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Foot orthotics for growing feet (kids).

Walker Street Sports Podiatry

We provide an evidence based framework around orthotic prescription for kids.  

Once deemed beneficial for a child to have foot orthotics as part of their management, in most cases, a suitably selected medical grade prefabricated orthotic will work just as well as a custom orthotic. So in essence, many kids get good outcomes with inexpensive prefabricated orthotics that have been carefully selected, and in many cases slightly modified, by the treating podiatrist. For many conditions, the use of prefabricated orthotics is supported by current literature and is in line with best practice. At our clinic, we have carefully selected a range of kids prefabricated orthotics that can be modified and dispensed on the same day as the consultation.

 

The use of custom orthotics is preferred in some cases and are recommended when the use of prefabricated orthotics are unlikely to provide an adequate solution. Prefabricated orthotics do have some limitations, so when a child presents with a condition where a custom orthotic may provide a better solution, we will discuss this with the child and parent.

 

When would a child benefit from a prefabricated orthotic:

  • when only needing the orthotic as a short to medium term offloading tool to manage an injury or growth plate condition.

  • When the design of a prefabricated orthotic matches the needs of the child

When would a child benefit from a fully custom orthotic:

  • When a prefabricated orthotic does not have the design features to match the anatomy and function of the child’s foot.

  • Juvenile arthritis

  • When a child needs a more durable device for long term use or due to biomechanical abnormality that can’t be managed optimally with a prefabricated orthotic.

 

WHEN MAY KIDS ORTHOTICS BE RECOMMENDED?

  • Growth plate disorders of the foot, ankle and lower limb such as Severs disease, Osgood Schlatter Syndrome, kohler Disease etc.

  • Balance issues and awkward gait.

  • Growing pains and complaints of not wanting to walk/exercise due to lower limb fatigue or ‘tired legs’.

  • Sports/activity related foot and ankle injuries.

HOW WE MAKE CUSTOM ORTHOTICS

 

At Walker Street Sports Podiatry, we always have our finger on the pulse. We don't simply buy into gimmicks, but adopt new technology when there will be a real benifit to the patient. We keep up to date with the latest industry standards for producing the best custom orthotics. We've just started producing 3D printed Orthotics in Sydney which provide some unique benefits compared to traditional methods.

 

To make our custom orthotics, we use specialised light emitting cameras - digital scanning has now surpassed the traditional methods we once used, such as plaster casting. Once the scans have been taken, your podiatrist writes an orthotic prescription based on your biomechanical assessment, footwear/activity requirements and injury history. The outcome is a highly individualised activity & injury specific flat foot orthotics, designed to alter the stresses traveling through the foot & lower extremity.

 

The prescription is tailored to reduce the load on the injured tissue/s enough to allow pain-free activities. The goal is to reduce the stress to a more optimal level (within a normal physiological range of stress). If this is done correctly, you can expect a reduction in symptoms & an INCREASE in the strength of the previously overloaded muscle, tendon, bone or other structure within the foot or lower extremity. 

1. Initial Assessment

Before we recommend flat foot orthotics, we start with a biomechanical assessment. The purpose of this assessment is to determine if you are a suitable candidate for orthotics.

 

Your podiatrist at Walker Street Sports Podiatry will conduct a gait assessment to determine the movement of your feet during the gait cycle. We use the latest technology to ensure a comprehensive and accurate review.

2. Recommendation

If the initial assessment indicates that you would benefit from custom flat foot orthotics, then we will recommend the best orthotics for your foot type and intended purpose. Recommendations are based on intended use 

 

We will only recommend flat foot orthotics if we believe that they can reduce pain or mitigate future injuries stemming from foot or lower leg issues.

3. Orthotic Fitting

Once we have created custom flat foot orthotics based on an initial consultation and recommendation, we then fit your custom orthotics.

 

We use this step to ensure that your custom foot orthotics fit with your shoes and will make any necessary adjustments. We will also provide you with instructions on how to use your orthotics and provide you with recommendations on the best way to get used to your custom orthotics.

4. Review

The final step in fitting your custom flat foot orthotics is the review. In this step, we will follow up with you within a couple of weeks of your fitting to track your progress.

 

This is a chance for us to see how your foot and lower leg is adapting to the extra correction of your custom orthotics. The review also gives us an opportunity to make any necessary adjustments.

FOOT OROTHICS FAQ

Do I Need Orthotics for my Flat Feet?


It depends!

Foot orthotics work best when treating mechanical based overload injuries of the foot, ankle or lower limb due to poor foot function. Foot orthotics have the potential to allow someone pain free sport or everyday activities after a long period (sometimes years) of constant or reccuring injury.

When indicated, foot orthotics remain an important part of the medical treatment which podiatrists offer their patients with foot and lower limb pain or dysfunction. After a thorough history and assessment, your podiatrist can advise if you would benefit from foot orthotics, and which type would be most appropriate for your particular needs - e.g. pre-fabricated or custom. In many cases, we perform a 'treatment direction test' such as strapping or in-shoe padding/wedging that will give us an indication if orthotic therapy will provide a good solution to your problem.




Can Orthotics Help with Hip Pain caused by Flat Feet?


Yes, they can. But we want to get to the root of the pain before prescribing custom orthotics.

An initial consultation with one of our Expert Podiatrists will tell you everything you need to know about the root and the cause of your hip pain. We prescribe custom orthotics if we believe that they will assist in relieving hip pain and adjusting your movement pattern to mitiagate some of the strain through your body.




Do Orthotics Go Over Insoles?


It depends.

Each case is different. We will advise you on the best way to wear custom orthotics based on your personal circumstances, footwear and intended application.




Who Prescribes Orthotics?


We do!

Orthotics are best prescribed by a podiatrist. Our fully-qualified Podiatrists will have a chat about your concerns and injury histoy as well as do a full assessment and gait analysis before recommending or prescribing orthotics.




What Do Orthotics Do?


Orthotics are designed to alter load and forces traveling through the foot and lower extremity. As such, orthotics have an important role in mitigating abnormally high stresses on body parts/regions currently injurued or prone to injury. Custom orthotics fit seamlessly with your daily footwear or sports shoes to correct a myriad of problems that can stem from the foot.




Do I Need to Wear Orthotics All the Time?


It depends! Some need to use orthtoics as much as possible to get the best results, while others may only need to use their orthotics sparingly in some shoes, for some activities, to get the best results. When fitting your custom foot orthotics, we will provide you with instructions on how to get the most out of your orthotics.




Do Orthotics Fit In All Shoes?


Just about!

There are some shoes that will not accommodate orthotics (dress shoes, high heels etc.), but because custom orthotics are designed to your exact specifications, they will fit almost every shoe.




How Long will Orthotics Last?


How long your orthotics will last depends entirely on how often they are used and in what application. Because custom orthotics are designed to fit your foot perfectly, there is less wear and tear on pressure points of the orthotics. Custom orthotics also use materials that are more durable that pre-fabricated.

There is no specific time period for how long orthotics should last. We recommend period assessments to determine whether or not they need to be replaced and to assess their effectiveness. As a rule of thumb, our orthotics generally last anywhere from 2-6 years depending on how often they are used and in what application.




How Do You Make Custom Orthotics?


At Walker Street Sports Podiatry, we always have our finger on the pulse. We don't simply buy into gimmicks, but adopt new technology when there will be a real benifit to the patient. We keep up to date with the latest industry standards for producing the best custom orthotics and we've just started producing 3D printed orthotics wich provide some unique benefits compared to traditional methods. To make our custom orthotics, we takle a 3D digital image of your foot with specialised light emitting cameras - digital scanning has now surpassed the traditional methods we once used, such as plaster casting. Once the scans have been taken, your podiatrist writes an orthotic prescription based on your biomechanical assessment, footwear/activity requirements and injury history. The outcome is a highly individualised activity & injury specific foot orthotic, designed to alter the stresses traveling through the foot & lower extremity. The prescription is tailored to reduce the load on the injured tissue/s enough to allow pain-free activities. The goal is to reduce the stress to a more optimal level (within a normal physiological range of stress). If this is done correctly, you can expect a reduction in symptoms & an INCREASE in the strength of the previously overloaded muscle, tendon, bone or other structure within the foot or lower extremity.




Do You Offer Off the Shelf Orthotics?


Yes. We offer medical grade 'off the shelf' foot orthotics in average sizes and shapes in an attempt to match the most common sizes and shapes of feet. They are ready to be dispensed straight away and can be modified on the spot to make them slightly more 'custom' and improve the therapeutic goals for each patient.




Does Everyone with Flat Feet Need Orthotics?


Foot orthotics are certainly not necessary for everyone with a foot or lower limb injury, but when they are required, they can be an extremely effective treatment option. If you're not sure if orthotic therapy is for you, feel free to use the contact form to ask any questions you may have before booking an appointment. If you require a consultation, book online and we can assess your orthotic needs during the consultation at our North Sydney clinic.




What Is A Foot Orthotic?


A Foot Orthotic is an in-shoe device (insert) that redistributes plantar pressures and reduces the load on overloaded parts of the foot, ankle and lower limb. They can be custom made or pre-fabricated.




Are Orthotics Uncomfortable?


In most cases, Custom Foot Orthotics will feel uncomfortable at first. Don’t stress, this is all part of the process. The soft tissue in your foot and the muscles in your feet and legs will take time to get used to. We will make recommendations on how often and in what application you should wear your new custom orthotics.

We prescribe custom orthotics that are light, semi-flexible and as comfortable as possible. Comfort is a key consideration -- you won't know if a foot orthotic can help with your problem if you can't wear them due to comfort issues!




Can Orthotics Help Someone with Bowed Legs?


Yes. When designing orthotics for bowed legs, our goal isn’t just to provide ‘relief’ we aim to deliver a lasting solution.

Bowed legs can be a source of serious discomfort that can directly affect their hosts ability to play sport, exercise, and even lead a normal, pain-free existence. A lot of the foot injuries that we treat at Walker Street Sports Podiatry are due to overuse, strain or even injury. However, underlying genetic issues can also be treated and alleviate with the use of custom orthotics.

Basically, a person who is affected by bowed legs cannot place their feet side-by-side without the knees bowing-out. The condition can cause severe pain and inhibit the ability to exercise and walk pain-free. Custom orthotics can provide relief and assist in providing a long-term and manageable solution for those who suffer from bowed legs (or similar conditions). An initial consultation with one of our expert podiatrists will help to isolate the cause of the issue and assist us in finding the most beneficial, long-term solution.




Are Orthotics Good For Your Feet?


Foot orthotics work best when treating mechanical based overload injuries of the foot, ankle or lower limb due to poor foot function. Foot orthotics have the potential to allow someone pain free sport or everyday activities after a long period (sometimes years) of constant or recurring injury.

When indicated, foot orthotics remain an important part of the medical treatment which podiatrists offer their patients with foot and lower limb pain or dysfunction. After a thorough history and assessment, your podiatrist can advise if you would benefit from foot orthotics, and which type would be most appropriate for your particular needs - e.g. pre-fabricated or custom. In many cases, we perform a 'treatment direction test' such as strapping or in-shoe padding/wedging that will give us an indication if orthotic therapy will provide a good solution to your problem.




Do Orthotics Go Over Inner Soles?


Each case is different. We will advise you on the best way to wear your custom orthotics based on your personal circumstances, footwear and intended application.





CONTACT US

Ground Level, 83 Walker Street

North Sydney NSW 2060

(Within Health & Wellness Australia Clinic)

 

Call us on: 9964 0099 

info@walkerstreetsportspodiatry.com.au

© Walker Street Sports Podiatry. All Rights Reserved 2019.