At our movement workshop on Saturday, someone asked about the use of orthotics. My instinct was to say that you should work on correcting the issue so that you no longer need orthotics. Of course, it is not that simple and each person must be considered as an individual. After reflecting on it, this is how I would determine the appropriate action:
Are there any negative consequences to using orthotics? For example, the orthotics might allow you to walk without any pain, but you are unable to walk barefoot. Without sufficient movement and loading, the muscles in your feet might atrophy and the bones might lose density or deform. As your feet weaken or bones change, the orthotics might lose effectiveness.
If the orthotics have potential unwanted side effects, identify whether the orthotics are addressing the root cause of an issue. If so, can that cause be corrected? For example, legs that appear to be of different length due to lateral pelvic tilt. Correcting the lateral pelvic tilt might alleviate the need for orthotics.
If the cause cannot be corrected (e.g., legs are actually of different length), accept that orthotics are needed. Determine which exercises will mitigate any adverse long-term effects.
If the orthotics are addressing a symptom (e.g., foot pain) and the cause is known, determine the correct approach to correct it while mitigating any side effects of the orthotics. If the cause is unknown, work to determine the cause. As an interim solution, determine which exercises will mitigate adverse long-term effects.
If using orthotics is working well for you, be cautious about removing them until you are sure the cause has been resolved. The longer you have been using orthotics, the longer it will likely take to transition away from them, if this is possible.
Do you need assistance finding a long-term plan or the right exercises for you? Message me for a free consultation.
When I was 18 just before I headed off to University I was getting a lot of back pain. The local osteopath was well respected so I went to see them, I was referred for orthotics. They did clear up my knee and back pain. Was I ready then to hear that I could do something about it? I don’t know. Would I have done the things I do now to improve the overall function of my mind and body … it’s unlikely … but 15 years or so after getting the orthotics I read born to run and could look at my trainers in the same way again… my feet are getting stronger … I’m getting wiser …
Following the advice of a trusted practitioner makes sense. Sometimes alleviating the symptom is the most important thing. The harder part is figuring out whether the treatment brings new problems with it and dealing with those. “Today’s solutions create tomorrow’s problems.”