34 Edgedale Dr. N.W. Calgary, Alberta T3A-2R4 Phone: 403-241-3772 Fax: 403-241-3846 Email: Web Site:

Dr. Brian Abelson DC., RNC. ART Dr. Ritchie Mah DC., ART

What are custom made orthotics Orthotics are custom-made inserts that fit into your shoes. Orthotics can be thought of as "eyeglasses" for the feet. Superficially, they look like arch supports. in fact, they do help support the arch, but that is only a small part of what they do. Orthotics actually change the way you walk. They prevent excess pronation of the foot and allow the foot to supinate at the proper time in the walking cycle. Who Should Wear Orthotics Orthotics are universally acknowledged as being useful in the treatment and prevention of many structural conditions including abnormal pronation, bunions, heels spurs, plantar fasciitis, shin splints, metatarsalgia, back pain, and knee pain. Sports Orthotics Orthotics have gained great popularity among athletes. During sports, the foot is subjected to many times the normal force exerted during walking. The increased force magnifies any inherent structural problems. Your foot may function normally during daily walking, but start jogging twenty-five miles a week. Your foot will hit with two to three times the amount of force exerted during walking -- and suddenly you develop foot trouble. A small, one-quarter inch limb length shortage (one leg is shorter than the other) becomes magnified to nearly an inch. The longer leg hits the ground harder and can result in knee, hip, and back pain as the additional force is driven up the limb.

A small amount of abnormal pronation, which would cause little problem in walking, can result in a large amount of knee pain. More than a million runners are currently wearing orthotics, and many candidly admit that "without them, I'd have to give up running." Custom Orhtoics Orthotics should be custom-made for your foot type and function. Many "over-thecounter" devices are also available, but because they are sold by shoe size, their benefits are not reliable. You may see good results if your foot type is close to that of the store model. Unfortunately, every foot is unique, and people have arch height, limb length, and range of motion differences which cannot be properly addressed by a "one-size-fits-all" device. It is essential to capture the foot with the subtalar joint (between ankle and heel bones) in a neutral position. In this position, the foot lies approximately two-thirds inverted (inward) and one-third everted (outward) and functions most efficiently. Failure to capture this position will limit the function of the orthotic, either under correcting (pronating) or over-correcting

Bunions Bunions are generally located behind the joint of the big toe and the first large metatarsal bone in the forefoot area. This is the area where the foot flexes in the front. There can be smaller bunions that develop on the foot: at the outside of the foot, behind the little toe, and on the fifth metatarsal bone (which is a much smaller bone). On the outside of the foot, these are commonly referred to as "bunionettes". The most common formation is a very large bunion at the ball of the foot. A bunion is simply a symptom of the excessive pronation that exists in the rearfoot. There are many people that think bunions are hereditary. In actuality, it is not the bunion that is hereditary; rather, it is the amount of pronation that exists in their rearfoot that is hereditary. This would be the amount of pronation that you are born with.

Whenever you have excessive motion, stress, and pressure on a bone in a joint area of the foot, the foot will counteract - first with fluids and soft tissue inflammation, and then bone will start to grow. When you add friction to the surface of a bone, it will begin to enlarge.

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