Orthotics & Bracing

Over-the-counter (OTC) orthotic devices can be a quick fix for a minor biomechanical issue. They can also act as an intermediary step when transitioning a patient into custom orthotic devices. These OTC devices tend to be less expensive, softer, and fit in most shoe-types. These devices have limitations and are not a replacement for custom orthotic devices, as they do not address specific foot and/or ankle issue(s) that the presenting patient may have. If a patient has a severe deformity or has a heavy weight-bearing job, they would benefit more from a custom device. However, when used appropriately, an OTC device can drastically improve patient outcomes.

Custom orthotic devices, on the other hand, can be specifically designed for the needs of each patient, as well as individual feet. They can be used to manage specific deformities or gait abnormalities, such as: bunions, tendonitis, tendon dysfunction, arthritis, or plantar fasciitis. In general, the design of these devices is to accommodate these issues as well as allow the foot and ankle to be more functional.

To develop the custom orthotic device, one has to capture the image of the foot as accurately as possible. There are many ways to do this: plaster casting, foam box molding, pressure scanning, and 3-dimensional camera modeling. Customizations occur and vary based on each patient’s needs. The material the orthotic device is made from is chosen by the specialist based on exam and can range from flexible and soft to rigid. The material needs to be supportive for the foot as well as comfortable enough to wear. Once the device is made, they usually require a breakin period. This can take 2-4 weeks to become comfortable. Generally, a follow up  appointment is scheduled to make sure the orthotic device is managing the issue(s) appropriately. In some cases, adjustments may be needed initially and in the future to best treat each patient.

Custom orthotics are a great treatment option for many foot and ankle conditions and can alleviate pain not only in the feet and ankles but also can help knee, hip, and back pain by helping alignment issues in the lower extremities. If you have any further questions, please do not hesitate to call The Foot and Ankle Clinic of Albuquerque, P.C.