Field reports on custom-made orthoses

At the follow-up examination (after 3-4 weeks), the specialist reassesses the condition of the feet, gait, posture and checks for deformity of the insoles. If necessary, the insoles are corrected with functional adjustment wedges.

How I chose orthotics.

I didn't expect to have to spend two days searching for information on an elementary topic. I have decided to publish it here. Maybe someone else will find them useful.

My problems started when I had to give up cycling. My feet hurt terribly when I walked. At first I thought it was my footwear and bought new winter boots, but that didn't help: in the evening my feet burned, my calves were tired and in the morning my heels hurt. I went to the doctor. The doctor looked at it and said it was flat feet. He advised me to buy orthotics.

I started searching the internet for information about insoles - and was shocked by the abundance of different types of insoles. The reviews on all the websites say: 'My feet hurt - I put on orthotics - they stopped - hooray, now I'm flying'. My advice in such cases is to pay attention to the negative reviews - they are much more informative.

So here's what I was able to find out. Roughly speaking, all orthoses can be divided into two types - ready-made and those that are made to order. Thanks to the doctor at the clinic. He immediately warned me: If you want to do something good, order custom insoles. Every person has their own peculiarities on the leg. So 'generic orthotics' are useless at best, harmful at worst.

In this way, following the doctor's advice, I managed to eliminate two thirds of the market. I then sorted the most expensive and the cheapest - I always do that because the truth is somewhere in the middle. As it turned out, I wasn't the smartest: I still had the most popular insoles in Moscow on my radar.

However, it turns out that there are also a large number of custom-made insoles. I won't describe them by company, but will break them down by technology:

Insoles are made from 'rigid' blanks by annealing.

Advantage: They are comfortable. They support the arch of the foot. Inexpensive (from 3,000 rubles)

Fracture or Fractures?

This is probably the most frequently asked question I hear from patients. Here I answer them as simply as possible.

*This is the text version of the previous post. If you prefer to watch/listen, click here: A child sticks an object up his nose. What should I do?

To start with, if your child stuck a small object (toy, bead, food, etc.) in their nose, it is better to go to the doctor, but if that is not possible, you can try to get it to remove yourself.

First, ask the child to breathe through the mouth so that the foreign object does not penetrate even deeper when inhaling. Then visually assess how far the child pushed the foreign object in. If it is close to the nostril, literally sticking out of the nostril, it can usually be pushed out with a simple movement of running a finger down the nostril (clearly shown in the video).

If the foreign body is deep, the child should breathe in gently through the mouth, pinch the free nostril shut, and exhale forcefully through the nose. The nose should be blown out. If this does not work, put vasoconstrictive drops (read the instructions carefully) into the blocked nostril, e.g. B. Nasivin, wait two or three minutes and try again.

If that doesn't work, or if the child is too young to understand what is required, try another method that ENT professionals call 'kissing the mother'. Once the child has inhaled, pinch the free nostril shut with your finger, place your lips tightly around the skin of the blocked nostril, and inhale forcefully as if sucking in the contents of the nose, much like we do do when we drink a drink through a straw. It is important that you do not swallow the foreign object if it gets into your mouth.

This treatment is almost always effective. But if it doesn't work, you need to see a doctor. You don't need to go to a regular trauma clinic, you need to go to a children's ENT clinic. If there is none in your area, go to an ENT clinic.

Who needs Form™ Totix Orthotics

Orthoses are the salvation of adults and children with all diseases of the musculoskeletal system:

• flat feet,
• plantar fasciitis ('heel spur'),
• valgus (valgus and X-shaped curvature of the foot),
• Varus (clubfoot and O-shaped curvature of the foot),
• deformation of the big toe,
• joint and vascular problems (osteoarthritis, scoliosis, varicose veins),
• joint pain,
• postural defects,
• diabetic foot syndrome,
• peripheral pathology.

• competitive athletes,
• People with an active lifestyle (recreational sports, hiking)
• People who spend a lot of time on their feet for work (salespeople, teachers, construction workers, etc.).

'FormTotics are great insoles! They make my feet feel like they are resting even though they are very athletic.'

'Thanks to these insoles, my performance in sports has improved significantly. I also wear them in my everyday shoes. My feet don't tire at all'.

'I am so grateful to my son for the FormTotics insoles! I'm retired and couldn't afford it. But now my feet hurt less and I'm not so tired in the evenings. My quality of life has improved dramatically.

Where can I buy FormTotics insoles?

These insoles cannot be bought in a pharmacy, sporting goods store or online. They are not ready-made for a specific foot size, but are made individually for the individual. The important things first, you should yourself consult a medical specialist trained in the FormTotix method. Only doctors with sound theoretical and practical knowledge in the fields of orthopaedics, traumatology, vascular and abscess surgery, neurosurgery and podiatry (that is the branch of medicine that deals with foot and lower leg problems) can acquire knowledge of this system. Our clinic is headed by doctors Plevin Roman Vladimirovich and Sergey Liliya Alexandrovna, both of whom are certified in the FormTotics system.

How are custom Formotix insoles made?

Choice of model

During the consultation, the doctor performs six functional tests and then selects an appropriate prescription for orthotics based on age and weight, degree of foot changes, level of physical activity and type of footwear.

Clinical assessment of foot function

The ForTotix system offers a comprehensive service that allows a clear diagnosis of the functioning of the entire musculoskeletal system. The examinations are painless, require no preparation and take place before and after the insoles are fitted. You stand on a gentle platform and are asked to move. A three-dimensional image of your spine appears on the doctor's monitor. The doctor will check your posture and highlight problem areas on your foot. All data is entered into the computer and you can visit our specialist regularly with musculoskeletal problems.

shaping by heating

About FormTotics insoles

• The original thermoplastic material of the insoles 'remembers' the shape of the foot and adapts to its anatomy, both when standing and when moving.
• By stimulating the musculoskeletal system of the foot, its correct biomechanics are restored.
• The insoles support the arch of the foot, provide cushioning properties, but do not restrict movement.
• They not only correct foot deformities, but also improve the condition of the entire musculoskeletal system.
• Formax foam is a material with antibacterial properties.
• Wide range of sizes for adults and children (foot size from 12 cm to 34 cm).
• Adjustable and reworkable (after 3-4 weeks of wearing, the deformity of the insole is checked and the necessary correction is made).
• Wear-resistant, comfortable to wear and easy to care for (up to 5 years of wear).

Individual orthopedic insoles are prescribed by doctors for various diseases of the musculoskeletal system and for preventive purposes.

These insoles are used for transverse flat feet, longitudinal flat feet and mixed deformities. And the treatment is completely invisible to the patient: he just regularly walks in shoes with these insoles.

• prevention of overloads of the musculoskeletal system;
• ensuring balance and normal gait;
• Distribute the load on all muscle groups;
• Protection of joints from wear and tear;
• improve blood circulation;
• reducing muscle and back pain;
• prevent the development of flat feet;
• protection against injuries.

It is advisable to wear customized insoles:

Cost of deposits.

20% discount For a second pair made the same day. 10% discount To a second pair made within a month.

The discount card and other discounts of the Terrapaevtica network are NOT valid for the foot care service

• Visual examination of the feet by a specialist
• Analysis of the condition of the feet with the GreenFoot Podoscope
• Choosing orthotics and other prescription orthopedic products
• 5% discount when buying ready-made insoles on the same day

• Visual foot examination by a specialist
• Assessment of posture, gait, musculoskeletal system
• Production of shoe inserts from 15 minutes
• Receipt and correction of insoles (if necessary) within 3-4 weeks

• Visual examination of the feet by a specialist
• Analysis of the foot condition with the GreenFoot Podoscope
• Production of shoe inserts from 15 minutes
• Receipt and correction of insoles (if necessary) within 3-4 weeks.

Why insoles are essential

Custom insoles have many advantages that normal insoles cannot offer:

• They adapt to the weight of the person (the heavier the weight, the greater the stress on the spine, feet and joints);
• Considering the differences between right and left foot (feet are not mirror images of each other, each foot has specific anatomical features);
• Compensating for the leg length difference (a leg length difference of up to 5mm is a normal physiological phenomenon);
• align the spine axis, which is good for the musculoskeletal system and internal organs.

They are also very comfortable to wear. The foot is well fixed, you don't have the feeling that the foot is 'dangling' or that parts of the foot are wobbling.

How do insoles help with flat feet?

Flat feet are a change in shape (flattening) of the arch of the foot that is accompanied by a loss of cushioning function. They affect the spine, lead to inflammation of the small joints and quickly tire the feet, even with little effort.

Custom designed insoles for flat feet help combat flattening of the foot by keeping it in an anatomically correct position. They consist of special elements: a supinator that supports the longitudinal arch, a pad that supports the shape of the transverse arch and a cushioning pad under the heel.

Comparison between prefabricated and custom-made orthoses

There are orthopedic specialist shops in almost every shopping street. Their offer is extensive, and in a good salon you will be offered insoles that meet modern standards: with an insole that supports the longitudinal arch of the foot, with a Seitz roll, with heel cushioning. Everything seems to be there to ease the pain.

The problem is that it is difficult for inexperienced buyers to tell if an orthosis is suitable or not by trying it on. Sometimes they seem comfortable in the showroom, but after a few days the comfort is gone. It is also not enough to pay attention to the foot size when choosing insoles. People with the same foot size can have different foot characteristics - arch height, toe length, metatarsal characteristics. Accordingly, the placement of the insoles must also be different. But with prefabrication it is not possible to take into account such nuances; average foot parameters are used.

However, using improper insoles causes more than discomfort. A discrepancy between the parameters of the orthosis and the anatomy of the foot of just 2-3 mm (e.g. if the sacrum is slightly lower or slightly higher than necessary) can negate the entire potential benefit of orthotics. Remember that foot pathologies usually progress. So, with an ill-fitting insoles, flat feet will worsen, a toe hump will increase, and so on.

Such problems are avoided with custom-made orthoses, which are made directly for you. In our clinic, for example, this service is provided by a highly qualified, experienced prosthetist. The orthoses are manufactured by Formthotics, one of the world's leading orthopedic technology manufacturers. This is preceded by a thorough examination of the feet using a special device, the plantoscope.

So off-the-shelf orthoses are not good?

Why actually? If the orthoses are made by a reputable manufacturer according to modern standards, if they are chosen correctly (preferably on the advice of a professional), they will do their job. However, it is important to be aware that ready-made insoles are suitable for healthy people only for prophylactic purposes or at the initial stage of a pathology. Even the best products designed for the average person's foot are not enough for serious correction.

In the case of clinically advanced processes, severe pain syndromes, biomechanical abnormalities - in other words, when more serious correction is required - customized products are recommended.

If the use of orthoses is medically indicated, correction and rehabilitation often take a long time and take place in several steps. If the foot changes positively, then the parameters of the corrective components must be changed. This is also an argument for using custom insoles.

How much does a custom orthosis cost?

Cost of computer scanning and plantoscopic examination of feet – PLN 250 (PLN 0 when ordering insoles)

The final price for custom insoles depends on the complexity of the final product and is given after the foot scan.

Note

1. It is best to avoid tight, uncomfortable shoes, high-heeled boots and pointy toes. These can lead to blisters, bunions, foot pain, and other problems.
2. If you suffer from frequent blisters, bunions in the big or little toe, or heel pain, it's time to see an orthopedist.
3. Custom orthotics cannot remove bone or correct the shape of your foot. However, you can relieve the discomfort.
4. In general, orthotics are a temporary solution. If you have to wear them all the time, you need another way to get rid of the problem.

Have you also had a medical condition that has affected your lifestyle or posture? Share your story

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For conservative treatment of foot deformities, you can buy orthoses for flat feet. They are sold in every medical supply store and in some pharmacies. However, it is always better to have them custom made. In this case, they ensure a complete restoration of gait and posture, correcting the shape of the foot accordingly.

Custom orthopedic insoles for flat feet always take into account:

• the individual shape of the foot;
• the areas where the foot is most stressed;
• the need for vault structuring;
• energy-saving cushioning;
• thermoregulation.

The manufacture of orthopedic insoles for flat feet is carried out using both mechanical (imprint) and computer-aided processes. In the first method, models of the foot are made. An insole is then made. Various manufacturing techniques can be used:

• air or vacuum gluing;
• compression deep drawing process;
• extrusion process;
• Adhere.

The disadvantage of all these techniques is the incomplete adaptation to dynamic loads. Because impressions are only made in the static position of the foot. The individual adjustment of orthopedic insoles for flat feet is subjective, according to the patient's feelings. The manufacturing process is also very subjective as there are many handcrafted parts.

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For this reason, pedobarography is increasingly used to produce orthoses for flat feet. With the help of an orthopedic computer system, the pressure distribution on the plantar surface of the foot is determined. These parameters are objective in nature. In this way it is possible to create tailor-made insoles for flat feet that come close to the ideal. Biomechanics are assessed not only in a static position, but also while walking.

How are the insoles made?

First step: adjusting the insoles to your size.

The first step is to stand on a glass stand with light. This allows you to determine the exact size of your feet and how flat they are.

By the way, you can see how flat my feet are.

My feet are flat but not the worst. They probably wouldn't get out of the army :)

I now know that my feet are 21.5 cm :)

I lie down on the couch and the doctor bends my feet back and forth to check the elasticity of the ligaments and feel for sprains. It turns out that the right foot dislocated earlier and is therefore much less elastic than the left (and therefore has less cushioning). Orthoses are designed to correct this.

The next step: the doctor cuts out a stick to fit my foot. At the clinic of Dr. Grigorenko uses the soft Formthotics insoles, which come in three sizes – you take the one that comes closest to your own foot and shorten it.

It seems that the simple process of making insoles is complete. But no - one important detail is still missing: the padding under the arch of the foot. It corrects transverse flatfoot by redistributing the load on the foot.

Everyone has a curved arch in the forefoot. You can't see it from the outside, but if you feel your foot you will know that there is an arch just above the instep (just below the fleshy part). However, in people with transverse flat feet (like me), this part of the foot is flat and therefore does not cushion movement. Cushioning gradually transforms the foot, forcing it to adopt the correct arch shape and perform its cushioning function.

Non-obvious questions.

How can I combine wearing insoles with sporting activities? The feet and joints of athletes are exposed to increased stress, especially when jumping and running, so they need insoles. However, these should be tailored to the training: Sports insoles are denser than everyday insoles and can withstand more stress.

Is it true that wearing insoles extends the life of a pedicure? Yes, that's a fact. (It is true that the skin on my feet has improved a lot – Note on Lena Loginowska. I support. – Note to Arina Esipova)

How are custom insoles made?

Make an appointment at your convenience. Make an appointment by phone or via social media. You can also enter your information in the feedback form.

Do an examination, computer diagnosis and analysis. So you can determine all the parameters and choose the right pair.

Choose the shell material for the individual insoles according to your preferences, its properties.

Both feet are scanned with a precision scanner, the process takes only a few seconds. Products are made using CAD/CAM technology – 3D modelling. This ensures that the shape of the insoles is accurate and correct. The devices we use were developed and manufactured by a German manufacturer. The production of orthoses using this method is carried out under the supervision of an orthopedist and using special equipment and software. The scanning process is carried out in our showrooms in St. Petersburg. Wearing orthoses is indicated for preventive purposes. Especially for people who stand for a long time, play sports, that is, are often exposed to functional loads. Musculoskeletal health is important to maintain throughout life.

Some bonuses!

• If necessary, an insole can be adjusted to your size for maximum therapeutic effect. The customization is free for you;
• When you place your first order, we will set up a savings bonus program for you. This makes each additional pair cheaper to produce;
• The warranty for the manufactured models is 1 month (30 days). On request we will make a scan; this is helpful for the orthopedist in the examination, treatment and further monitoring of the disease.

Make an appointment by phone before visiting:

Ignoring diseases leads to bigger problems in the future. If you value your health, don't be swayed by advertising that promises you ready-made express super insoles - these are usually just supinators. They are designed to support a healthy person's foot and make it feel good.

If you require special care, we recommend ordering custom insoles. Properly distributing the load, they restore joint mobility and relieve pain caused by various causes. The main purpose of insoles is to protect and prevent discomfort. An advisor will help you choose the right fit and measure your feet.

The production of insoles takes some time, about 10-14 days. This time depends on the quality of the product. It is almost impossible to correctly make orthoses in a few minutes, taking into account the characteristics of the ankle and gait, even if it is a clinic and the orthoses are made by a doctor.

It makes sense that when treating flat feet, the doctor would recommend the use of orthotics. Then the treatment is as effective and efficient as possible. In addition, the doctor may recommend other treatments. Doctors recommend our service to their patients in connection with referrals.

Danger!!! Custom orthotics can only be ordered at the Ortooved salons in St Pauls. We work seven days a week.

• Customized orthoses.
• Orteka – made-to-measure orthoses.
• orthoses for children.
• Orthotics for flat feet.
• orthoses.
• production of orthoses.
• Manufacture of orthopedic insoles for children.
• Customized orthoses based on an impression, Moscow.