Custom Orthotics San Diego

“Putting Your Best Foot Forward”

custom orthotics in San Diego

Improper foot position is the root cause of many knee, hip, and back issues. Many times a simple solution for pain is a custom orthotic. Custom orthotics will correct each foot independently which is the advantage over a traditional over the counter orthotics. Our custom orthotic casting includes a full medical history assessment, measurements in standing as well as non-weight bearing, and a custom casting of the feet. The cast is then sent to a lab to manufacture a custom orthotic to fit your individual needs. Below are some of the common diagnoses treated with custom orthotics.

Arthrodesis

Arthrodesis is a surgical technique used to join two bones together by artificial methods to relieve pain or deformities. Arthrodesis can be performed on the hand, toes, ankle and spine. Typically, arthrodesis surgeries are done using a bone graft from another area of the person’s body (autograft) or from a cadaver (allograft). An autograft is the preferred method because the individual has greater success with the bone cells adhering and growing into the newly fused area. Surgeons may use other means to join the two bones together such as metal implants (pins and screws) or synthetic bone. Once the bones are fused, there is no motion at the site and therefore secondary complications may occur leading to reduced muscle strength, decreased range of motion, or decreased ligamentous strength. Individuals should expect the joint to be immobilized in a rigid cast for up to 4 months after the surgery to allow the bones to fuse.

With any surgery, there may be a need for physical therapy to help correct any complications such as decreased range of motion, strength, and function in the affected joint. For ankle or toe arthrodesis, the individual may be prescribed custom orthotics to compensate for the lack of full motion in the foot and aide in support with prolonged activity. Physical therapy treatment after an arthrodesis can range from two months to one year of recovery once the cast is removed.

Avulsion Ankle Fracture

Avulsion is a term used to describe the detachment of a particular body part from the original source. Avulsion fractures are commonly occurring in the ankle and in young children. The sensation can be very similar to an ankle sprain with swelling, bruising, and pain occurring immediately after injury. If the individual experiences an ankle injury, they will either have a ligamentous strain resulting in a sprain or the ligaments will detach from the bone pulling a portion of the bone off resulting in the avulsion fracture. Because it is impossible to know the level of severity following an ankle injury, an x-ray is crucial to diagnose this injury properly. Treatment can vary depending on the severity of the injury ranging from wearing an ankle brace or cast to having corrective surgery. Therapy usually involves a slow and progressive return to normal level of function depending on level of injury and any post-operative restrictions. Therapeutic exercises involve improving range of motion, strength, stability, and balance progressing towards higher level of activity depending on the individual’s previous level of activity.

Plantar Fasciitis

Plantar fasciitis is inflammation of the plantar fascia, which is a thick, wide band of tissue on the bottom the foot that spans from the heel bone to the ball of the foot. The plantar fascia acts to support the arch of the foot and functions as a shock absorber. If there is excessive stress on the plantar fascia, the tissue fibers will become irritated and cause sharp, stabbing pain usually when taking the first few steps in the morning or standing up after sitting for long periods.

Conservative treatment for plantar fasciitis usually consists of corrective orthotics or shoes, physical therapy, and possible anti-inflammatory injections. Even if orthotics and injections are prescribed, it is still very important to go through a course of physical therapy as well to correct muscle imbalances that may have contributed to the plantar fasciitis.

Posterior Tibialis Tendonitis or Rupture

The posterior tibial tendon is one of the most important tendons in the foot/ankle. The job of the posterior tibial tendon is to help support the arch of the foot and hold it in a proper position. Tendonitis of the posterior tibial tendon is inflammation that results in pain with standing and walking, sports, and any weight bearing position. Inflammation or rupture of the tendon may be caused by a fall, overuse, or by risk factors such as diabetes or being overweight.

Conservative treatment of the posterior tibial tendonitis will focus on taking the pressure off the tendon by using an orthotic, strengthening other supporting structures in the foot, stretching tight structures, retraining a proper walking pattern, as well as decreasing the inflammation of the posterior tibial tendon. In the case of a rupture that is not responding to conservative physical therapy treatment, the tendon may need to be surgically repaired.