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Material for orthopedic insoles for different shoes. Description and types of orthopedic insoles. Conservative treatments

When purchasing shoes of low quality, we do not think about the fact that this is harmful to the health of our feet, they experience feelings of heaviness and pain. These symptoms are not the best way reflected in our gait. Individual orthopedic insoles can prevent foot diseases and restore ease of walking.

Who needs to wear insoles

The condition of the legs must be monitored from childhood. Pathological changes in the feet can be prevented up to the age of seven. The most common problems are flat feet, valgus and varus To establish the correct diagnosis and get advice on how to choose orthopedic insoles, you need to contact an orthopedic surgeon.

In an adult, foot problems occur after 40 years of age and can lead to serious consequences, such as arthrosis of the joints and osteochondrosis. Women are at particular risk, as they like to wear high heels, as well as men whose work is associated with excessive stress on the joints. All this causes the development of flat feet, which can be longitudinal, transverse and combined.

In addition, the cause of the disease can be overweight, paralysis of the muscles of the arch of the foot, fractures of the bones of the foot. In any case, this condition requires treatment. Orthopedic insoles can prevent the development of pathology in childhood. For adults, they will help relieve tension in the muscles, reduce the load on the feet, relieve pain and heaviness in the legs.

What do orthopedic insoles look like?

All products have an arch support located in the area of ​​​​the inner arch, a recess is modeled under the heel. During movement, the central part of the insole rises and falls. Additional fixation is provided with a metatarsal pillow.

The front part of the insole (the strap) is designed for the correct positioning of the fingers. There are models and only this part (semi-insole), which does not interfere with the correct distribution of weight along the entire length of the product.

The most important part of the insole are the wedges, which make it possible to change the angle of the foot. If the weight is not properly distributed, the heel will shift. Wedges help keep the foot in the correct position, which is the prevention of pain and swelling. The insole for the correction of foot pathologies consists of two wedges: under the heel and in the front of the product. It is advisable to choose models from soft materials with a gel inside the pads, which, evenly distributed, takes the optimal shape.

What are the insoles

An orthopedist-traumatologist will advise how to choose orthopedic insoles depending on the diagnosis and the purposes for which they are purchased.

There are two types of insoles for flat feet. Some are designed to prevent the disease, others correct an existing pathology, make them to order. The best brands on the European market of insoles for the prevention and correction of foot pathologies are GRISON, COCCINE, TARRAGO.

Insoles for the prevention of foot pathologies

Preventive models are used to prevent the formation of flat feet. In their manufacture, a gel substance is used, which makes the insoles very soft and flexible, able to adapt to anatomical features.

The fair sex, who do not want to give up high heels, but at the same time take care of the health of their feet, purchase orthopedic insoles. Reviews about them are only positive. Specially designed foam or leather products that can be worn under dress shoes keep the foot in top condition. But it must be borne in mind that with longitudinal flat feet, it is recommended to wear heels above 4 cm, even with insoles, for no more than two hours.

For overweight people, rigid arch supports made of steel, special plastic or graphite are suitable. When wearing such products, the arches of the foot are in the correct position, this prevents the occurrence of pain and tension.

For women who are expecting a baby, there are special prophylactic arch supports that help the weight of a pregnant woman on her foot. It helps with pain and

Corrective Models

Models for the correction of existing pathology with a custom-fit arch support and metatarsal cushions, as well as a recess in the heel, help reduce the load on the foot and maintain the normal position of its bones.

Products with a heel pad similar to a horseshoe are designed for treatment. Due to the special shape, constant friction of the soft tissues of the heel is prevented. According to customer reviews, wearing such insoles reduces the load on the heel area and eliminates pain. It happens that when walking the foot is twisted and the ankle is sprained, in this case wearing semi-rigid insoles made of flexible plastic will help. These products are very comfortable for the feet.

A special type of insoles is a foot corrector designed for people with a disease such as diabetes. With this pathology, the nerve endings lose their sensitivity in some areas of the foot, in connection with this, corns and calluses are formed. The gel inside the pads in these insoles allows the model to perfectly adapt to the features of the foot.

Orthopedic insoles for children

Children's models, in addition to massage and preventive gymnastics, help the formation of the correct foot in a child, have a positive effect on the development of the musculoskeletal system, ensuring the correct gait. Feedback from many mothers suggests that the improvement becomes noticeable after a few months of using the insoles.

What to look out for

How to choose to wear them to benefit? Several points need to be taken into account:

  • the product should not be rigid so as not to interfere with the natural movements of the foot;
  • The material from which orthopedic insoles for children are made must be distinguished not only by strength, but also by flexibility. This will ensure a stable position of the foot and will not interfere with age-related changes in its arch;
  • the optimal length of a children's insole is three quarters (not including the surface of the fingers);
  • the product is made only on an individual cast in order to avoid the development of other foot deformities.

Selection and production

How to choose orthopedic insoles and can you do it yourself? Of course, you can buy products to correct the condition of the foot in a pharmacy, but there is no guarantee that wearing them will be useful. The structure of the foot of each person is individual, and when using arch supports without selection, an additional pathology may form or an existing disease may be aggravated. Therefore, only a qualified specialist can select insoles, and a prosthetist can make them.

The manufacture of orthopedic insoles occurs in several stages. At the first stage, diagnostics are carried out, which helps to identify the degree of flat feet, then a plaster imprint is made. The next step is sequential fitting. After the product is handed over to the patient, the patient receives recommendations from the doctor for the care of the insoles. At the final stage, the product is corrected during wearing. Since when wearing insoles, the foot straightens gradually, after a while, you may have to choose another model. Prophylactic insoles should be made of genuine leather, which allows them to retain their shape for a long time. The service life of such models does not exceed two years.

Orthopedic insoles for flat feet are the best way to correct foot deformity, without them it is impossible to correct this pathology. Products contribute to the correct redistribution of the load on the sole (depending on the physiological characteristics of each person). Properly selected insoles will help eliminate such unpleasant phenomena as pain, fatigue and swelling of the legs. Regular wearing of such models will prevent the development of foot pathologies, will make you feel comfortable, even if you spend the whole day on your feet.

Wearing individual orthopedic insoles is usually recommended by a doctor. Sometimes people themselves think that it is worth making custom insoles to improve foot support and proper weight distribution. More often, such a need arises for those who are actively involved in sports, or have already encountered such problems as flat feet, bones on their legs, and ingrown nails.

In the manufacture of orthopedic insoles, patients have many questions. We have collected the most common ones:

- Is it true that under the insoles you need to buy shoes one size larger?

Orthopedic insoles, of course, take up a certain amount of space in the shoes, but this does not require buying shoes one size larger, the insoles are selected according to the size of the shoe, so that it is comfortable. Whether or not an insole fits a particular pair of shoes depends on how snugly the shoe fits the foot. This is not to say that individual orthopedic insoles will fit absolutely all your shoes. If initially the shoes sit tight on the leg, then it will be uncomfortable to wear with the insole, it takes up extra space, in too open shoes the insole may peek out. But if there is a small supply, no matter winter shoes or summer shoes, the insoles can be rearranged and worn. These nuances can be discussed with the doctor, there are blanks slightly different in thickness, you can take with you that pair of shoes in which you doubt whether they will fit or not.

- Is one pair included in the cost of making insoles? How much for an extra pair?

The cost of manufacturing insoles - 4800 rubles. for adults, 4300 rubles. for children, this price includes a consultation with a doctor, diagnostics and the manufacture of one pair of insoles. At one time, it is possible to make only one pair of insoles (you can find out more about how the insole is made in the article). The manufacture of another pair is performed according to the same algorithm, the cost is the same - 4800 rubles. for adults, 4300 rubles. for children. But, as a rule, I make only one pair, since orthopedic insoles are selected and made under the foot, and not under the shoes, so they can be rearranged from one shoe to another. ( Cost information at the time of writing the blog post. The current cost can be clarified by calling the call center 380-02-38)

How much will it cost to correct insoles?

Correction of already made insoles is carried out free of charge, the first correction is usually required after 2 weeks. If another correction is required, it will also be free.

How long will orthopedic insoles last?

It depends on the material and on the intensity of use and loads. In our center, blanks from FormTotics material are used, this is a high-tech material, hygienic, the insole does not absorb sweat, it can be washed. With professional sports, the manufacturer claims the average service life of these insoles is 1.5-2 years, with normal use - up to 5 years.

What kind of shoes should you bring with you, the one that you have been wearing for a long time, and you can see how the sole is being erased, or the new one that you are going to wear?

You need to come in the shoes that you wear, the wear of the sole does not matter much, and take another pair with you. Shoes should be closed, preferably without a heel or with a wide heel no more than 4-5 cm. Two pairs of shoes are necessary in order to be able to make a universal insole, then there will be no difficulties when rearranging the insoles from one shoe to another.

- Is it possible to make insoles for sports shoes with an unstable effect, for example (Reebok EasyTone).

You can put insoles in such shoes, this will provide better support for the foot and weight distribution.

- Is it worth it to rearrange the insoles in shoes for the office during sedentary work?

If the work is mostly sedentary, and you move around a little during the day, then it is not necessary to rearrange the insoles in your shoes for work.

- I have different insteps on different legs. Is this taken into account when making custom insoles?

A different rise, of course, is taken into account in order to take into account all the features of the feet, and individual orthopedic insoles are made.

The manufacture of orthopedic insoles is carried out in the department at 39 Staro-Petergofsky pr. and at 45 B. Sampsonievsky pr.

One of the most common diseases is flat feet. And it can develop at any age. At the first sign of it, doctors, as a rule, prescribe insoles for flat feet to be worn in shoes.

Today, there is no need to buy special shoes, you can buy ready-made orthopedic inserts that take some of the load off the spine and joints. And this, accordingly, reduces pain in the legs when walking.

Shoe inserts can be made from various types of materials - natural and synthetic. Therefore, the liners are suitable for any footwear - winter, summer and off-season.

How to wear orthopedic insoles in winter

We wear different shoes at different times of the year. Winter boots or boots are looser as many wear warm socks.

However, even in the first stages of flat feet, it is necessary to insert orthoses into the shoes.

How to wear orthopedic insoles in winter is a topical issue, since these inserts should not only fix the foot in the correct position, but also warm their owner. As a general rule, good winter insoles have a stronger construction and are thick enough in structure. At the same time, they provide maximum therapeutic effect even in the cold season.

How to wear orthopedic insoles in summer

It is clear that different types of insoles are designed for different boots and shoes. So, for example, if in winter we wear the same shoes, then in summer we change them very often: ballet flats, shoes, sandals, sneakers, etc. Therefore, orthopedic summer insoles for shoes differ from each other, since their main function is to properly support the deformed foot in heels, sneakers, and sandals. Today, you can easily pick up ready-made inserts, the main thing is to know how to wear orthopedic insoles in the summer.

Any orthosis is a special insert, which is characterized by a special rigidity necessary for fixing the foot. Such insoles correspond to the bend of the leg, that is, the sole must completely repeat the arches of a healthy foot. All this is necessary to relieve the load on the joints and spine, and, accordingly, to reduce the pain of coming. A specialist will help you choose the right orthoses, but how to wear orthopedic insoles? Orthoses are inserted inside the shoes. They need to get used to.

Over time, the foot will adapt to the unusual insole, and it will become easier to wear them. As a rule, before installing an orthopedic insole, they pull out the old liner from the shoe. However, orthoses can also be worn over existing insoles.

Many inserts have an adhesive applicator, with which they are fixed in the shoe. But even if there is no adhesive backing, the orthosis will not move. The only point worth considering is that the insole must be inserted as deep as possible into the toe of your shoes. In this case, the heel should fit snugly against the back. Some specially designed liners can be cut to fit into your boots or shoes. In this case, the insoles are shortened by 3–5 mm.

How to wear orthopedic insoles if uncomfortable.

It must be understood that getting used to these inserts occurs only on the third (and for someone later - on the fifth) day. This is considered normal. Start walking in shoes with an orthopedic insole for several hours a day, gradually increasing the time.

For detailed product information, you can or contact the manager by free phone in the Russian Federation: +7 804-333-77-80

A person spends most of his life on his feet. A constant load on the legs and feet can lead to the development of various diseases of the musculoskeletal system and exacerbate existing diseases. For the prevention and treatment of such diseases, orthopedists recommend the use of medical insoles. They are able to relieve heaviness in the legs, evenly distribute the load on the entire foot, reduce pain in the spine, prevent the appearance of corns and corns.

You will learn

When to wear orthopedic insoles

Regular wearing of improperly fitting shoes leads to deformation of the bones of the foot. Mostly women who love high-heeled shoes and wedges are subject to this. By the evening, almost every owner of such shoes has heaviness and soreness in the legs, convulsive conditions of the ankle region (especially at night), flat feet develop.

Orthopedic insoles are prescribed in the following cases:

  • flat feet (transverse, longitudinal and longitudinal-transverse);
  • leg and foot injuries;
  • in the hip joints, foot, pain in the lower leg;
  • valgus deformity of the big toe;
  • (knee, hip, ankle);
  • rachiocampsis;
  • phlebeurysm;
  • heel spur;
  • different length of limbs;
  • pregnancy;
  • calluses, corns;
  • intervertebral hernia;
  • congenital pathologies of the joints.

There are practically no contraindications to wearing orthopedic insoles. They can be used even by diabetics who have a special sensitivity of the skin. The only exceptions are silicone insoles, they cannot be worn for more than 16 hours in a row, and they are also contraindicated for those who have purulent wounds on their feet.

What diseases require insoles?

Orthopedic products are indicated for the treatment and prevention of the following diseases:

Heel spur

An inflammatory disease, as a result of which a bone outgrowth forms in the place where the tendons are attached to the heel bone. A heel spur is a very painful condition, so the main task of an orthopedic insole is to create the necessary support for the foot during movement. Such products are made of leatherette or genuine leather, felt. In addition to the insoles, special heel pads are used, which reduce the load on the legs while walking and create a comfortable feeling when moving.

flat feet

It is considered the most common disease of the feet, which affects about 70% of the world's population. Orthopedic products evenly distribute the load over the entire leg, as a result of which the feeling of discomfort and pain in the spine and lower back is reduced.

Osteoarthritis

As a result of osteoarthritis disease, deformation and destruction of the cartilage of the joints is observed, a person loses the ability to move normally. Orthopedic insoles create a normal position of the leg belt, contribute to good depreciation and uniform load throughout the entire limb area.

Rheumatoid arthritis

With this disease, the joints of the lower extremities and soft tissues are affected, muscles are deformed, and flat feet develop. Insoles are able to reduce the load on sore joints, prevent limb deformity and reduce pain.

Pregnancy

During the bearing of a child, a woman has an increased load on the joints, since the center of gravity is in front. As a result of this, edema often forms on the legs, varicose veins occur, and the lower limbs begin to hurt. Therapeutic insoles help eliminate discomfort when walking, distribute the load on the joints, reduce swelling and pain in the legs.

Types of insoles

Insoles are made from various materials, they are preventive or therapeutic, and depending on the disease, the insoles can be made individually.

The following models can be distinguished by the quality of the material:


Depending on what disease a person suffers from, insoles are divided into the following types:

  1. Standard.
  2. Made to order.
  3. Soft, hard and medium hard.
  4. Not profiled and profiled.

There are also such types of insoles as arch supports, pronators and heel pads. Orthopedic insoles have different markings:

  • VP1- an insole with a recess for the heel. This model is recommended for use by pregnant women, people suffering from varicose veins and flat feet, as well as those who regularly engage in heavy physical labor;
  • VP2- insole with arch support and lining. It is used for arch (longitudinal) and foot correction;
  • VP3- consists of a pronator (in front), calculations (in the middle) and tabs on the heel area. Recommended for the prevention of such diseases as "untwisted" (hanging) foot;
  • VP4- practically the same as the previous model, but has a rigid sticker that allows you to fix the thumb in one position (appointed if there is a hallux valgus deformity of the finger);
  • VP5- There is an arch support for the heel and forefoot. Indicated for the treatment of hallux valgus;
  • VP6-there are calculations and tabs under the arch of the foot, as well as under the heel. This model has elements that prevent the formation of corns;
  • VP7- have a pronator along the edge of the foot and a heel pad. Suitable for women who love shoes with high heels. They are prescribed for patients with shortened limbs and clubfoot;
  • VP8- a special wing is located on the insole, which allows you to fix the big toe in the correct position;
  • WP9- Under the heel there is a recess, as well as a shock absorber. These insoles are used if the deformation of the foot is quite significant;
  • VP10- have a heel recess that prevents the formation of corns and calluses.

Description and cost of insoles

Trives insoles

Made only of natural leather, the basis of the models is semi-rigid, they are used to treat flat feet (transverse, longitudinal and combined). The price of insoles is from 600 to 1000 rubles per pair.

Talus insoles

This company manufactures several types of medical insoles for adults and children (soft, frame or full profile). The price of the product is from 600 to 1800 rubles.

Ortho insoles

The manufacturer offers the widest selection of different models: diabetic, frame, sports, soft, insulated, for summer shoes. The price of models is from 500 to 3000 rubles.

Firm "Pedag"

Insoles from the German manufacturer. They are represented by a large selection of models: arch supports, heel pads, with and without a frame, soft, semi-insoles. The price of products is from 600 to 3000 rubles.

Ortmann insoles

They have a vault-supporting and vault-forming effect. The price of goods is from 700 to 3500 rubles.

Individual insoles are made to order according to the parameters of the patient. The price of such products is about 6000 rubles, since in the manufacture of the model all the features of the consumer are taken into account.

In this video, an overview of orthopedic insoles and their purpose.

How to choose the right model

For winter shoes, you can pick up insulated insoles (with fur), in the summer, manufacturers offer to opt for thin models. The orthopedist determines the appropriate model of insoles for the patient and prescribes the time interval during which they need to be worn. Choose insoles according to the following criteria:

  • for lovers of high heels, preventive models made of elastic foam, genuine leather or cork are suitable;
  • those with a large body weight are recommended to opt for rigid models made of metal or plastic;
  • with corns, soft insoles with a porous structure are suitable;
  • if the foot tends to tuck - choose semi-rigid insoles made of plastic;
  • rigid orthopedic products are suitable for people suffering from heel spurs;
  • for diabetics, it is best to choose insoles that have 2 layers in order to prevent the appearance of corns;
  • for heavy physical labor, frame (rigid) models are suitable;
  • for pain in the legs, it is better to opt for insoles made of felt and wool.

A person using orthopedic insoles gets rid of many unpleasant sensations while walking. These orthopedic products allow:

  • correctly distribute the load on the legs and relieve tension from the spine;
  • with medical insoles it is much easier to endure long standing or long walking;
  • help reduce the risk of valgus deformity of the big toes;
  • reduce the likelihood of arthrosis, arthritis and osteochondrosis.

How to care for the product

In order for orthopedic insoles to serve for a long time and properly, you need to follow certain rules for caring for them:

  1. Take them out of your shoes every day and dry them. Do not dry the insoles in the sun or in heaters.
  2. If the product becomes dirty, it can be wiped with a mild alcohol solution or warm soapy water.
  3. Do not wash the insoles by hand or in a washing machine. Compliance with these rules of use guarantees a long service life of these products.

Orthopedic insoles are an indispensable tool for people suffering from joint diseases, athletes and people involved in heavy physical labor. Regular wearing of the product contributes to the treatment and prevention of diseases of the musculoskeletal system, as well as the removal of discomfort during movement.

To correct deviations and minimize discomfort during movements, special tabs are used in shoes - heel pads. They help to properly distribute the load on the foot, unloading it, and eliminate pain when walking.

The benefits of heel pads

Orthopedic heel pads for shoes are a cut-down insole that is inserted into the back of the shoe. Insoles are made from various materials and vary in thickness. With the help of such devices, it is possible to reduce the impact load on the feet, increasing their cushioning ability.

Heel pads are used both in cases of existing diseases and for prevention, especially in the presence of risk factors. The mechanism of the device is extremely simple, and consists in lifting the heel to ensure the anatomically correct position of the foot.

When wearing shoes with heel pads, the movements of the hip and knee joints are facilitated, pain is reduced when walking, and the spine is unloaded. In addition, blood circulation in the muscles and ligaments of the lower leg improves, and comfort is created during movements.

Orthopedic heel pads are available with different thicknesses - from 3 to 12 mm, and consist of several parts:

  • closer to the rear edge is a soft and elastic pad to create cushioning and reduce the mechanical load on the foot;
  • some products have a special cutout so that contact with the surface does not occur. At the same time, the most painful place on the foot is on weight, and pain is not felt when walking;
  • on the bottom there is an adhesive base with which the heel pad is fixed in the shoe, preventing slipping.

Indications for the use of heel pads are:

  • heel and ankle injuries;
  • heel spur;
  • flat feet;
  • different lengths of the lower limbs;
  • hip dysplasia;
  • osteochondrosis;
  • deforming arthrosis;
  • complicated pregnancy.

According to their purpose, products are divided into shock-absorbing and corrective. Cushioning inserts are used for heel spurs, as the springy pad in the center massages the foot and reduces the pressure of its own weight on the heel. Such inserts are also recommended for arthritis, arthrosis of the ankle joint, as well as for pain in the heel.

Corrective heel pads are prescribed to correct different leg lengths in case of functional curvature of the pelvis. This pathology is characterized by pain in the lower back, radiating to the leg, and a wobbly gait - wearing orthopedic devices in shoes helps to make the gait smooth and minimize discomfort.

Kinds

Just like orthopedic insoles, heel pads come in different sizes. However, the most important parameter is the material from which the product is made. Not only the cost, but also the efficiency of use, as well as the service life, depend on its quality.

According to the type of material, shoe inserts are divided into several types:

  • leather. The advantage of leather heel pads is durability, the disadvantage is a weak shock-absorbing property. Insoles with a leather heel pad are recommended to be worn when the pelvis is distorted in order to adjust the length of the legs;
  • gel. Soft and almost invisible, gel inserts are indispensable for wearing in open sandals. They are used mainly for preventive purposes, and for heel spurs at an early stage of its appearance;
  • silicone. The most popular and practical type of orthopedic inserts, which do not require maintenance and are very durable. Silicone inserts have excellent cushioning qualities, helping to cope with fatigue. Recommended for sports shoes and shoes with a small heel;
  • cork. The most reliable inserts are made from this material, which are effective for flat feet and prevent diseases of the spine. Cork wood is a rather rigid material, which, due to its structure, has good corrective properties. Cork heel pads are coated with a hypoallergenic compound to prevent skin irritation;
  • latex. Breathable latex inserts provide comfort to the foot, the foot does not get tired and does not sweat. The high shock-absorbing properties of this orthopedic device make it possible to successfully use latex heel pads for heel spurs.

The products of the Korean brand Comforma, which produces high-quality silicone products, are very popular. On sale you can find orthopedic liners for every taste.

Selection rules and operating features

In order for the orthopedic device to bring the expected benefits, you must first consult with your doctor. Only a doctor can choose the design that is suitable for a specific defect or deformation. The orthopedic specialist will select the appropriate size. It is advisable to have a pair of shoes with you, into which heel pads will be inserted - then you can try on shoes with a heel pad and evaluate the convenience.

You can buy heel pads at a pharmacy or online store, but it is preferable to do this in a special orthopedic salon.

It should be noted that heel pads have undeniable advantages over insoles. They wear out less and last longer. To extend the life of products, you must adhere to the following rules:

  • heel inserts are not recommended to be worn for more than 16 hours in a row, as the product may be deformed. In addition, it is harmful to the foot;
  • if there is damage on the skin - wounds, cuts or inflammation, wearing orthopedic inserts is strictly prohibited;
  • the adhesive retainer on the outside loses its properties over time, so it is necessary to periodically replace the adhesive film with a new one;
  • the product is not recommended to be transferred from one shoe to another, as this causes deformation. It is better to wear heel pads constantly in one model.

Alternative orthotics

Wearing orthopedic heel pads helps many patients, but in case of severe pathologies, it is better to use insoles. In addition, products must be changed regularly depending on the condition of the feet.

In the complex treatment of heel spurs, not only heel pads and insoles can be used, but also night brace, Strasbourg toe. The development of a spur on the heel is largely facilitated by the deposition of salts in the places where the tendons are attached. When the leg is at rest, salts accumulate especially intensively. Therefore, during sleep, the foot is fixed at night with brace to prevent the pathological process.

Plastic devices, called night brace, stretch the foot, fixing it in the correct position, at an angle of 90 °. Braces, or orthoses, are a special corset for a limb that has a positive therapeutic effect.

In some cases, an orthopedic doctor may recommend a custom-made orthosis. Such products are made in orthopedic workshops taking into account the anatomical parameters of the patient. The material and type of retainer is chosen by the customer according to financial capabilities and preferences.

Children's orthoses are made taking into account the needs of the growing body and in accordance with future age-related changes.

Night brace is worn for 2-3 months to achieve the desired result. If the effect does not occur, other methods are used. For example, the Strasbourg sock is less massive and cheaper. The principle of the sock is the same as that of the brace - stretching the fingers and relaxing the foot during the night's rest.

The Strasbourg sock is a golf with a braid, which is attached at one end to the bow, and at the other - to the top of the golf in front. With the help of Velcro, the desired length of the braid is set, and the fingers rise.

The advantage of the Strasbourg sock is that it is easy to get used to and comfortable to wear. The method is successfully used not only in the complex therapy of heel spurs, but also in plantar fasciitis, Achilles tendonitis.

For the treatment of diseases of the musculoskeletal system and their prevention, various methods are used - drugs, massage, warming patches, ultrasound and laser. However, it is precisely when walking, step by step, that pathologies such as flat feet and heel spurs slowly and imperceptibly develop. To prevent their further development and prevent complications, orthopedists strongly recommend the use of orthopedic correctors.

Customer Reviews

The use of orthopedic heel pads causes a lot of feedback, most of which are positive. Here are some of them:

Evgenia Kretova, Voronezh:
With age, I began to notice that my legs were very tired in the evening. After a long walk or standing on your feet, the lower back begins to hurt, and it breaks the entire back. I thought that these were problems with the veins, age-related, I did not dare to go to the doctor. But after I accidentally injured my foot, I had to see a traumatologist. The injury was cured, and at the same time the cause of the pain in the back and legs was found out - flat feet, plus hallux valgus. The doctor recommended putting heel pads in the shoes. With a fair amount of distrust, I purchased products in an orthopedic store, and I do not regret it. I hardly feel tired, and the pain in my back is gone. I highly recommend to anyone who has doubts.

Victoria Kuznetsova, Murmansk:
The fact that I had a heel spur, I did not immediately understand. At first, the heel hurt from time to time, but then it became simply impossible to walk. The orthopedist in the clinic diagnosed immediately, prescribed treatment and sent to the local orthopedic salon for heel pads. I don’t even know what helped more - medicines or comfortable shoes with a purchased insert. Now I put heel pads in every shoe, and I am very grateful to the doctor. Finally I can walk normally!

Alexander Ivanovich, Kamyshin:
Due to sports, there were several injuries of the calcaneus, which have been constantly reminding of themselves for many years. I'm already retired, and I haven't run for a long time, but my heel still hurts. The doctor said something about plantar fasciitis that runners get. He prescribed pills and special pads for shoes. I must say, very handy! And you can buy cheap - the Internet is full of offers. The main thing is to know which ones to take. The doctor said that in my case it is better to take latex ones. I also tried silicone ones, I liked them too.

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    • How to choose orthopedic shoes for clubfoot?

    Possible Causes of Clubfoot in Children

    Clubfoot in babies is divided into two main groups: congenital and acquired. Depending on the group, the causes provoking the development of the disease are strikingly divided.

    The causes of clubfoot must be established in order to understand the approach to the treatment of diseases.

    Classification

    Classification of clubfoot is carried out on the basis of how much the defect can be corrected using passive treatment methods. There are four main forms:

    • mild - clubfoot can be eliminated without much effort due to the compliance of the components;
    • medium - the range of motion in the ankle joint is slightly limited, the doctor may feel a slight springy resistance when trying to make corrections;
    • severe - the range of motion is sharply limited, the possibility of manually correcting the pathology is completely absent;
    • extremely severe - it is impossible to completely cure the disease, you can only slightly correct it.

    In addition to the classification by degrees, the Bohm classification is also used, which allows dividing the disease into 9 main groups, based on the nature of the pathology, the Zatsepinskaya classification, which divides congenital clubfoot into two large groups, as well as the Ponsetti classification, which divides the pathology into five main groups depending on the success of treatment.

    Basically, when making a diagnosis, the main classification by degrees is used, however, many orthopedists use additional classifications to better understand the origin of the pathology.

    Symptoms and signs

    The symptoms of clubfoot are usually quite obvious, so that even a person who is not at all versed in medicine can notice them. Thanks to this, even the parents of the child can notice the disease in the early stages and, of course, consult a doctor in a timely manner.

    The symptoms of clubfoot will be as follows:

    • the sole of the foot is located with a turn inward;
    • the inner edge of the foot will be slightly higher than the outer one (as the pathology progresses, the raising of the inner edge will become more and more pronounced);
    • the foot will have a kink in the sole area;
    • in the ankle joint, movements will be significantly limited, which can be identified by assessing their active and passive volume;
    • there are changes in gait.

    As the disease progresses, specific additional symptoms are added. So, for example, a child may experience engorgement of the skin of the foot from the outside, which accounts for the maximum load, atrophy of the muscle structures of the ankle, and a change in mobility in the area of ​​the knee joint.

    Diagnosis of clubfoot

    When diagnosing clubfoot, the doctor examines the child's feet. At the same time, attention is focused on several elements of clubfoot, the evaluation of which allows you to fully establish the diagnosis:

    • varus is assessed, that is, the eversion of the heel inward;
    • eukinus, that is, the upward displacement of the heel structure along with the curvature of the foot and an increase in its arch;
    • supination - turning the inner edge of the foot up;
    • adduction - bringing the area of ​​the forefoot to the midline of the body.

    The severity of these elements may vary.

    Further diagnostics of the pathology is not aimed at establishing a diagnosis, but at finding the causes that provoked the disease. To diagnose the causes, the doctor may, at his discretion, choose various methods. The most commonly used radiography and CT. If necessary, an ultrasound examination of the bones is possible. Depending on the severity of the clubfoot and related pathologies, the doctor may recommend additional examinations from other specialists.

    Congenital clubfoot in children

    Congenital clubfoot is a fairly common defect that is diagnosed in 1 out of 1000 babies. Most often, in the case of a congenital type of disease, it can be suspected even while the child is in the womb.

    Causes of congenital clubfoot can be established only in 20% of cases, in other cases the disease is classified as idiopathic.

    After the birth of a baby, the doctor may notice that his lower limbs look a little underdeveloped, the muscles of the lower leg look disproportionately small and underdeveloped. Children suffering from clubfoot begin to walk later than their peers, and with the development of a lesion on one side, they develop severe lameness.

    With age and increased activity, the child complains of rapid fatigue, as well as pain that develops in the legs during long walking.

    Acquired clubfoot

    Acquired type of clubfoot can be diagnosed much less frequently than congenital. At the same time, clubfoot often accompanies other diseases of the musculoskeletal system, such as scoliosis, flat feet.

    This form of the disease can be encountered when the child is over the age of three. Rarely is a clubfoot formed in adolescence, although the formation of the foot goes up to 14 years and, of course, before this age there is a significant risk of developing the disease.

    Acquired clubfoot is characterized by a blurred clinical picture, which complicates the diagnostic process. Parents of the child are advised to focus on how the baby walks, as well as assess the position of his feet in order to notice the disease in time.

    It is best to observe the child in the morning, and when the first doubts arise, go to an orthopedic doctor for advice.

    Conservative treatments

    Treatment of the disease is selected based on the severity of the disease and symptoms. It is important that the treatment is carried out by an orthopedic specialist who will not allow the child's condition to worsen.

    Conservative techniques are successfully used in the treatment in the early stages of the disease, helping to rid the child of clubfoot without surgery. Conservative therapy is based on the following techniques:

    • massage techniques prescribed for long courses;
    • special gymnastic exercises that will have to be performed daily with the child;
    • the use of fixation devices, such as plaster casts and splints, which will help to mechanically correct the defect;
    • paraffin applications on the feet;
    • the use of orthopedic equipment that allows you to give the foot the correct position, fixing it purely mechanically;
    • use of orthopedic shoes.

    Surgical treatment

    Surgery for clubfoot in children is quite rare. There are only two indications: either conservative treatment does not give a sufficient effect without correcting the pathology, or the disease is so advanced that the use of conservative methods will not give an effect.

    During the operation, the surgeon performs plastic surgery, correcting the ligamentous and tendon apparatus of the damaged foot. It is important that the operation is considered appropriate only when the child is at least one year old. Before this period, it is not carried out, since it does not justify itself.

    Massage for clubfoot in children

    Massage is one of the main techniques used in the conservative treatment of clubfoot. It is important to remember that improper treatment of this type can only aggravate the situation, so it is better to trust the procedure to professionals.

    During massage, it is important to determine in which areas there is an increased tone in order to direct your impact on them. The child should not be allowed to experience discomfort during the procedure.

    The following types of influences are used:

    • light pressure with fingers at certain points;
    • rubbing in a spiral direction;
    • stroking with a small amount of force;
    • light touch followed by rubbing the limb;
    • patting accompanied by stroking;
    • final strokes to soothe heated muscles.

    Prevention

    Prevention of clubfoot in children is based on two directions. If we talk about the congenital type of pathology, then it is important to timely treat abnormalities that occur during a woman's pregnancy. When preventing an acquired type of disease, it is necessary to monitor how the child walks in order to start correcting deviations in a timely manner.

    Prevention can include the following:

    • walking on a special rug with massage properties or large pebbles;
    • water activities;
    • massage effect;
    • foot baths;
    • sports activities such as swimming, cycling, etc.

    It is important to choose calcium-rich foods for your child to prevent calcium deficiency. Also, attention is paid to the correct choice of shoes: shoes should always be 12 mm longer than the baby's foot.

    Disability

    Clubfoot does not act as an absolute indication for disability. Especially when it comes to an acquired type of pathology.

    With congenital clubfoot, a child may be given disability if the disease is extremely severe. This means that the pathology cannot be corrected in any way.

    The basis for recognizing a child as disabled is clubfoot, in which the baby did not start walking by the age of 1.5 years. The reason at an older age may be the inability of the child to serve himself due to clubfoot.

    How to choose orthopedic shoes for clubfoot?

    If the baby is diagnosed with a clubfoot, this means that he needs to wear only special shoes. Orthopedic shoes are sold in the respective stores and have the following properties:

    • without fail has pronator insoles;
    • provides ankle support with a high and stiff heel counter;
    • Provides proper foot fixation due to inserts and lacing.

    For very young children, while at home, it is generally worth walking barefoot as much as possible, using shoes of any type only for walking and going to kindergarten. It is also important to remember that arch support insoles may not improve the patient's condition, but only aggravate the clubfoot. Also, in orthopedic shoes, the complete absence of insoles is allowed, which is not considered a disadvantage.

    The choice of shoes is best done under the supervision of a specialist. Orthopedic shoes should not only ensure the correct position of the foot, but also be comfortable for the child so that he can wear it without problems.

    Children's clubfoot is a serious pathology of the musculoskeletal system that requires careful attention from parents. With improper treatment or its absence, not only a gait disorder can develop, but also an incorrect formation of the spinal column, which must be remembered.

    The treatment of clubfoot is not a quick matter, requiring patience and perseverance, but bringing good results if done in a timely and complete manner. For success, you must carefully follow all the recommendations of the attending orthopedist and show patience.

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