THE orthotics are those kinds of insoles that you put in shoes in case of orthopedic problems: you have heard of them, maybe you know someone who uses them. But do they work? In what cases? And which ones to choose? We talk about it with Giacomo De CarloDOMROI osteopath, massage physiotherapist, Doctor of Preventive and Adapted Motor Sciences in Mottola (Taranto).
Everything starts from the ends
“Our feet are connected to the entire nervous system thanks to a complex set of neuronal receptors located above and below their surface,” explains the osteopath. “They are primarily connected to the spine, governing our posture. It therefore becomes important to focus on the most suitable insole to complement the main and “active” therapy, ie one that works even during movement“.
What problems do orthotics solve?
First of all, they correct posture. “Most of us tend to throw our bodies too far forward, altering the curves of the column»Explains De Carlo. “The same problem also occurs in those cases where there is discomfort or pain in the front of the foot (metatarsalgia, or due to heel spurs or Morton’s neuromas). Even painful fasciitis, the inflammation that “runs” from the heel to the toes, is not only a local problem but is often linked to the unbalanced forward posture of the person.
This general buoyancy defect puts tension above all on the calf muscles, quadriceps and lumbar muscles, putting tension on the foot band as well. Then, the constant use of the right insole, together with some osteopathic sessions in parallel, put the posture back in line by releasing the continuous foot-upper body tension, even when we walk. And the corrective action of the insole is constant over time, inducing the person to maintain the right posture. For musculoskeletal pathologies, on the other hand, what can be achieved is an improvement: diseases must be treated with drugs, physiotherapy and, if necessary, with surgery, but the insole often proves to be a valid supplement to complement medical treatment“.
Custom or ready-made insoles?
Many orthotics are prescribed by the specialist, orthopedist, physiotherapist or sports doctor who indicate a technician (usually from an orthopedic store) who will make them tailored. “They work great and are often targeted at solve a specific problem: these are the so-called orthopedic insoles, but there are also “ready” active postural-functional ones, which act on posture and you can buy them at the pharmacy.
The orthopedic insole can also have postural and pain benefits, but it tends to correct the deformities of the sole (such as flat or hollow foot), with benefit on the specific symptom»Explains the expert. Finally, between custom-made insoles and ready-made ones there can be a noticeable difference in pricean expense that will have to be re-budgeted when wear, strictly linked to the individual, his weight and lifestyle (and therefore very variable), requires new support.
The benefits of the insole
Thanks to his particular shapethe insole pushes on the venous bed of the foot, our vital pump, giving a constant push that facilitates venous return and counteracts the stagnation of blood. This action also occurs on the lymphatic system.
90% of the population tends to move and keep their body very forward, and this inclination it can accentuate a number of problems biomechanical load on the back. The footbed repositions in the correct posture.
The insole can also be useful in cases of pelvis asymmetry. Once this incorrect position has been treated (for example with osteopathy) the insole guarantees the maintenance of the result, that is the symmetry of the body.
In case of cartilage wear and arthrosis of the patellofemoral joint, improvements can be obtained. By forcing the body to reposition itself further back, the quadriceps, the main muscle of the knee, is less tense. giving relief to the joint.
The new insole tested for you
At the pharmacy you can order the active footbed that corrects the posture when stationary and in motion thus relieving pain in the back, legs and feet. You choose based on your weight and foot measurements. «I tried it and I was struck by its effectiveness, especially against pain ”, explains Giacomo De Carlo. «I also recommend it in sports, because acts on physical and muscular fatigue“.
But how does it work? «Starting from specific anatomical parameters of the individual patient (weight and measurements), it stimulates the neuronal receptors placed under the sole of the foot, and guarantees support and the conformation of the three arches that characterize the sole. In addition, the hollow of the insole where the heel rests helps to maintain the central weight by continuously stimulating the foot-rest of the body. The result it is a correct posture over time, with what follows in terms of general well-being. P.can be used gradually in the first days, to avoid getting to feel heaviness in the legs at the end of the day.
It is advisable to start with 3 hours on the first day, 4/5 hours on the second day, and then arrive from the third to wear it all day ». The cost is € 70 and the duration can be up to a year and a half (depending on weight and use).