Comfort Made Just For You

Comfort Made Just For You

Did you know that an individual will walk over 100,000 miles in his or her lifetime? Yet according to the American Orthopedic Foot and Ankle Society, one in every six persons has trouble with his or her feet, making the journey considerably less enjoyable! Custom orthoses treat and correct individual foot ailments, enabling each individual to comfortably complete their 100,000 mile journey. Proper shoes fitted with custom arch support are the best insurance that we can give ourselves to protect our feet.

Just as eyeglass prescriptions vary from person to person, each individual orthosis prescription is as unique as the person for whom it is written. According to the American Podiatric Medical Association, doctors prescribe orthoses as a conservative approach to many foot problems or as a method of control after foot surgery. Whereas eyeglasses allow an individual improved sight, custom orthoses make standing, walking and running more comfortable and efficient.

Why Custom?
With the improvement in off-the-shelf insoles, many people can be made more comfortable with preformed products. However, many people still require support designed specifically to the bony architecture or soft-tissue issues with their feet. For these people, we offer a wide range of custom options.

Custom Insoles
A custom insole is a supportive device made of accommodative materials. It is a CAD/CAM device made specifically to fit your individual foot. They balance the feet to help the ankles, knees, hips and back. They reduce and equalize stress and weight to help prevent foot problems due to improper weight distribution. All feet breakdown with age, but proper shoes and insoles simply prolong the effective life of our feet.

Custom Orthoses
Custom orthoses perform a myriad of functions to correct foot abnormalities and prevent future problems. There are several main purposes of orthoses:

* Relieve areas of excessive plantar pressure by evenly distributing pressure over the entire bottom surface of the foot and/or redistributing plantar forces on the foot.
* Reduce shock with shock-absorbing materials.
* Stabilize and support deformities and limit joint motion with the use of more rigid, supportive materials.
* Reduce shear by minimizing horizontal foot movement through shear-reducing materials.
* Accommodate deformities with the use of soft, moldable materials in the shell and topcover.

The BCP estimates that less than half of the individuals with foot problems obtain the proper shoes and/or orthoses that would benefit them.

Custom Shoes
We partner with the best custom shoe factories in the United States to provide our customers with the widest selection of custom shoes available. Custom shoes are for two types of people: 1) those with abnormal sizes, or 2) those with foot deformities that need special foot gear. These latter candidates include:

* Systemic diseases such as diabetic foot disease, Charcot arthropathy, advanced rheumatoid arthritis, polio and other neuromuscular deficits, and Charcot-Marie-Tooth disease.
* Aging and degenerative joint disease such as hammer toes, bunions and severe pes planus.
* Birth defects such as cerebral palsy, spina bifida and club foot.
* Trauma such as burns, crush injuries and gun shots.

Custom shoes can be designed with:

* Unique sizing considerations.
* Virtually unlimited cushioning.
* Built-in rocker bottoms, wedging, ankle support, and heel pitch.
* Wedging and flaring incorporated into the construction of the shoes to create extra medial and lateral support.
* Partial foot prostheses.
* Asymmetrical sizing and toe shapes.
* A variety of upper designs, bottom designs and closure options.
* Adjustability for fluctuation edema.

Care and Use of Your New Custom Shoes

* If your shoes ever seem to be causing foot problems, stop wearing them immediately and please make an appointment with us to have them checked out. Your foot health and comfort are very important to us.
* Wear clean non-elastic socks or stockings. Smooth out all wrinkles.
* After wearing your shoes for one-half hour, remove them and your socks or stockings to look at the skin on your feet—sides, tops, and bottoms, backs of heels and legs. Use a mirror if you have trouble seeing the backs and bottoms of your feet.
— If you see red marks this means pressure, so check the time it takes for the marks to disappear.
— If you see no red areas, or the marks are gone in one-half hour or less, put shoes and stockings back on again and recheck after one more hour.
— If the skin looks good, you may double the time you wear your shoes each day.
— Remember to look for pressure marks every time you take off your shoes.
* If you notice pressure marks that do not go away in one-half hour, do not put the shoes back on right away, but try again the next day. After another trial, if the marks still do not go away in one-half hour, do not wear the shoes but call us for an appointment so that we can correct the problem before it damages your skin.
* Check the skin on your feet every night. Feet change and you cannot always rely on how the shoe feels on your foot to know that it is not causing a problem.
* If you are wearing boots or high top shoes, do not use the top one or two eyelets until the leather is well-softened.
* Use a shoe horn to put on your shoes. You need sturdy heel counters, and you do not want to break them down.
* Keep the soles and heels in good repair, and use a good paste wax as needed to keep the leather soft and looking good. We offer a full repair service.
* Do not use heat to dry out damp leather, but allow shoes to air dry instead.
* Keep your shoes laced tightly enough so your feet will not slide forward in the shoe—but not so tightly that the laces cause pressure marks.
* Purchase a protective overshoe to protect your custom shoes during bad weather.

Take care of your feet and they will take care of you. Remember you only get one pair!

Custom Orthoses: Use, Wear and Maintenance

Please read the following instructions carefully to obtain the maximum benefits from your new custom orthoses or insoles.

1. Orthoses are similar to contact lenses. You cannot wear them continuously in the beginning. On the first day, wear your new orthoses for no more than one hour; on the second day, two hours; and so on until you can wear them comfortably for longer periods. It will take time for your feet to adjust to a new way of walking, but the adjustment period is well worth the wait. If you find that the orthoses become uncomfortable, decrease the wearing time, and then gradually build it up again. After about one to two weeks, you should be able to wear the orthoses comfortably all day.
2. You should feel no sharp edges or ridges. There will be some pressure in the arch area. If your orthoses have metatarsal pads, you will feel additional pressure from those pads on the shafts of your metatarsal bones for at least two weeks until your foot becomes accustomed to the pads.
3. If you experience discomfort in the lower back, hips or knees, you should reduce the length of time and then gradually increase it again. In all likelihood, these symptoms will disappear rapidly as your body realigns itself and functions more efficiently.
4. Do not wear your orthoses for sport activities until you have fully adjusted to them while walking and standing.
5. Remember to remove the old insoles inside your shoes before placing your custom orthoses in the shoes. Leave the old insole in place only if you need to occupy room in the shoe.
6. Women’s step-in shoes may slip off at the heel when orthoses are worn. If this occurs, purchase shoes with a deeper heel seat or a higher heel counter. This situation often corrects itself as the condition of your feet improves.
7. Your orthoses may squeak when you walk, which is not uncommon. A dusting of foot or baby powder into your shoes before inserting your orthoses should alleviate the problem. If this does not work, apply soap or wax to the edges of your orthoses.
8. The orthoses may be cleaned with soap and lukewarm water. Hot water will damage them.
9. Do not use your orthoses in extreme force situations: such as on rung ladders or with a kick shovel—as this may damage the shell.
10. Most orthoses can be reconditioned after showing wear with new topcovers and posts—ask your pedorthist for more information and associated costs.
11. Your body will adjust more easily to the changes in the way you walk if you follow these instructions. Once you have become accustomed to your orthoses, it is not necessary for you to wear them a specified length each day. What is important is that you are comfortable while you are wearing them and remember that it takes time to correct a lifetime of walking abnormally.
12. If you have further questions or concerns about your orthoses, or if they require adjustment, call your pedorthist and arrange a follow-up appointment.

Foot Facts:

•• Walking puts 2 to 3 times your bodyweight force on your feet. Running puts up to 5 times your body weight force on your feet.

•• Each person takes 8,000 to 10,000 steps per day, or over 3.5 million steps per year.

•• Your feet log 1,000 to 1,500 miles per year. This adds up to about 115,000 miles in a lifetime — more than four times the circumference of the globe.

•• As shock absorbers, feet cushion up to one million pounds of pressure during one hour of strenuous exercise. OUCH!