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Writer's pictureDr. George Lane

Could A Foot Like This Use Help From Custom Orthotics? Absolutely! We'll Explain Why.

Updated: Jul 23, 2018


Normal alignment of the foot and arch is seen with many feet, such as this one (mine), when no weight is applied.
Foot With Normal Arch Height When No Weight Applied

All outward appearances of this foot (mine, by the way), suggest it has perfectly normal alignment and arch height, and it does...WHEN NO WEIGHT IS APPLIED.

The same foot, when standing on it, shows how my arch is completely collapsed and the foot is flat.
Same Foot as Above, but While Standing - THE ARCH HAS COLLAPSED!

But look what happens when I stand on it on the hardwood floor - the arch has collapsed! Is this a problem? If I'm going to be active on my feet for any significant period of time on hard surfaces without appropriate support under my foot, it certainly is! I, as have many of my clients, learned this the hard way - by suffering from foot, arch, heel, ankle, knee, hip, and low back pain.


The foot was made to spread and change shape to many different alignments to allow it to adapt to the many types of surfaces nature has created: hard, soft, even, and uneven, but unfortunately, we now spend most of our time on just one type - hard and flat.


The fact that the arch and foot spread to their worst alignment on hard surfaces isn't the problem - the problem is that we are constantly on hard surfaces, transmitting significant amounts of excessive stress through the structures of the foot, including the nerves, tendons, ligaments, joints, and bones. Man has created this artificial world of hard surfaces to walk and exercise on that we cannot escape, and as a consequence, our feet and often ankles, legs, knees, hips, and back can suffer, leading to conditions such as plantar fasciitis, bursitis, Morton's neuroma, metatarsalgia, bunions, hammer toes, hallux limitus, hallux ridigus, osteoarthritis in the feet, ankles, knees, hips, and back, stress fractures, shin splints, posterior tibial, Achilles tendinitis, tarsal tunnel syndrome, and others.


What is the answer to this problem? We need to protect our feet from the damaging effects of over-exposure to hard surfaces. How can we best do this? By wearing footwear that fits properly, provides adequate support and cushioning, and, for many people, by wearing appropriately supportive orthotics in the footwear to maintain good alignment and distribute pressure evenly under the foot when standing, walking, or running. Often, this requires well-made custom orthotics that are both contoured to our best foot alignment, and can resist deviation out of that alignment when the impact forces of walking and running, which are several times our body weight, are transfered from our feet onto the orthotics.


Unfortunately, many pre-made arch supports, like these, and even not-so well made custom orthotics fail to deliver, as they either don't match the foot contours very well, or don't maintain good alignment of the foot when our weight is applied.

This image demonstrates how an off-the-shelf orthotic does not have either the contour or support to prevent this arch from collapsing out of alignment when standing on the device.
Arch Still In Collapsed Alignment on Off-The-Shelf Orthotic

The orthotics we make, as seen below, are precisely built from impressions taken of the foot in it's best alignment, and are calibrated to give appropriate support based on the individual's weight, amount of foot flexibility, gait, and activity level. This allows our orthotics to maintain good foot alignment at all times, which can help resolve the symptoms and deter the progression of structural damage and deformity of the conditions described above.

This image depicts the foot with the arch maintained in good alignment on the Superior Foot Supports custom foot orthotic.
Foot on Superior Foot Supports Custom Orthotic With Arch Alignment Maintained.

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