Orthotics are completely inappropriate for most people. They should be reserved for people with true anatomical DEFORMITIES and not every person who develops common overuse injuries like shin splints, plantar fasciitis, and other proplems that the ignorant fucks in the medical community invariously attribute to “overpronation”.
I agree that the term “overpronation” is bandied about a lot by people who sometimes don’t know what it means, and that can be irritating. Having said that, your idea that orthotics (or orthodics if you’d rather) should be “Reserved for people with true anatomical deformities”, is bizarre in my eyes. It could easily be argued that anyone with a ‘fallen’ medial longitudinal arch in their foot, has a true anatomical deformity, after all, the foot no longer looks or behaves in the way that it should, no?
I suspect though, that your narrow-minded view percieves a ‘deformity’ to mean gross abnormalities in structure due to congenital defects, or perhaps serious trauma. Ironically, these are the people who are least likely to benefit from corrective footwear inserts, but who need serious prosthetics instead…
Any time you go to a medical or rehab professional with such injuries it is likely that you will be offered orthotics whether you need them or not. Podiatrists especially will often insist that orthotics are the answer for everything and that you should wear them even if your feet are perfect. WHEN ALL YOU HAVE IS A HAMMER, EVERYTHING LOOKS LIKE A NAIL.
Orthotics are crutches- sort of like weight belts, but with far more potential to cause harm. This is your fucking feet we’re talking about.
Ambulation is the most basic and most important of human motor skills. Humans evolved to walk and run without the support of bulky plastic braces “correcting” (disrupting) the
(natural) motions of your feet.
Yes, and whether we like it or not, some people (for whatever reason) have lost or compromised that ability. Should we just condemn them, or try to sort the problem out by resorting to your luddite ways?
If you brace your feet with such devices, you will inevitably become dependent on this artificial support. Your feet and lower legs will become less competent and less able to function without the support. If the support is removed, you will be at a high risk of developing a permanent joint injury.
I disagree strongly with this ludicrous statement. The supports - if used correctly, ie as an aid to rehabilitation - simply function to ‘re-educate’ the musculoskeletal system. Once the supporting soft-tissue has become used to the correct alignment of osseous structures, and once the neuromusclular system has adapted to the change in demands placed upon it, the supports/orthotics can be progressively withdrawn, without detriment to the patient.
At least, this is what has happened to me, and to others I know. Of course, there are some, lazy people who will neglect the other facets of their recovery, relying instead upon the temporary relief offered by the orthotics, who will become reliant on such devices. However, this is a failing of the patient and his/her education, not a failure of the devices themselves.
And orthotics don’t just reduce pronation. The motions of your ankles, knees, hips, and spine are intimately related to the motion of your feet. Orthotics will therefore affect all of these joints as well.
Bravo. You have succinctly defined the entire reasoning for the correct use of orthotics.
Rather than using orthotics, I suggest that you adopt a “minimalist” philosophy; that is, to remove all forms of motion control and artificial support, including that provided by most athletic footwear. Instead, go barefoot as much as possible and only wear footwear that doesn’t have significant support features. There’s a significant body of research supporting the superiority of this approach but, since the shoe companies and podiatrists don’t profit from it, the public continues to be told that the human foot has serious design flaws which require correction with expensive footwear products.
It’s not the foot (usually) that has the design flaws, but rather our lifestyle in todays world. If we had all been running about hunting and gathering, in nothing more than a pair of deerskin moccasins, then there would probably be little need for orthotics.
Unfortunately, our modern lives sometimes require modern solutions to modern problems. Advocating to, say, the deskbound executive who likes to run semi-competitively at the weekends, that he “go barefoot as much as possible”, is a surefire way to worsen his existing problems IMO, not to mention being almost entirely impractical. Whilst I admire simple, elegant solutions to problems, I think your approach is far too ‘puritanical’ to be effective for 95% of people with complex biomechanical foot/lower leg issues.[/quote]
all so very true in regards to your opinion.