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How to choose individual insoles?
The difference between standard inserts from frame and individual insoles.
Depending on the complexity of the existing disease and injury of the foot, it is necessary, to use orthopedic insoles to correct and restore its basic functions.
Keep in mind that there are structural differences between regular inserts and an individual insoles.
Ordinary inserts practically do not have correction pads (pelotes) and even if they do, they do not perform a correction function. The use of hygienic, sports, winter insoles ensures comfort, and in case of diabetes, it prevents foot rash and skin damage, protects the foot from minor damages when wearing non-specialized shoes.
Individual insoles have both active and passive pads, that are designed to correct and unload those parts of the foot that for one reason or another do not perform the necessary biomechanical function, restore the normal anatomical and biomechanical structure of the foot.
Therefore, individual insoles are used in the prevention, treatment and rehabilitation process for all existing types of flat feet, namely congenital, rachitis, palsy, traumatic and static flat feet.
Individual inserts are placed along the longitudinal axis of the sole, mainly from the calcaneus to the distal part of the nail phalanges, covering the entire foot, in some cases from the calcaneus to the heads of the metatarsal bones.
The basic designs of individual insoles are divided into two main types: frame and full-support, both are made individually according to the rules of biomechanics and are based on the existing disease of the foot.
Keep in mind that there are structural differences between regular inserts and an individual insoles.
Ordinary inserts practically do not have correction pads (pelotes) and even if they do, they do not perform a correction function. The use of hygienic, sports, winter insoles ensures comfort, and in case of diabetes, it prevents foot rash and skin damage, protects the foot from minor damages when wearing non-specialized shoes.
Individual insoles have both active and passive pads, that are designed to correct and unload those parts of the foot that for one reason or another do not perform the necessary biomechanical function, restore the normal anatomical and biomechanical structure of the foot.
Therefore, individual insoles are used in the prevention, treatment and rehabilitation process for all existing types of flat feet, namely congenital, rachitis, palsy, traumatic and static flat feet.
Individual inserts are placed along the longitudinal axis of the sole, mainly from the calcaneus to the distal part of the nail phalanges, covering the entire foot, in some cases from the calcaneus to the heads of the metatarsal bones.
The basic designs of individual insoles are divided into two main types: frame and full-support, both are made individually according to the rules of biomechanics and are based on the existing disease of the foot.
Frame insoles
Made from low temperature thermoplastics or special molding resins. Having ready-made molds, the podiatrist can give the plastic the necessary shape of the foot by heating it, put active or passive pads, which are necessary to correct certain areas of the foot.
Structurally, frame insoles consist of a hard plastic base with a fabric or leather cover. A soft pad made of pedilene or dense neoprene can be placed in the heel area.
The disadvantage of these insoles is the rigid frame, the incomplete support of the longitudinal and transverse arches, due to which the foot swings and reduces the correction function. This type of insoles are not functional for people with diabetes and practically are not used for heel spurs.
Full support insoles
Full support insoles, like frame ones, are also made individually, but their design does not contain hollow segments that can lead to foot swing when walking, running, and jumping.
Functionally, they can be used for the treatment of heel spurs, marching foot, for the prevention of foot during diabetes, for post-traumatic rehabilitation of the foot, for fractures of the calcaneus, fractures in the area of metatarsophalangeal joints.
Functionally, they can be used for the treatment of heel spurs, marching foot, for the prevention of foot during diabetes, for post-traumatic rehabilitation of the foot, for fractures of the calcaneus, fractures in the area of metatarsophalangeal joints.
In case of minor structural changes, these insoles can also be used for amputations of the toes, metatarsophalangeal joints, amputations according to the method of Garanjo, Simon, Sharpe. etc.
Doctor selects the materials of the insoles based on all data of the patient: existing foot diseases, injuries, weight, age, profession.
Up to 24 different types of parts are used to make a pair of individual insoles, each one is handmade.
The full-support design of the individual insoles allows to use it for almost all types of orthopedic diseases and foot injuries.
Doctor selects the materials of the insoles based on all data of the patient: existing foot diseases, injuries, weight, age, profession.
Up to 24 different types of parts are used to make a pair of individual insoles, each one is handmade.
The full-support design of the individual insoles allows to use it for almost all types of orthopedic diseases and foot injuries.
Advantages of full support individual insoles
- The stability of the original shape despite the dynamic and static pressure (load)
- Availability of corrective, active and passive pads and other necessary elements that can complement the functionality of this designs
- Small volume and weight
- Use of hypoallergenic materials
- Easy care
- Resistance to external factors (sweat, humidity, etc.)
- Comfort
- No side odors
- No age restrictions
Many materials such as PE plastic (high- or low-pressure polyethylene), cork, natural and semi-synthetic, polyethylene foam sheets of various densities and hardness, damper sponge, natural or synthetic leather, various types of fabrics, medical silicone, perforated rubber are being used to prepare individual insoles. In case of excess weight of the patient it is possible to use materials from aluminum, carbon fiber, etc.
Structure and assignment of individual insoles
- For valgus feet and flat feetindividual insoles are used to eliminate pronation of the foot, actively raise its longitudinal arch, create prerequisites for the correct anatomical position of the foot under static and dynamic loads
- For hallux valgus and flatfoot, to bring the heel into the correct anatomical positionit is like to the above described, only the outer edge of the heel is raised. Designed for dynamic stabilization of the heel during walking
- Pan-shapedcorrects the valgus position of the calcaneus and raises the longitudinal arch of the foot
- Detorsionstabilizes the forefoot
- With high side edgescontributes to the correction of highly expressed flat valgus position and the anatomical position of the heel
- In case of an inwardly bent footcorrects deviations of the foot from the longitudinal axis
- During valgus deformity of the big toe (Hallux valgus)eliminates the dorsal flexion of the big toe, which occurs during walking, and corrects the transverse arch of the foot.
- In case of clubfootcorrects the flexion and supination position, reduces the excessively high longitudinal arch of the foot.
- In case of flat footsupports highly notable longitudinal arch of the foot during high physical loads, and also gives the rear part of the foot a pronation position.
- With silicone coatingsupports the foot in a normal anatomical position and removes static and dynamic loads from it.
- With compensationcompensates the difference in the length of the limbs, keeps the foot in a normal anatomical position and removes static and dynamic loads from it.
- For diabeteskeeps the foot in a normal anatomical position and eliminates static and dynamic overload, sweating and rash of the skin of the foot, protects the foot from light and moderate injuries, ensures hygiene when using ordinary shoes.
- With heel spursunloads static and dynamic load from the plantar surface of the heel bone.
Contraindications to use
In case of secondary diseases, in which the use of these orthopedic means is undesirable.
If materials used in these orthopedic devices cause alergy.