Orthopädische Einlagenversorgung – ein Review

Abstract

Footorthotics are orthopedic devices used to treat foot pathologies that occur due to static or dynamic changes in the foot. In case of forefoot deformities and the metatarsalgia syndrome an improvement in biomechanics and pain relief can be achieved through a correct custom-made orthopaedic insole fitting. Especially in the case of foot deformities such as the flexible flatfoot, as well as overload problems such as plantar fasciitis/plantar heel spur, shin splints and peripatellar problems, there is increasing scientific evidence that custom made insoles are a good aid for the treatment of foot, ankle and lower leg deformities. The effects can be shown by biomechanical investigations.

Orthopaedic custom-made Insoles are individually adapted to the foot by means of supporting, bedding and cushioning materials. A combination of bedding and supporting, corrective and activating elements often results in a reduction of discomfort. Footwear and orthotics must form a functional unit, since the optimum effect can often only be achieved in combination with orthopedic fitting on the ready-made shoe. The physician is responsible for determining the indication, prescribing and monitoring the insole fitting. Furthermore, an accompanying physical therapy is appropriate and desirable for a sustainable result.