The company has only been operating since 2004, but has already managed to gain a foothold in the global market. Conferences are held every year with countries such as Israel, the USA and France. The exchange of experiences allows them to expand their product range without losing their high quality. Sursil offers orthopedic shoes for children, teenagers and adults as well as for rehabilitation and therapy. Everyone can find the right model for their feet because there are 8 different versions. Despite the rigid construction, the shoes are light, so your feet don't get tired even when standing.
- Shoes after kneecap removal surgery
- Design features of rehabilitation shoes
- Types of orthopedic footwear
- Indications and contraindications
- Do children need preventative shoes?
- How to choose the right shoes for your child
- How do I choose orthopedic shoes?
- What about deposits?
- The best brands of children's shoes for their first steps
- Approximate prices for orthopedic shoes for children
- Appropriate footwear for adults
- When should you make an appointment with an orthopedist?
- Which shoes to choose for sports activities
- Differences between sports shoes
- Orthopedic women's shoe Axel, 1705
- Berkemann Franceska orthopedic shoe
- The best orthopedic shoes for adults
- Berkemann
- luomma
- Which orthopedic shoe company is the best choice?
Shoes after kneecap removal surgery
Surgery to remove the kneecap is performed when a patient develops a valgus deformity. This pathological process affects the articular and connective tissue of the foot and leads to reshaping of the first metatarsophalangeal joint of the big toe. Visually, the patient notices a curvature of the big toe and the formation of a painful thickening on the lateral surface of the foot. The only way to eliminate valgus deformity in an adult patient is surgical intervention, which today can be performed using classical or minimally traumatic (laser) techniques. Laser surgery to remove the bursa in Moscow by doctors from the Sechenov Moscow State Medical University. Postoperative recovery involves a strict rehabilitation period and the mandatory wearing of special orthopedic shoes. These shoes reduce pressure on the metatarsophalangeal joint, reduce postoperative pain and accelerate the healing and tissue recovery process. Shoes are selected by a specialist depending on the individual characteristics and condition of the patient's foot.
- Immobilization of the operated joint – The correctly made toe part of the shoe does not compress the toes, eliminates the load on the operated joint and at the same time gently immobilizes it, thereby accelerating tissue regeneration and preventing new pathological changes;
- Damping the load – Correctly fitted footwear absorbs the high loads that occur when walking and running and distributes the load evenly, thereby reducing the risk of injury and pathological changes in the musculoskeletal system;
- Restoration of blood flow – Massage inserts and corrections help to stimulate blood circulation in the operated area, which accelerates tissue regeneration, healing and recovery;
- Elimination of toe curvature - a valgus deformity is always accompanied by a curvature of the big toe, which exerts deforming pressure on the other toes of the affected foot. Special orthopedic shoe corrections can help here.
- Comfort for the patient – Orthopedic rehabilitation shoes look little different from normal shoes, but they guarantee long-term comfort, prevent swelling and reduce leg fatigue.
Design features of rehabilitation shoes
Despite the large number of different models of postoperative shoes, they all have common design and cut features. When choosing the best footwear, the doctor pays attention to the following features and properties:
- heel – The rigid heel helps keep the joints firmly in place and prevents deformities from recurring. The height is calculated individually depending on the foot size. Most experts recommend choosing shoes with a heel height of at least 3 cm.
- Anatomical supinator – This part of the shoe has the task of fixing the arch of the foot and distributing the load evenly. This prevents injuries and pathological changes to the joint structures.
- Shoelaces or Velcro – It is advisable to wear shoes that provide better support to the foot after the operation. Prefer models with laces or Velcro fasteners that allow the shoe to be adjusted to the foot.
- Metatarsal pads – Special silicone pads that reduce friction between the toes, protect the toes from deformation and calluses and prevent the foot from slipping in the shoe.
- Hammertoe correctors – Special braces that are placed over the toes and separate them from each other. This reduces the pressure of the crooked toe on the rest of the toe.
- The soft part of the toe – The nose of the rehabilitation shoe should not be narrow, should not pinch or stiffen the toes, and the sole in the forefoot area should be relatively soft and flexible.
- Sole and heel – The sole of orthopedic shoes should be shaped and designed to distribute and reduce the load of walking and running. Heels: People who have had a bone in their foot removed through surgery can wear shoes and sandals with a sturdy, wide heel no higher than 4 cm.
- material – Safety shoes should have good air permeability. This prevents the accumulation of moisture in closed shoes and prevents fungal infections of the foot, which are unacceptable in the postoperative period. For this purpose, rehabilitation shoes should be made of high-quality, preferably natural materials – leather, suede, soft fabrics, etc.
Types of orthopedic footwear
In general, orthopedic shoes are classified according to their construction and functionality:
prophylactic
Recommended when there is a risk of developing pathologies and in the earliest stages of their occurrence.
Low complexity
Required in the early stages of the disease and with little corrective properties.
Complicated
Determined by a doctor for serious musculoskeletal disorders or irreversible deformities.
Both prophylactic and basic shoes can be purchased at a medical supply store or a store specializing in mass-produced orthopedic shoes. Complex orthopedic shoes must be made to order.
To do this, you can visit an orthopedic showroom in your city and find out about the factory they work with, read reviews and then place an order. This type of orthopedic shoes is usually only sewn with a doctor's prescription. To do this, all necessary measurements are taken by the patient and an impression of the problem area is made in the exhibition room.
Orthopedic shoes are also divided into:
If there is a risk of developing flat feet, orthopedists recommend wearing special orthopedic slippers even at home. Their peculiarity is that they have a closed back and a special insole that follows the correct anatomy of the foot. This insole helps redistribute the load on the arch of the foot and prevent the arch from flattening.
Indications and contraindications
Of course, it is better to consult a doctor before buying orthopedic shoes. He will help you choose the optimal model that is tailored to the type of disease you have. A heel spur, for example, requires an insole that slightly lifts the heel and has a firm instep. You can also buy orthopedic shoes yourself, but you must have 100% confidence in the products of the chosen company.
The most commonly prescribed orthopedic shoes are. For the following types of foot deformities and spinal diseases:
- lateral foot deformities, flat feet, clubfoot;
- Impaired mobility of the foot;
- shortening of the limbs;
- heel spur;
- diabetes (diabetic foot);
- Osteoarthritis of the hip and knee joints;
- varicose veins;
- Spinal problems (scoliosis, pain, etc.)
- After injuries and operations on the lower limbs;
- overweight;
- Intensive sports training.
Under clear contraindications for wearing orthopedic tights include:
- purulent inflammations on the lower limbs;
- trophic ulcers;
- advanced age and associated musculoskeletal disorders;
- allergic reactions to the materials used to make the shoes.
Do children need preventative shoes?
In most people, the bones continue to grow until about age 20, and during this time the foot shapes and changes. It is expected that the design of shoes worn during childhood and adolescence should influence foot development and foot health in adulthood.
However, most scientific studies and experiments that have examined the effects of shoes on foot development show that the feet of children who wore stiff, supinating shoes in childhood are shaped the same as the feet of children who wore flexible, lightweight ones Wearing shoes.
Flexible shoes have even been shown to have an advantage. In one study, they were found to interfere less with natural foot movements than rigid shoes. Therefore, the authors recommended that all healthy children wear soft, lightweight, and flexible shoes instead of rigid shoes.
This conclusion supports the fact that feet develop best in children who do not wear shoes at all. When the researchers compared Kenyan youth from the Kalenjin tribe, who typically run barefoot, with their shoe-wearing urban peers, they found that barefoot children were more likely to develop normal arches and their leg muscles were generally much stronger.
Another study of 2,300 children ages four to 13 found that those who wore shoes developed flat feet 8.6 percent of the time. For those who wore shoes barefoot, this was only the case in 2.8 percent of cases.
According to the available data, the feet of children who walk barefoot develop best overall. However, to protect your feet from injuries and infections, it makes sense to choose not preventive shoes, but the lightest, softest, most flexible and comfortable models.
It seems that only size matters when it comes to children's shoes.
In 2009, Austrian researchers studied 858 preschool children who wore shoes that were too small for them indoors and outdoors. They found that in most children, the metatarsal bone of the big toe began to deviate from the foot in at least one foot. The more the shoes the children wore limped, the more the bone became loose. This is bad because misalignment of the big toe increases the risk of valgus deformity and future foot problems.
How to choose the right shoes for your child
The American Association of Certified Pediatric Physical Therapists has published a special guide for parents on choosing the right shoes for your child.
How to choose shoes for your child - a guide from the American Association of Certified Pediatric Physical TherapistsPDF, 410KB
If your child cannot walk yet, Shoes are not necessary. However, you can purchase soft sandals or boots to protect feet and keep them warm when outside. Provided they allow enough freedom of movement for the toes. Such shoes fit loosely, but do not fall down.
Toddlers, preschoolers and school-age children need casual shoes that support the foot but are flexible enough to allow the foot to move freely. The shoes should fit true to size.
To understand which shoes make sense to measure, you should first take a closer look. The forefoot should be wider than the heel so that the sock does not press on the toes. Shoes should have laces, buckles, or Velcro to keep the heel close to the foot. The shape of the heel is not important, but it must be low. Shoes with a high heel always slip and the toes continue to apply pressure. The sole should have a groove pattern to prevent the shoe from slipping.
Next, take the shoe in your hand and try it on at the angle of the bends. The sole should bend easily, but not buckle in the middle or twist like a floor cloth. Look at the back part of the shoe – the part that is near the heel. The heel part of the shoe must be hard enough that the sides of the shoe cannot be pressed down with the toes or rest on the inside of the sole.
If everything is in order and the child likes the model, the shoe can be tried on. The most important criterion, as with small children, is that the toes must have enough space. There must be about 1 cm of space between the toes, but no more. Growing shoes are uncomfortable for the child.
How do I choose orthopedic shoes?
It is best to first see a doctor so that he can diagnose the problem and personally recommend specific shoes, because depending on the pathology, the parameters of the shoes are different. For example, some people need a soft shoe while others need a moderately stiff shoe. However, everyone needs arch support. In order to avoid aggravation of the situation, a specialist should be consulted.
Most often suitable shoes are sold in a specialist store. In some cases, customization is required, but this is rare, for example in the rare case of rheumatoid arthritis, in which the foot in each case deforms in its own way.
What about deposits?
Specially made insoles are placed in shoes (all shoes, not necessarily orthopedic shoes) instead of the usual insoles. They also cushion and support the arch of the foot. They help with many problems, e.g. B. in flat feet (but not in all cases), joint deformities of the lower limbs and back pain.
There are three types of flat feet: longitudinal, transverse and combined flat feet. In longitudinal flatfoot, the distance from the base of the big toe to the heel is reduced; in transverse flatfoot, the distance from the base of the big toe to the little toe is flattened. The third type is combined flatfoot. It occurs when both arches of the feet are deformed.
You can actually see this very clearly from the footprint. For curiosity's sake, you can put your wet foot on the floor after showering and examine the print. Normally the inner parts should form a noticeable bulge. With flat feet, the foot is completely molded on the ground.
Flat feet are common in obesity and diabetes, as well as foot and ankle injuries.
The best brands of children's shoes for their first steps
The results of analyzing reviews on social networks allow us to conclude that among the huge number of brands of children's shoes, modern Russian parents give preference to the following brands:
- Shoes from Russian manufacturers: 'Kotofei', 'Kapika', 'Skorokhod', 'Totto', 'Flamingo', 'Alligasha', 'Antilopa'.
- Foreign-made children's shoes: 'SuperFit' (Austria); 'Elefanten' (Germany), 'ECCO' (Denmark), 'Minimen', 'Tico', 'Rabbit', 'Cansucan Bebe' (Turkey).
According to users, children's shoes from the above brands meet the quality-comfort-safety criteria to the highest degree and at the same time are distinguished by their discreet aesthetics.
Approximate prices for orthopedic shoes for children
'Kotofey
Approximate prices (sandals 1400s, boots 1400s, boots 1800s).
'Kapika
Approximate prices (sandals 1500 p., boots 1500 p., boots 1700 p.)
'Skorokhod
Guide prices (sandals 1600 p., boots 1800 p., shoes 1700 p.)
'Totto
Guide prices (sandals 1500 p., shoes 1600 p., boots 1600 p.)
,Flamingo
Guide prices (sandals 1400 p., shoes 1400 p., boots 1400 p.)
'Alligasha
Guide prices (sandals 1200 S., shoes 1200 S., shoes 1400 R.)
antelope
Guide prices (sandals 1300 p., shoes 1500 p., boots 1700 p.)
'SuperFit Austria
Guide prices (sandals 4500 p., shoes 5000 p., boots 5500 p.)
'Elephants Germany
Appropriate footwear for adults
In adults, it is more difficult to correct flat feet, so most often corrective methods are used to reduce the pathology when walking. For example, special orthoses are used. These are made individually for each patient and prescribed by the doctor. Gel insoles that reduce leg fatigue are also very popular today. However, it should be noted that these are only justified if the person really runs a lot - more than 10 km per day.
Special footwear is required for diabetics, as this disease is often accompanied by problems in the extremities, especially with the development of a diabetic foot. Special three-layer soft insoles are used to reduce pressure and friction, which most often lead to skin wounds and cracks. In addition, the shoes should fit quite loosely, be made of natural materials and be worn under special diabetic socks.
The use of orthopedic shoes in adulthood in people who do not suffer from various foot deformities is not considered useful. Firstly, the risk of developing flat feet is practically eliminated at this age - the foot is already formed. Second, these shoes have not been proven to reduce foot fatigue.
Researchers at Harvard University in Cambridge examined the extent to which footwear influences foot health. The study involved 22 adults from the United States and 81 adults from Kenya, some of whom walked primarily barefoot while others wore shoes. Although study participants who preferred to walk without shoes had more blisters, their foot sensitivity did not change. In contrast, shoes with cushioned soles affected the pressure placed on the foot while walking and consequently had a greater impact on the joints. The researchers say that the effect of special shoes on healthy people is poorly understood and that the best option for healthy feet is a simple, flexible model with a firm insole - moccasins or sandals.
When should you make an appointment with an orthopedist?
If the prevention of flat feet does not require the help of a doctor, self-medication for foot deformities is not allowed. A visit to the orthopedist is necessary if the following symptoms occur:
- Rapid fatigue in the feet.
- Pain that occurs after standing for a long time.
- Persistent problems with the joints of the lower limbs, possibly sprains.
One method of self-diagnosis can be examining the feet. To do this, wet your foot and stand firmly on a flat surface so that an imprint of the foot is created. This should usually have the shape of a vault, which indicates that the longitudinal vault is properly formed. A doctor should be consulted if the footprint is intermittent (the metatarsophalangeal joints and the foot are cast separately) or complete (the entire foot is cast).
If you have a foot deformity, you should not underestimate orthopedic shoes - they actually help correct the defect. In this case, however, you will have to order shoes - ordinary shoes from the store with the print 'ortho-' are not suitable. A model is made according to an individual drawing and one or more trials and corrections are required.
In addition, the doctor may recommend therapeutic insoles with a spine-supporting design that can be worn as part of regular footwear. In any case, there are no general recommendations for correcting pre-existing foot problems - the choice of model is made by the orthopedist and is individually tailored to the patient.
Which shoes to choose for sports activities
During training, the risk of injury is very high, and this is often due to uncomfortable sneakers and constant discomfort, which distracts us a lot. Sneakers or running shoes should be chosen specifically for the respective sport and protect against injuries such as twisting the foot. They should provide the foot with maximum stability and provide good ankle support.
The ideal material is leather, which allows good air exchange. The insole is a must as it can be removed and dried. A small gap should be left between the sock and the toes.
Sports shoes should have a flexible sole, a stiff heel and be light in weight.
Differences between sports shoes
Every athlete chooses a sports shoe depending on the sport he practices. For example, aerobics and body shaping require sneakers with a special sole that is higher than other models. This will keep your shinbone firmly in place and prevent injuries. For easy and comfortable running, you need lightweight sneakers with a wide toe and a narrow heel for better support.
And if you run, look for lightweight sneakers that fit your feet perfectly so they don't slip. The flexible toe improves rebound, as does the reinforced heel. The special design cushions the impact on the ground. Therefore, choose shoes with air-filled depressions or air pockets in the sole.
For fastball, you need shoes with a wide, reinforced toe box and spikes for lawn or grippy salts for the gym. If you play tennis, you should choose tennis shoes. But tennis shoes should have a thick sole that is stiff in the heel area and flexible in the toe area, as well as a special tread with anti-slip properties.
Tennis players need special shoes with non-slip treads
Your joints may be fine for a long time, but sooner or later they will hurt if you neglect your footwear. Good shoes are expensive, but if you view them as an investment in your health, you'll find it easier to part with your money. Buying quality shoes is several times cheaper than replacing a knee joint due to arthrosis.
Orthopedic women's shoe Axel, 1705
Insole made of stretchy material in the shell area, joint deformations are excluded.
The anatomically shaped round toe box allows for correct positioning of the toes.
The model adapts well to the foot thanks to the soft textile upper and the anatomically shaped foam insert.
Berkemann Franceska orthopedic shoe
One of the most popular shoes from the German company Berkemann.
In the ankle area on the big toe there is a decorative insert made of elastic material that is completely invisible from the outside, but at the same time prevents pressure on the problem area.
The increased volume in the forefoot area allows the toes maximum freedom, while the removable five-phase insole effectively relieves the foot and prevents further deformation.
Two wide Velcro fasteners securely attach the sabots to the foot and regulate the instep.
Finding comfortable shoes for your bony foot is not that difficult. Manufacturers of special orthopedic shoes value not only comfort and quality, but also a variety of models for every season, every taste and every style.
These shoes are specially designed for problem feet and meet the highest demands.
High-quality footwear contributes to well-being, joint and spine health and a good mood for the day.
The best orthopedic shoes for adults
Adults often forget about the possible occurrence of musculoskeletal problems because bone formation is long overdue. However, they fail to notice that their work often involves standing for long periods of time. This leads to a constant feeling of heaviness in the legs at the end of the working day, and vascular and joint problems appear as we age. To minimize the occurrence of pathologies, orthopedic shoes from the following 6 companies are suitable.
Berkemann
A small craft business was founded in Hamburg as early as 1885. The founder felt compelled to create shoes that could maintain and improve the health of his customers' feet. The brand's models are called 'smart' because they adapt to the wearer's anatomy and move with the foot when moving and not the other way around.
Berkemann has a removable five-phase insole that reduces stress on the spine. It is very easy to care for - the manufacturer guarantees that machine washing will not deform the product in any way.
Berkemann likes to think about the details, so special elastic inserts were made for problem areas. For example, with protruding bones. You don't have to worry about durability because the seams are hand-sewn and have increased strength. These shoes will not disintegrate when exposed to moisture.
luomma
A brand with Finnish roots that has teamed up with the Russian company Ekoten. The international partnership has made great progress thanks to bilateral research and development. The brand's shoes are more therapeutic and are therefore characterized by particularly comfortable buckles, breathable materials and versatility. They are a good choice for people in the postoperative period or with conditions such as rheumatic and diabetic foot. Trauma clinics often cooperate with the company, which confirms the trust of doctors in the quality of the products.
Which orthopedic shoe company is the best choice?
The answer to the question of which manufacturer of orthopedic shoes is best can be found after consultation with a specialist and a thorough diagnosis. When choosing therapeutic and preventive models for children, you should consider the following brands:
- Orthoboom offers bright, fashionable models that can ensure good foot development;
- Tapiboo is suitable for children who are hypersensitive and have frequent allergic reactions;
- Twiki is the best option for getting used to insoles;
- Ortho is able to reduce pathological pain;
- Elegami is ideal for walking on hard, asphalt surfaces;
- Ortmann enables a very precise selection of the model depending on the disease.
Adults who have problems with the musculoskeletal system or whose lifestyle involves long periods of standing have the choice:
- Berkemann presents intelligent solutions to relieve the strain on the spine;
- Luomma is the most purchased company;
- Grubin is the right choice for specific pathologies, with the possibility of creating an insole tailored to a specific model;
- Hergos is the best choice for people who suffer from excessive foot swelling;
- Orthotitan is the most well-thought-out brand for serious illnesses.
A popular saying among doctors is: 'The most effective treatment is prevention'. That's why it's so important that you pay attention to your daily accessories and choose the best orthopedic shoe manufacturers.
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